1. Bereavement Review

2. Name four signs of impending death.
Define Clinical Death
Define Biological Death
When an autopsy is not required it is okay to remove all tubes from the patient. T/F
List the 5 stages of grief

3. Name four signs of impending death.
Patient is incontinent
Patient perspires heavily
Patient collects mucous in the throat & bronchial tubes (“death rattle”)
The pulse is often rapid but weak and irregular
Unconsciousness : in and out of this
Complaints of being cold
Blank stare

4. 3. Define Biological Death
2. Define Clinical Death
No vital signs
Cells have not died
Chance of survival
3. Define Biological Death
Cells have died
No chance of survival
4. When an autopsy is not required it is okay to remove all tubes from the patient. T/F

5. 5. List the 5 stages of grief
Denial
Anger / (sometimes with guilt)
Bargaining
Depression
Acceptance

6. What might a patient say…
1. Denial Stage:
“I don’t believe this is happening to me.”
“The doctor must be wrong – I need another opinion.”

7. Anger Stage: “Why is this happening to me?” I don’t deserve this!”
“You have no idea how to help me.”
“ I hate the idea of being alone.”

8. Bargaining:
1. “God please let me live through this and I will be a better person.”
“I promise if I survive this treatment I am going to dedicate the rest of my life to helping others.”

9. Depression: “I just want to be left alone – no one can help me”
“ I just want to die – it is useless to continue with treatment.
“There is no hope left for me.”

10. Acceptance:
“I want to plan my funeral.”
“I have lived a good life.”