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1
Q

Four dimensions of death education?

A

Cognitive, affective, behavioral, valuational

2
Q

Cognitive dimension of death education

A

Factual information about death related experiences including facts about death, cultural patterns etc.
Important because: identifies new ways to organize or interpret data- for example learning of a new diseases and causes of death

3
Q

Affective dimension of death education

A

Education regarding emotions, feelings, and attitudes, understanding response
Important because: Gives us the awareness of appropriate grief reactions and responses

4
Q

Behavioral dimension of death education

A

explaining the why of the way people behave regarding death-related situations
Important because: Points out the great value in what individual and social organizations can do-the importance of human presence

5
Q

Valuational dimension of death education

A

helps to identify and articulate the basic values that govern human lives
Important because: Gives us perspective on the value we place on our lives and also assisting children with death

6
Q

Hospice care

A
  • Team approach
  • for all ages
  • focus on comfort
  • covered by insurance
  • goal: improve quality of life
  • Patient must have a terminal diagnosis of a 6 months or less
  • Patients forgo aggressive treatment
7
Q

Palliative care

A
  • Team approach
  • for all ages
  • focus on comfort
  • covered by insurance
  • goal: improve quality of life
  • can be established at any time during the illness
  • done in an institutional setting
8
Q

Pre-active Phase of dying

A
  • 7 to 14 days before death
  • Weakness and fatigue
  • Increased dependence on caregivers
  • Bed bound status in formerly active patients Increased sleep
  • Progressive disorientation
  • Limited attention span
  • Restlessness
  • Decreased interest in food and fluid Difficulty swallowing
  • Loss of bladder and/or bowel control
9
Q

Active phase of dying

A
  • 2 to 3 days before death
  • Decreased responsiveness
  • Eyes glassy, pupils unfocused
  • No interest in food or fluid
  • Lowered blood pressure
  • Abnormal respiratory pattern
  • Blood pressure and pulse difficult to obtain
  • Progressive cooling and mottling of extremities
  • Excess secretions/ terminal congestion
  • Lowered skin temperature (skin cool, clammy or damp)
10
Q

Anticipatory grief

A
  • Grief felt by the family or the person dying before the actual death
  • same symptoms of grief after a loss
11
Q

5 Stages of grief

A

Established by Elisabeth Kubler Ross:

  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance
12
Q

Complicated grief: Inhibited/absent grief

A

A pattern in which persons show little evidence of the
expected separation distress, seeking, yearning, or other characteristics of normal
grief.

13
Q

Complicated grief: Delayed grief

A

A pattern in which symptoms of distress, seeking, yearning, etc., occur at a much later time than is typical

14
Q

Complicated grief: Chronic grief

A

A pattern emphasizing prolonged duration of grief symptoms

15
Q

Complicated grief: Distorted grief

A

A pattern characterized by extremely intense or atypical symptoms

16
Q

Children grief: infancy - 2yrs

A

Not able to understand death, Separation from mother causes changes
Response: Quietness, crankiness, poor sleep, weight loss

17
Q

Children grief: 2- 6yrs

A

Death is temporary, not final, Dead person can come back to life
Response: Asks many questions(How does she eat?)
Problems in eating, sleeping, regression, tantrums/Magical Thinking

18
Q

Children grief: 6- 9yrs

A

Death is often thought of as a person or spirit, Death is final and frightening
Response: Curious about death, asks specific questions. Some concerns about imaginary illnesses. May feel abandoned

19
Q

Children grief: 9 and older

A

Death is final and cannot be changed, Everyone will die

Response: Heightened emotions, sleeping problems, increased anxiety over own death

20
Q

Euthanasia

A
  • involves a physician or another third party administering the medication
  • is illegal in all states of the United States
21
Q

Physician assisted suicide

A

Requires the patient to administer the medication and to determine when and where to do this
Legal in the states of Washington, Oregon, and Montana, and most recently Vermont

22
Q

Depression and the terminally ill

A

many caregivers suffer from depressive symptoms, chances of depression are greater in women

23
Q

Women and caregiving

A

Women comprise two-thirds of all unpaid caregivers

24
Q

The Four Things that Matter Most

A

Forgiveness, Thank You, I love you, Goodbye