Ch 13: Approaching Death

Human Development 2180 with Loeckenhoff at Cornell University

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By: Misty Miglorin
Created: 2011-05-12
Size: 27 flashcards
Views: 12

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brain death

equivalent to cardiopulmonary death (by law). all electrical activity has ceased. if higher brain centers are deprived of O2 for more than 5-10 minutes, patient will never recover mental/motor abilities, or will recover with severe impairment.

persistent vegetative state (PVS)

severe brain damage and coma, but show signs of sleep-wake cycles, no detectable evidence of awareness. Terry Schiavo.

living will

ensures right of individual to choose whether to sustain his/her life. chooses how and when life-sustaining treatments will be provided or withheld. makes treatment a less complex decision for physicians and family.

do not resuscitate (DNR) orders

specifically direct doctors and staff not to use resuscitation measures (CPR, electric shock, medication injections into heart, open chest massage, tracheotomy).

active euthanasia vs. passive euthanasia

deliberate, intentional action to kill a suffering patient vs. failure to act or withdrawal of life-sustaining medication or machine.

annihilation

complete loss of existence - self and body

bereavement overload

cumulative effects of dealing with deaths of friend, neighbors and relatives in a short time span.

near-death experiences (NDE)

report tranquility, noise, dark tunnel, out-of-body experience, seeing others who are dead, intense white light, reviewing life, return across a border.

Kubler-Ross theory

coping with death, five stages, can also be applied to loss of a job or miscarriage

Kubler-Ross stages

1. denial (diagnosis must be wrong)
2. anger (why me?)
3. bargaining (trying to buy more time)
4. depression (attempts to cheer up at this stage should be avoided)
5. acceptance

social death

occurs prior to someone's physical death, isolation, distancing

mutual pretense

imagining the disease is not terminal and recovery is possible

good death

free from avoidable distress, matches patient's and family's wishes, meets clinical, cultural, ethical standards.

3 requirements for open communication

listen nonjudgmentally, respect wishes of dying person above all else, be calm and supportive.

4 domains of coping

physical - minimizing pain and discomfort
psychological - independence, security, quality of life
social - ties with significant others
spiritual - meaning, hope, transcendence

Cheyne-Stokes respiration

occurs in last hours of life; rapid breathing patterned with periods of no respiration

palliative

describes hospice care; designed to control pain and physical symptoms, offers no treatment to cure the terminal illness.

postvention services

bereavement counseling offered by the hospice to a family for up to a year after death of relative

circle of care

hospice treats everyone in the circle of care, including family and dying patient.

bereaved

describes someone who has just lost a loved one to death

grief

human reaction to loved one's death

mourning

overt behavioral expression of grief by the bereaved

delayed grief reaction vs. anticipatory grief

when grief work is delayed or arrested by an individual who denies their feelings about it vs. grieving long before a loved one dies

uncomplicated vs. complicated grief disorder

80-90% of individuals experience predictable grief and resume life vs. those who don't recover in first 6 months (depression, suicidal thoughts, PTSD)

grief pangs

somatic stress in waves, last 20-60 minutes, tight feeling in throat, shortness of breath, need to sigh, empty stomach, sobbing, crying.

anniversary reaction

may occur each year on the day of the dead loved one's birthday or death day.

instrumental vs. intuitive grieving

men are more instrumental, and may practice hobbies in grieving vs. women who are intuitive grievers and share emotions

About this deck

By: Misty Miglorin
Created: 2011-05-12
Size: 27 flashcards
Views: 12

About StudyBlue

“I have been getting MUCH better grades on all my tests for school. Flash cards, notes, and quizzes are great on here. Thanks!”
Kathy