Chapter Seventeen Accepting Dying and Death
Definition of Death Lack of heartbeat – breathing Lack of CNS function (reflex activity and environmental responses) Presence of rigor mortis
Euthanasia 2 types Direct/active: intentionally put to death Indirect/passive: allowed to die without intervention (DNR’s)
Advanced Medical Directives Legal documents serve as: Living will Medical power of attorney for healthcare
Emotional Stages of Dying Process of self-adjustment observed in terminal cases (Kubler-Ross) Denial Anger Bargaining Depression Acceptance Family members can experience some/all of these stages
Death of a Child Adults grieving should do the following: Avoid drugs and alcohol Avoid making major life changes Share feelings with others Avoid trying to erase the death Give themselves time and space Don’t attempt to replace the child
Hospice Care Alternative approach to dying for terminally ill patients Care includes: pain control family involvement patient decisions multi-disciplinary approach
The Grieving Process Internalization of deceased person’s image 4 phases which are unique and variable in length Internalization of deceased person’s image Intellectualization of the death Emotional reconciliation Behavioral reconciliation
Full Funeral Services Significant components Embalming Calling hours
Disposition of the Body Ground burial Entombment Cremation Anatomical donation
Chapter Seventeen Accepting Dying and Death