1. Chapter Seventeen Accepting Dying and Death

2. Definition of Death Lack of heartbeat – breathing
Lack of CNS function (reflex activity and environmental responses)
Presence of rigor mortis

3. Euthanasia 2 types Direct/active: intentionally put to death
Indirect/passive: allowed to die without intervention (DNR’s)

4. Advanced Medical Directives
Legal documents serve as:
Living will
Medical power of attorney for healthcare

5. 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

6. 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

7. Hospice Care Alternative approach to dying for terminally ill patients
Care includes:
pain control
family involvement
patient decisions
multi-disciplinary approach

8. 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

9. Full Funeral Services Significant components Embalming Calling hours

10. Disposition of the Body
Ground burial
Entombment
Cremation
Anatomical donation

11. Chapter Seventeen Accepting Dying and Death