Appendix F - Death and DyingTicket to classPlace in dro.docx

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Appendix F - Death and Dying Ticket to class: Place in dropbox prior to the start of class At least 50 words in each response Give the questions some thought and answer honestly Number your answers to correspond with the question Worth 12 points/5% Questions: What will be important to you when you are dying? What limitations to your physical and mental health would affect the health care decisions you would make? Would you prefer hospice care with the goal of keeping you comfortable in your home during the final period of your life, as an alternative to hospitalization? In general, do you wish to participate or share in making decisions about your health care and treatment? Would you always want to know the truth about your condition, treatment options, and the chance of success of treatments? What are the most comforting and frightening aspects of dying? Give examples. .

Education

What are the most comforting and frightening aspects of dying?
Give examples.

Death and Dying Instruction No single word responses (at least 100+ words for each response) Give at least 1 example Cite resources, APA formatting (7th ed) Give the questions some thought and answer honestly Number your answers to correspond with the question What will be important to you when you are dying? What limitations to your physical and mental health would affect the health care decisions you would make? Would you prefer hospice care with the goal of keeping you comfortable in your home during the final period of your life, as an alternative to hospitalization? In general, do you wish to participate or share in making decisions about your health care and treatment? Would you always want to know the truth about your condition, treatment options, and the chance of success of treatments? What are the most comforting and frightening aspects of dying? Give examples. .

Bee & Boyd, Lifespan Development, Chapter 19

cjosek

This chapter discusses death, dying, and bereavement. It covers where death typically occurs, an overview of hospice care philosophy and types, comparisons of hospital and home-based hospice care, developmental understanding of death, theoretical perspectives on dying and grieving, factors that influence the grieving process, and preventing long-term problems from grief. Key aspects of hospice care are that it views death as normal and involves families in patient care with the goal of palliative rather than curative medical care. Theoretical models of grieving suggest it occurs in stages or involves alternating between loss-oriented and restoration-oriented processes.

End Of Life Care

Andrew Ferguson

The document discusses communication and decision making near the end of life. It provides statistics on hospital deaths and quality of end of life care in Canada. It emphasizes the importance of communication between physicians and patients, and outlines principles for discussions around end of life issues, including assessing understanding and goals, developing care plans, and providing closure.

JA Family Education Day Keynote: The Ups and Downs of Arthritis--How to foste...

Arthritis Foundation, Great West Region, San Francisco office

This document discusses how to foster family resilience and emotional well-being while living with chronic illness. It outlines common mental health issues like depression and anxiety that family members may experience. It provides guidance on identifying when professional help is needed and where to find counseling services. The document emphasizes that building a support system, focusing on family strengths, and developing coping skills can help families adapt to chronic illness and boost their resilience over time.

EMPATHY AMONGST MEDICAL STUDENTS.ppt

Abdul Mannan Chattha

No single word responses (at least 100+ words in each response)G.docx

honey725342

No single word responses (at least 100+ words in each response) Give the questions some thought and answer honestly Give examples if you have them Cite resources Number your answers to correspond with the question Worth 12 points / 5% Scenario: Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion. Discussion questions: What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer. Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples. How would you handle all the family members and friends wanting to be included in the discussion? SCENARIO2 No single word responses (at least 100+ words in each response) Give the questions some thought and answer honestly. Give examples if you have them Cite resources Number your answers to correspond with the question Worth 12 points / 5% Questions: Describe your response to the pain you have experienced. Explain and describe the pain you were experiencing. What were the effective methods used to deal with the pain? Describe pharmacological and non-pharmacological therapies used to relieve pain. Did those around you understand the pain you were experiencing? Why or why not? How did their understanding or lack of understanding make you feel? How could this experience with pain impact your response to a patient with pain? .

To comfort alwaysA Nurse’s Guide to End of Life CareCh.docx

juliennehar

To comfort always A Nurse’s Guide to End of Life Care Chapter 13: Ethical Issues Patients and families are faced with difficult choices Decisions become more difficult when the patient cannot speak for themselves and families are conflicted Chapter 13: Ethical Issues Healthcare ethics Called bioethics or medical ethics Study of moral obligations of healthcare providers and society in preventing and treating disease and injury and in caring for people with illness and injury Chapter 13: Ethical Issues The most common healthcare ethics framework is based on four principles Beneficence Non-maleficence Autonomy Justice Chapter 13: Ethical Issues Beneficence Obligation to act for another’s benefit Looking at the benefits and burdens of a particular action or treatment Non-maleficence Obligation to “do no harm” Looking at the burden a treatment or course of action might cause Is the treatment going to prolong the patient’s dying without increasing quality or comfort Chapter 13: Ethical Issues Autonomy Person’s right to choose independently The right to choose also means the right to refuse treatment Justice Fair and equitable treatment Broader meaning in looking at the best use of limited resources Chapter 13: Ethical Issues You face ethical dilemmas when you encounter conflict or controversy over a treatment or course of action Conflicts occur when a patient lacks the capacity to make decisions for themselves and does not have an advance directive or has not communicated their wishes to family members or care providers prior to losing capacity Chapter 13: Ethical Issues Decision-making capacity The ability of a patient to understand a proposed course of treatment, including the benefits and burdens, and to communicate treatment preferences or wishes to others Questions to ask Can you tell me why your doctor is recommending this treatment? Can you tell me what the recommended treatment is? Can you tell me about the benefits and risks of this treatment? Chapter 13: Ethical Issues Many of the common dilemmas in end-of-life care for patients and families involve either starting or discontinuing a treatment Resuscitation Should CPR be attempted if a patient’s heart stops? Artificial nutrition and hydration Should IV hydration or tube feedings be initiated? Chapter 13: Ethical Issues Ventilator support Should a patient be placed on a ventilator? If on one, should it be discontinued? Initiation of treatment such as surgery or chemotherapy that might be considered futile or of no benefit to the patient Chapter 13: Ethical Issues You also see dilemmas arise over use of medications (opioids or sedatives) to control pain and other symptoms If you use an ethical framework to address these issues, you need to meet several conditions Medications are not given to cause death Must be to relieve pain – intention must be to do good Good effect must outweigh the bad effect – relief of suffering is more important that a shortened lif ...

The client is key

ctjoh

This document provides guidance on analyzing multiple choice questions in health sciences. It instructs the reader to: 1) Determine the type of stem (true or false response); 2) Identify the client (person with the health problem); 3) Determine the issue being asked about (medication, treatment, etc.); and 4) Identify key words that provide clues to eliminate incorrect answer options. The document emphasizes reading the full question and options carefully before selecting the answer. It includes examples and recommends practicing sample questions to develop these skills.

The document discusses the importance of listening as a skill. It notes that 60% of communication is listening, compared to 30% talking and 5% each for reading and writing. Good listening skills allow people to learn, relate to others, influence others, provide entertainment and help, and help solve problems. However, most people only retain 25% of what they hear due to a lack of training in listening effectively. The document provides tips for becoming a better listener, such as being prepared, avoiding judgments, paraphrasing, asking questions, paying attention to both verbal and nonverbal cues, and providing appropriate feedback and responses.

Hello, kitty

Maureen Kramanak

This document discusses the effects of pet therapy on patients with Alzheimer's disease. It first outlines the cognitive and physical declines that occur with Alzheimer's, such as memory loss, difficulty communicating, and impaired motor skills. It then notes some of the social and emotional challenges Alzheimer's patients face, like isolation, limited activities, and health problems. The document claims that pet therapy can help Alzheimer's patients by making them calmer and better able to converse or find focus. It also says pets provide companionship, affection, and a sense of being loved and appreciated.

Communication

guestaa6f8c4d

The document discusses the importance of effective communication in healthcare. It notes that communication is vital for understanding patients, assessing needs, and teamwork. However, barriers like lack of training and time can negatively impact communication. Poor communication has been a factor in many medical complaints and litigation. The document provides guidance on techniques for delivering bad news, addressing patient reactions, and improving communication skills through training. Effective communication can help patients better manage the consequences of bad news.

Death and dying-1

University of Miami

This document discusses various topics related to death and dying, including definitions, the stages of dying, fears patients may experience, how to talk to patients and their families, hospice care, and advanced directives. It defines terms like terminally ill and imminently dying. It outlines the stages of dying as denial, anger, bargaining, depression and acceptance. It provides guidance on discussing death with patients, addressing their fears, and responding to grieving families. It also describes hospice services and the interdisciplinary team that provides end-of-life care.

Is It Worth It -- Hazing 101

a_powell

My high school coach used to say "a word to the wise is sufficient." These are my words of wisdom from a presentation I gave on the consequences of hazing in November 2008. I hope any student facing the temptation to haze or be hazed will take a few moments to review this presentation. The next time you are confronted with those temptations, I hope you will heed the warnings in this presentation.

Therapeutic communication, anxiety and defense mechanism

wilson tom

Psychological Health

tbrame

Psychological health, also known as emotional wellness, is influenced by biological, psychological, and social factors. It involves having positive self-esteem, emotional intelligence, and the ability to accept oneself while also establishing goals and healthy relationships. Maintaining good psychological health requires effective communication skills, a sense of humor, and an optimistic outlook. Psychological disorders like depression, anxiety disorders, and schizophrenia can be treated through therapies and medications.

Cognitive Processing Therapy with Chronic Illness

Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training

Ethical PrinciplesEthics are guided by the core principles to wh.docx

gitagrimston

Ethical Principles Ethics are guided by the core principles to which most of our society agree. The devil is in the details, however, as we will see in specific instances. Autonomy The principle of autonomy ties into patients' rights to self-determination, or the right to make their own fully informed choices about their care; treatments they may accept or reject; and the ultimate consequences of their choices. The freedom to choose our own course of action is highly cherished in our society. However, what if the choice involved taking a life, whether by suicide or homicide? What happens when one person's desires or choices bump up against another's? These gray areas are the turf on which ethical issues play out. An example of an ethical dilemma surrounding autonomy occurs when a patient denies a lifesaving medical treatment. What if the person refusing treatment is legally a child who refuses chemotherapy for a curable cancer, all because of religious beliefs? Does the child know that without treatment death is likely? Does the child understand death well enough to make the choice? What if the parents are making this choice on behalf of their child, which is often the case? Does the principle of autonomy extend to treatments that are curative and life-saving, yet conflict with deeply held religious or personal beliefs? What role should government play in order to protect its citizens, even from themselves? Autonomy can be a minefield of conflicting values, views, and actions. Beneficence The principle of beneficence requires that all actions taken on behalf of a patient are designed to provide good outcomes. Seem obvious? Focus on the question of what constitutes a "good outcome." A 76-year-old man has fallen on ice, struck his head, and has suffered severe brain damage from the resultant bleeding into the brain. He is still able to respond to painful stimuli, breathe on his own, and maintain blood pressure and other bodily functions. However, the cerebral cortex is permanently damaged. The family and the physician huddle to discuss what steps to take next. What is the beneficent approach? It is possible to sustain life in this patient since his brain stem is intact and he does not meet the criteria for brain death. Should he be given fluids and nutrition through tube feedings? If he develops pneumonia, should it be treated? Should he be left alone with minimal comfort measures to see what his body will do as the injury unfolds? Should all interventions be withheld? Would it do the patient more harm to continue all measures, or to stop all measures? What are the patient's wishes, as expressed by his surrogate, in a situation such as this? Beneficence can be a tricky concept, since what is helpful and indicated in one situation may be a terrible choice in another. The question of the definition of "good outcome" may be wildly different from various perspectives of the family, the physicians, the patient himself, and the hospital. Non-malfe ...

Molst ppt for public

Sheila Grant, MSN, RN, CHPN

The document discusses end-of-life planning and provides information about living wills, medical power of attorney, and forms like MOLST. It notes that most people say they want to die at home but only 20% actually do. It emphasizes the importance of documenting one's end-of-life wishes and having conversations with loved ones to ensure one's autonomy and values are respected during the dying process.

Mental health in the Emergency Department

Kane Guthrie

This document provides information on managing mental health patients in the emergency department. It outlines the psychiatric resources available, the ED's role in stabilization and assessment, how to conduct a brief mental status exam, evaluate for medical causes, manage common disorders like depression and psychosis, and handle suicidal patients. Key aspects of care include ensuring safety, conducting a thorough assessment, ruling out medical causes, providing support and determining an appropriate disposition.

February 2019 – Compassion Fatigue Webinar

Fight Colorectal Cancer

Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain, and suffering. Join this important webinar where Teresa Deshields, Ph.D., will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.

Attachment theory for nj nasw new 2

Jonathan Sibley

This document provides an overview of the life and work of John Bowlby, a pioneering British psychiatrist and psychoanalyst. It summarizes that Bowlby graduated from Cambridge in 1928, worked with maladjusted children, and published influential papers on juvenile delinquency and family therapy in the 1940s and 1950s. It notes that he developed attachment theory, which posits that early relationships with caregivers shape later relationships, and explored the effects of separation on children. The document outlines Bowlby's conceptualization of attachment behaviors and internal working models, and the influence of his work on researchers like Mary Ainsworth and others who built upon and tested his theories.

Attachment theory for nj nasw new

jsibley

This document provides an overview of the career and contributions of John Bowlby, a pioneering British psychiatrist and psychoanalyst. It notes that he graduated from Cambridge in 1928, worked with maladjusted children, and published his first paper on juvenile thieves in 1944. After World War II, he worked at the Tavistock Clinic and published influential papers on family therapy and attachment theory. His 1969 book Attachment established his theory that early relationships with caregivers shape later relationships and development. The document outlines Bowlby's concepts of attachment behaviors, internal working models, and the importance of caregivers as a secure base. It also summarizes later research inspired by his work.

Lecture 1

Miami Dade

The document discusses the psychiatric examination including the mental status exam and the DSM-IV diagnostic system. It describes the components of the mental status exam which assesses general presentation, sensorium and cognition, mood and affect, thought, perception, judgment, and reliability. It also outlines the five axes of the DSM-IV used to provide a definitive psychiatric diagnosis, including Axis I for clinical disorders, Axis II for personality disorders, Axis III for general medical conditions, Axis IV for psychosocial stressors, and Axis V for global assessment of functioning.

Shine Connect Conference - Understanding and Managing Anxiety workshop

Emily Hodge

Understanding Strengths and Needs in Relationships in Recovery: Thinking and ...

Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training

This document discusses the temperament dimensions of thinking and feeling. It defines temperament as a set of stable traits related to problem solving and conceptualizing the world. Thinking types prefer objectivity and logic while feeling types value sentiment and ethics. Potential relationship conflicts can arise when making decisions that require balancing logic with human impact. The document provides interventions for thinking and feeling types to improve understanding and compromise such as appealing to each other's preferred perspectives.

Stress And The Professional Caregiver 0.5

Christian Sinclair

Social workers 2hr+

Taimi Allan

The document discusses various aspects of mental illness including: 1. It provides statistics on the prevalence of mental illness in New Zealand, such as 47% of New Zealanders experiencing a mental illness or addiction in their lifetime. 2. It discusses strategies for reducing stigma around mental illness, noting that personal contact with those experiencing mental illness can be effective if certain conditions are met. 3. It presents some facts about mental illness, such as antidepressant use leading to their presence in waterways and aquatic life.

Verbalizing Your Inner Dialogue

College of Mental Health Counselling

This document describes an approach to cognitive therapy called "verbalizing inner dialogue" to address mental health issues like anxiety, depression, and relationship problems. The approach involves identifying different parts of the self (a knowing, confident part and a negative, doubting part) and having the client verbally express the internal dialogue between these parts with guidance from the counselor. Examples are provided for using this technique with different personality disorders by identifying the central negative belief and strengthening the positive, healthy self through questioning and affirmation.

April 19, 2018 Course #Title MATU-203 – Introduction.docx

Appendix F - Death and DyingTicket to classPlace in dro.docx

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