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Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
Death and Dying
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Death and Dying

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  • Image source: Tracy Montana/PhotoLink/Getty Images
  • Transcript

    • 1. Chapter Seventeen Accepting Dying and Death
    • 2. Definitions of Death <ul><li>Clinical determinants of death </li></ul><ul><li>Medical death certificate </li></ul><ul><li>Criteria to establish death </li></ul><ul><ul><li>Lack of heartbeat and breathing </li></ul></ul><ul><ul><li>Lack of central nervous system function </li></ul></ul><ul><ul><li>Presence of rigor mortis </li></ul></ul>
    • 3. Psychological Stages of Dying <ul><li>Denial </li></ul><ul><li>Anger </li></ul><ul><li>Bargaining </li></ul><ul><li>Depression </li></ul><ul><li>Acceptance </li></ul>
    • 4. Near-Death Experiences <ul><li>Acknowledgement of death </li></ul><ul><li>Out-of-body experience </li></ul><ul><li>Extreme blackness </li></ul><ul><li>Encountering love ones who have died </li></ul><ul><li>Intense light </li></ul><ul><li>Sense of well-being and peace </li></ul><ul><li>Decision whether to enter into the light </li></ul><ul><li>Return to the body </li></ul>
    • 5. Interacting with Dying People <ul><li>Be genuine and honest </li></ul><ul><li>Provide emotional support </li></ul><ul><li>Allow people to express their feelings </li></ul>
    • 6. Talking with Children about Death <ul><li>Use straightforward, age-appropriate language </li></ul><ul><li>Avoid shielding </li></ul><ul><li>Make certain the child understands </li></ul><ul><li>Provide simple, direct answers </li></ul><ul><ul><li>The person will never come back </li></ul></ul><ul><ul><li>The body has been buried or burned to ashes </li></ul></ul>
    • 7. End-of-Life Options and Decisions <ul><li>Hospice care for the terminally ill </li></ul><ul><li>Goal is to maximize quality of life </li></ul><ul><li>Strategies </li></ul><ul><ul><li>Pain control </li></ul></ul><ul><ul><li>Family involvement </li></ul></ul><ul><ul><li>Multidisciplinary approach </li></ul></ul><ul><ul><li>Patient decisions </li></ul></ul><ul><li>Follow-up and care for survivors </li></ul>
    • 8. Euthanasia <ul><li>Indirect or passive euthanasia </li></ul><ul><ul><li>Allowing to die (“do not resuscitate”) </li></ul></ul><ul><li>Direct or active euthanasia </li></ul><ul><ul><li>Giving a patient a lethal dose of drugs </li></ul></ul><ul><li>Physician-assisted suicide </li></ul><ul><ul><li>Prescribing a patient a lethal dose of drugs </li></ul></ul><ul><li>Oregon Death with Dignity Act </li></ul>
    • 9. End-of-Life Options and Decisions <ul><li>Advance Healthcare Directives </li></ul><ul><ul><li>Living will </li></ul></ul><ul><ul><li>Durable power of attorney for health care </li></ul></ul>
    • 10. Living Will
    • 11. Organ Donation <ul><li>Intention to donate can be stated on driver’s license, but next-of-kin must consent at time of death </li></ul><ul><li>Significant shortage of donor organs </li></ul><ul><li>Every day: </li></ul><ul><ul><li>77 people receive a transplant </li></ul></ul><ul><ul><li>110 people join waiting list for a transplant </li></ul></ul><ul><ul><li>19 people die waiting for a transplant </li></ul></ul>
    • 12. Planning an Organ Donation
    • 13. Grief and Coping: The Experience of Grief <ul><li>Physical discomfort </li></ul><ul><li>Sense of numbness </li></ul><ul><li>Feeling of detachment from others </li></ul><ul><li>Preoccupation with the image of the deceased </li></ul><ul><li>Guilt </li></ul><ul><li>Hostility </li></ul><ul><li>Disruption in daily schedule </li></ul><ul><li>Delayed grief </li></ul>
    • 14. Coping with Death from Specific Causes <ul><li>Terminal illness </li></ul><ul><li>Accidental death </li></ul><ul><li>Natural disasters </li></ul><ul><li>Terrorism </li></ul><ul><li>Suicide </li></ul><ul><li>Murder </li></ul>
    • 15. Coping with the Death of a Loved One <ul><li>Child </li></ul><ul><ul><li>Miscarriage </li></ul></ul><ul><ul><li>Lost after birth </li></ul></ul><ul><ul><li>Grieving </li></ul></ul><ul><li>Parent </li></ul><ul><li>Spouse </li></ul><ul><li>Sibling </li></ul>
    • 16. Rituals of Death <ul><li>Cultural differences </li></ul><ul><li>Full funeral services </li></ul><ul><ul><li>Embalming </li></ul></ul><ul><ul><li>Calling hours </li></ul></ul><ul><ul><li>Funeral service </li></ul></ul><ul><li>Memorial service </li></ul><ul><li>Disposition of the body </li></ul><ul><ul><li>Ground burial </li></ul></ul><ul><ul><li>Entombment </li></ul></ul><ul><ul><li>Cremation </li></ul></ul><ul><ul><li>Anatomical donation </li></ul></ul><ul><li>Costs </li></ul>
    • 17. Personal Preparation for Death <ul><li>Will </li></ul><ul><li>Life insurance </li></ul><ul><li>Funeral prearrangements </li></ul><ul><li>Anatomical or organ donation </li></ul><ul><li>Eulogy </li></ul><ul><li>Epitaph </li></ul>
    • 18. Chapter Seventeen Accepting Dying and Death

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