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Chapter 14 Death and Dying
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Concept of Death Death as a part of life Grief Mourning Bereavement
Responses Mourning Bereavement
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Theories of Loss and Grief
Kübler-Ross’s stages Denial Anger Bargaining Depression Acceptance
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J. Bowlby’s Stages of Separation and Mourning
Protest Despair Detachment Mourning Numbing stage Painful stage Disorganization and despair
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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
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Developing a Concept of Death
Early childhood Late childhood Adolescence Early adulthood Middle age Old age
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Cultural and Religious Differences
Catholicism Protestantism Jehovah’s Witness Christian Science Seventh Day Adventist Eastern Orthodoxy Hinduism Buddhism Islam Judaism
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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
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End-of-Life Issues Advance Directives Living Will
Durable Power of Attorney Do Not Resuscitate (DNR)
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Ethical Decisions Euthanasia Right to die Palliative care Hospice care
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Chapter Challenge Define grieving
Explain a child’s understanding of death List signs of impending death Explain hospice care
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