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  • Chapter Fifteen: Becoming an Informed Healthcare Consumer Health care providers often evaluate you by criteria pertaining to their area of expertise. This chapter should assist you to make wise decisions about health information services and products since poor health care decisions could affect your overall health negatively.
  • Images Chap18hahn8e

    1. 1. Chapter Eighteen Accepting Dying and Death
    2. 2. Definitions Of Death <ul><li>Clinical determinants of death </li></ul><ul><li>Lack of heartbeat and breathing </li></ul><ul><li>Lack of central nervous system function </li></ul><ul><li>The presence of rigor mortis </li></ul><ul><li>A person is not legally dead until a death certificate has been signed by a physician, coroner, health dept. </li></ul>
    3. 3. Psychological Stages Of Death <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. 4. Advance Health Care Directives <ul><li>Living will </li></ul><ul><li>Durable power of attorney for healthcare </li></ul>
    5. 5. The Living Will
    6. 6. Coping with Specific Causes of Death <ul><li>Coping with terminal illness </li></ul><ul><li>Coping with an accidental death, natural disaster and terrorism </li></ul><ul><li>Coping with death by suicide </li></ul><ul><li>Coping with death by murder </li></ul>
    7. 7. Definitions <ul><li>Euthanasia </li></ul><ul><li>Indirect or passive euthanasia </li></ul><ul><li>Direct or active euthanasia </li></ul><ul><li>Physician- Assisted Suicide </li></ul><ul><li>Death with Dignity Act </li></ul>
    8. 8. Near- Death Experiences <ul><li>A sense of well-being and peace </li></ul><ul><li>An out-of-body experience </li></ul><ul><li>A movement into extreme blackness and darkness </li></ul><ul><li>A shaft of intense light </li></ul><ul><li>A decision to enter this light </li></ul>
    9. 9. Interacting with Dying People <ul><li>Display honesty and genuineness </li></ul><ul><li>Do not try to avoid crying </li></ul><ul><li>Provide emotional support </li></ul><ul><li>Resist the temptation to pull someone out of denial, anger or depression </li></ul><ul><li>Do not feel obliged to talk constantly </li></ul><ul><li>Use non-verbal communication </li></ul>
    10. 10. Talking With Children About Death <ul><li>Avoid shielding or misleading children about the reality of death </li></ul><ul><li>Understand children’s questions before providing an answer </li></ul><ul><li>Give simple, direct answers </li></ul><ul><li>Answer questions when they arise </li></ul><ul><li>Respond with openness and honesty </li></ul>
    11. 11. Death Of A Child <ul><li>Avoid trying to cope by using alcohol, drugs </li></ul><ul><li>Make no important life changes </li></ul><ul><li>Share feelings with others </li></ul><ul><li>Avoid trying to erase death </li></ul><ul><li>Take time and space to grieve </li></ul><ul><li>Don’t attempt to replace the child </li></ul>
    12. 12. Hospice Care <ul><li>Pain control </li></ul><ul><li>Family involvement </li></ul><ul><li>Multidisciplinary support </li></ul><ul><li>Patient decisions </li></ul>
    13. 13. Rituals Of Death <ul><li>Full funeral services </li></ul><ul><li>Embalming </li></ul><ul><li>Calling hours </li></ul><ul><li>Funeral service </li></ul><ul><li>Disposition of the body </li></ul><ul><li>Ground burial </li></ul><ul><li>Entombment </li></ul><ul><li>Cremation </li></ul><ul><li>Anatomical donation </li></ul>
    14. 14. Personal Preparation For Death <ul><li>Prepare a will </li></ul><ul><li>Purchase a life insurance policy </li></ul><ul><li>Make funeral prearrangements </li></ul><ul><li>Prepare a living will </li></ul><ul><li>Consider anatomical or organ donation </li></ul><ul><li>Discuss plans with family and friends </li></ul><ul><li>Prepare your obituary or eulogy </li></ul><ul><li>Write your own epitaph </li></ul>
    15. 15. Chapter Eighteen Accepting Dying and Death

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