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| Death anxiety is higher among _____ adults than ____ adults |
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Definition
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| Three reasons why death anxiety is higher among young adults than old adults |
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Definition
Elders have more experience with death
Elders may be satisfied with their life experiences
Death may be a release from pain |
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| Elders think about death _____ often than younger adults but fear it ____ |
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| With new _________ it is difficult to define death |
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| loss of all brain function |
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| Those who are revived after a few minutes without oxygen to the brain are “_____ _____” |
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| Death is difficult to define in a persistent |
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| cells are irreversibly damaged after less then 6 mins without oxygen |
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| Treatment may be determined by |
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Definition
| age, income, preferences, severity of illness and prognosis |
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| Legal documents that enable individuals to convey their desires about life-prolonging medical treatment |
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| advance directives should be done while elder is still |
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Definition
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| outline specific medical treatments to be withheld in certain situations |
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| durable power of attourney |
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Definition
| names an individual who can make decisions |
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Definition
| addresses CPR procedures such as artificial respiration |
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Definition
Not always honored when emergency personnel are called to the home
There are less formal ways to set up an advance directive |
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| Life prolonging procedures declaration |
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Definition
| use all medical procedures to extend life regardless of cost or chances of recovery. |
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| Not many people use advanced directives because (3) |
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Definition
Difficult to predict every possible situation
Difficult to write and death may seem far away
They are often not followed due to circumstances or new treatment options |
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Definition
| withholding treatment that otherwise would prolong life, allowing death to occur naturally |
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Definition
| when one individual takes an active step to deliberately end another’s life |
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Definition
| Painless putting to death of a person suffering from an incurable condition. |
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Definition
| A physician helps a seriously ill person to end his/her life |
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| assisted suicide was done by |
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Definition
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| Three states in which assisted suicide is legal |
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Definition
| oregon, washington, montana |
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Definition
| for terminally ill residents. Only small proportion of deaths (one tenth of one percent |
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| In a survey of terminally ill patients, those who are depressed, in pain and needed care supported the |
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Definition
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Term
| Palliative care is supported by the Supreme Court – |
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Definition
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Term
| Fasting is unlikely to be painful – but how to determine what is |
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Definition
| self-induced starving and natural death |
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Term
| Percent of people who die in hospitals |
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Definition
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| what percent die in nursing homes |
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Definition
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Definition
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| hospice is where you go to |
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Definition
| From the first knowledge of death until death occurs |
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Term
| The dying trajectory usually occurs in one of three ways: |
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Definition
Short period of obvious decline at the end
Long-term disability with unpredictable timing of death
Inability to care for one’s self and a slow journey to death – “the dwindles” |
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| short period is common for |
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Definition
| change in mindset and common with coping with stroke, dementia and frailty of old age |
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| The dying fear _____ most of all |
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Definition
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Definition
| Denial, Anger, Bargaining, Depression, Acceptance |
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Term
| who were the five stages of dying described by |
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Definition
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Term
| ______ to ______ of cancer patients report uncontrolled pain near the end of life. |
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Definition
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Term
| Some side effects of medications |
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Definition
| bad experiences, may not be effective, may induce confusion to someone who wants to be alert, could ease pain but also suppress breathing and cause death |
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| deals with God or religious belief |
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| devoid from emotion and disengaged from outside world (spend sleeping, resting and reminiscing) |
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Open communication about death
Painless a death as possible
Presence of concerned others
As much control over the environment as possible
All treatments fully explained and the right to refuse treatment |
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Definition
Completing unfinished business
Dealing with medical care needs
Allocating time and energy resources
Arranging for death
Life review |
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Definition
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| living will, DNR, power of attorney |
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Definition
| what to do with time left in life |
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| reminiscing, belief in afterlife |
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| _______ survey tells us many things about the dying |
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Definition
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Definition
| Study to Understand Prognosis and Preferences for Outcomes and Risks of Treatments |
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Term
| The dying ranked _______ _____ _____most important and ______ __ ____least important |
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Definition
| freedom from pain, dying at home |
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Term
| Healthcare professionals usually did not know |
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Definition
| the wishes of their patients |
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| ________ ______ provide the vast majority of the care of the terminally ill |
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| Having family reduces fear of |
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| _________ is an enormous commitment and the caregiver must cope with the death of the elder |
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Definition
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| Health professional are not adequately trained to treat the |
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Definition
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| Most health professionals don’t want to work with the |
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Definition
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| Students and current doctors need more |
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| _______ is common among those who work with the dying |
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Definition
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Definition
| is the experience of being deprived of another’s presence by death |
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Definition
| is the outward expression on the loss |
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| Three ways to assist the bereaved |
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Definition
Visits from friends
Some doctors prescribe drugs
Community resources including therapy or support groups |
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Term
| complicated grief includes |
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Definition
| depression, anxiety, substance abuse, PTSD - normally seen if time does not lessen the pain or absence of grief. |
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