1. Denial : He may not accept when a person is made aware that he is going to die. He may not accept this information as truth and may instead deny it.
2. Anger : The pts may blame those around her, including those who are giving care, for her illness.
3. Bargaining : is the stage in the grief process in which the patient attempts to bargain for more time to live. Trying to make private 'deals' with God or her higher power is also common.
4. Depression : During this stage, the pts comes to a full realization that he will die soon. He is sddened by the thought that he will no longer be with family and friends, and by the fact that he may not have accomplished some goals that he had set for himself. He may also express regrets about not having gone somewhere or done something.
5. Acceptance : patient understands and accepts the fact that he is going to die. During this stage, he may try to complete unfinished business, make the most of the time left, try to help those around him to deal with it, especially family members.

removal of life sustaining measures and allowing death to occur legally. A Living Will and/or Durable Medical Power of Attorney would need to be in effect for this to occur legally.

Example : Passive euthanasia entails the withholding of common treatments, such as antibiotics, necessary for the continuance of life.

Deliberately taking an action to end life. 

Example : Active euthanasia entails the use of lethal substances or forces, such as administering a lethal injection, to kill and is the most controversial means.

Euthanasia conducted with the consent of the patient is termed 

Active Voluntary Euthanasia is legal such as in Belgium but not legal in other country.

Passive Voluntary Euthanasia (assisted suicide) is legal such as in US

Euthanasia conducted where the consent of the patient is unavailable is termed.

Examples include child euthanasia, which is illegal worldwide but decriminalised under certain specific circumstances in the Netherlands.

Euthanasia conducted against the will of the patient is termed.

Considered murder.

Signs of death.

Pg 549

Care of the body after death.

pg 549

elevate 30°, in the semi-Fowler's position.

To reduce the risk of staining about the head and neck.

Frequently involve an important even: 'I know I am going to die but just not yet', there are still my granchild wedding to attend.

Deals with "God": "If you let me live another two months, I promise I'll be a better person"

What stage of grief?

Sadden by the though he will no longer with his family

"I promise my wife to go to the Europe, now we will never go"

What stage in grief?

Doesn't need emotional support, try to complete unfinish bussiness, help around to deal with it: "I feel so alone"

What stage of grief?

1. Living will; request the death not be artificially posponed if the patient has an incurable, irreversible injury, disease, or illness that the physician judges to be a terminal condition
2. Durable power of attorney for health care; a directive that assigns someone else the responsibility for making medical decisions fro the pts if the patient becomes unable to do so himself. Proxy or health care proxy a person sign as the agent.