PSY 456 - Exam 1
Last Modified: 2011-06-25
- death is a disguise for the real fear - castration anxiety
- death anxiety comes from a fear of losing value,love Security, and by being less than a whole person.
- Thought humans were terrified of their own morality, sought to deny death anxiety by keeping it unconscious.
- denial of death gives motivation to human behavior.
- Awareness of out morality is the basic source of anxiety
- Society's function is to pretend that life will never end - connects us to something bigger than ourselves and gives us meaning.
- control death anxiety by socially sanctioned evasions and fantasies - ie movies
- strong self esteem is used as a protection from death anxiety
- Distinguishes between the everyday low level of death anxiety and the arousal felt when facing death.
- reluctance to complete a living will
- hesitancy to sign an organ donor card
- engage in high risk behaviors - think invincible
- occurs around age 10
- someone whose only crime was raping an adult woman
- mentally retarded people because it is considered cruel and unusual punishment with them
- adolescents because of lack of maturity and vulnerability to negative influences.
- Heart Disease
- Stroke (cardiovascular)
- Pneumonia, Flu
- Alzheimer's Disease
- Kidney Disease
- Liver Disease
- Chest Discomfort - uncomfortable pressure, lasts more than a few minutes or goes away and comes back
- Pain or discomfort in arms (usually searing pain down left arm), back neck jaw or stomach. Shortness of breath, nausea, cold sweat
- Women experience more back pain and nausea
- Decrease in blood flow to artery supplying the brain. Deficit has to last more that 24 hours - otherwise it is TIA
- Arteries fail to deliver enough blood and tissues are suffocated (ischemic) OR arteries hemorrhage due to hypertension.
- Cancerous cells don't work on behalf of the organ, they reproduce blindly, damage the organ, metastasize and move on to another organ.
- Cells are ugly, deformed, have unlimited capacity to grow.
- General: unexplained weight loss, fatigue, fear, pain, skin changes (color - hair loss)
- Other: Change in bowel or bladder habits, sores that don't heal, white patches in mouth or tongue, lump, indigestion, cough
- unresponsive, no movements or breath, no reflexes, flat EEG no circulation to brain, brain death
- confrontive coping
- self controlling
- seeking social support
- accepting responsibility
- escape avoidance
- planful problem solving
- positive reappraisal
- not enough help for caregivers - leads to resentment of those not helping
- physically demanding
- have to keep the integrity of the person being cared for - can sometimes be difficult especially with bathroom habits are involved.
- Treatment to relieve rather than cure symptoms caused by a serious illness
- team approach
- clear communication, emotional support, help guiding the medical system and difficult medical choices.
- for the terminally ill with 6 months or less to live
- low tech - heavy on human touch. most of the care is done out of the home, Hospice volunteers come by.
- Very focused on pain management and comfortability.
- Certain death at a known time
- Certain Death at an unknown time
- Uncertain Death but will be determined.
- Uncertain death, unknown time - no idea of the cause or time of death. true for most youth
- Patient oriented - remission of symptoms, relieve pain and fulfill the patient's wishes
- Patient has opp to visit w/ family - children ok, flexible visiting, privacy with loved one when they are alive and dead.
- staff forms relationship w/ patient.
- Pain is a stressful experience
- pain reduces amount of attention that can be given to other things
- pain can intensify other symptoms
- fear and anticipation of pain can be demoralizing
- pan contributes to death anxiety.
- Overestimate their odds of surviving.
- there is a transition with death- part of human experience.
- experience restricted activity - damage to body image, disempowerment, time anxiety
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