1025 Final

Question 1

4 awareness contexts of dying

Answer 1

1. Closed awareness
2. Suspected awareness
3. Mutual pretense
4. Open awareness

Question 2

Define closed awareness

Answer 2

Dying person is unaware of death

Question 3

Define suspected awareness

Answer 3

Dying person suspects prognosis involves death

Question 4

Define mutual pretense

Answer 4

Recognize death is outcome but act as if patient will recover

Question 5

Define open awareness

Answer 5

Dying person and outsiders openly discuss that death is expected

Question 6

What is palliative care

Answer 6

• Lesson pain without hope for cure

- “Care that aims to relieve suffering and improve the quality of living and dying”

Question 7

What comprises assumptive world

Answer 7

How we expect the world to work; how others should be, and our view of ourselves in relation to the world and others

Question 8

Define nonfinite loss

Answer 8

Ongoing and no forseeable end

Question 9

Define ambiguous loss

Answer 9

Physically present but psychologically absent and vice versa

Question 10

Define chronic sorrow

Answer 10

Response to nonfinite loss

Question 11

Tangible loss

Answer 11

Apparent or readily visible or identified

Question 12

Intangible loss

Answer 12

Invisible or symbolic in nature

Question 13

Current thinking about grief

Answer 13

• Normal and healthy response
• Normal to have ongoing sense of connection
• Need and ability to make meaning after a loss is a significant aspect of the function of grief

Question 14

Instrumental grief

Answer 14

Focus on activity and not talking openly about loss

Question 15

Intuitive grief

Answer 15

Talk about deceased and openly express feelings

Question 16

Disenfranchised grief

Answer 16

A loss that cannot be openly acknowledged, publicly mourned, or socially supported (Kenneth Doka)

Question 17

How to be most helpful…

Answer 17

• Aware of own loss
• Be comfortable saying “I don’t know”
• Nonverbal communication
• Empathy is safe (put yourself in their shoes)
• Don’t try and “fix” it

Question 18

When is professional help needed

Answer 18

• Talks of suicide
• Spiral thinking
• Unable to complete normal activities
• Physical symptoms (sleep and eating)
• Complicating factors to loss - trauma or abuse

Question 19

5 purposes a funeral serves

Answer 19

1. Sanitary disposal
2. Celebration of life
3. Beginning of mourning process
4. Reintegration of the community without the deceased
5. Reaffirmation of one’s belief system

Question 20

4 illness trajectories

Answer 20

1. Hospital
2. Nursing home or long-term care home
3. Home
4. Hospice

Question 21

5 ways people experience the dying process

Answer 21

1. Physical
2. Emotional
3. Psychological
4. Social
5. Spiritual

Question 22

6 ways grief can manifest

Answer 22

1. Physically - lump in throat
2. Emotionally - feelings
3. Cognitively - thoughts
4. Behaviourally - sleep or appetite disturbances
5. Socially - relationship difficulty
6. Spiritually - searching for meaning

Question 23

Alzheimer’s

Answer 23

• Brain disorder that destroys memory and thinking

- Unable to perform simple tasks

Question 24

Disposition

Answer 24

• Cremation
• Burial
• Visitation
• Remains and ashes (urn)

Question 25

Social messages bereaved people encounter

Answer 25

- Not supported - Time limit - "Let go" and "get over it" - Two weeks?

Question 26

Necessary things to do after death

Answer 26

- Social support - Register (info) - Obituary - Custody and arrange