Chapter 14 Death and Dying

Concept of Death Death as a part of life Grief Mourning Bereavement Responses Mourning Bereavement

Theories of Loss and Grief Kübler-Ross’s stages Denial Anger Bargaining Depression Acceptance

J. Bowlby’s Stages of Separation and Mourning Protest Despair Detachment Mourning Numbing stage Painful stage Disorganization and despair

Types of Losses Loss of a spouse Loss of a parent Loss of a child Death of an unborn Loss of a sibling Facing one’s own death

Developing a Concept of Death Early childhood Late childhood Adolescence Early adulthood Middle age Old age

Cultural and Religious Differences Catholicism Protestantism Jehovah’s Witness Christian Science Seventh Day Adventist Eastern Orthodoxy Hinduism Buddhism Islam Judaism

Signs of Approaching Death Withdrawal: turning inward Decrease in senses Change in activity level Change in breathing patterns Change in vital signs Loss of bowel and bladder control Decrease in level of consciousness

End-of-Life Issues Advance Directives Living Will Durable Power of Attorney Do Not Resuscitate (DNR)

Ethical Decisions Euthanasia Right to die Palliative care Hospice care

Chapter Challenge Define grieving Explain a child’s understanding of death List signs of impending death Explain hospice care