Chapter19LectureOutline.pdf HDFS 225
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This 2 page Class Notes was uploaded by Brittany Ballog on Sunday September 27, 2015. The Class Notes belongs to HDFS 225 at Michigan State University taught by Sherrell Hicklen House in Spring 2015. Since its upload, it has received 12 views. For similar materials see Lifespan Human Development in the family in HDFS at Michigan State University.
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Date Created: 09/27/15
Chapter 19 Lecture Outline 1 The Quest for Healthy Dying Thanatology study of death and dying Advance directive legal document that allows a person to state explicit instruction about end of life care ahead of time Living will a legal document that states an indiVidual s wishes regarding medical care in case the person becomes incapacitated and unable to participate in decision about his or her medical care 11 The Right to Die Movement Physicianassisted suicide many support this if people are terminally ill and in pain Passive euthanasia allows death to occur by removing or withholding treatment Involuntary euthanasia family member decides to remove or withhold treatment when patient is brain dead Voluntary euthanasia patient removes lifeprolonging treatments III Suicide Three concepts NIMH 1 Suicide ideas 2 Suicide attempts 3 Completed suicides Who Commits Suicide and Why 0 Females attempt more suicides but males complete more suicides IV The Hospice Movement Provides comfort and care but with the knowledge that the recipients are nearing the end of their life s journey that they re dying Is a concept of care not a place Most hospice programs are centered on the care of the dying person at home V The Dying Process Advances have included methods to resuscitate Victims of cardiac arrest mechanical respirators artificial heart pacemakers and organ transplants Brain death occurs when there is no actiVity in the brain Persistent vegetative states periods of sleepwake cycle and re exes but no cognition or willful actiVity VI Confronting One s Own Death A life review elderly person takes stock of his or her life re ecting and reminiscing about it Researchers agree that only a relatively small proportion of the elderly express a fear of death Near death experiences dying individuals feel themselves leave their bodies and watch as spectators the resuscitation efforts 0 Then they pass through a tunnel and enter a spiritual realm VII Stages of Dying Elisabeth KublerRoss 1 Denial 2 Anger 3 Bargaining 4 Depression 5 Acceptance VIII Kastenbaum s Trajectories of Death Criticized KublerRoss theory It is the nature of the disease that determines pain mobility and length of the terminal period Other factors 0 Gender ethnic group personality developmental level and death environment IX Grief Bereavement and Mourning Adjusting to the death of a loved one Bereavement state in which a person has been deprived of a relative or a friend by death Grief keen mental anguish and sorrow over the death of a loved one Mourning socially established manner of displaying signs of sorrow over death X Phases in the Bereavement Process 1 Shock numbness denial disbelief need to withdraw 2 Pining yearning and depression 3 Emancipation from loved one and adjustment to new circumstances 4 Identity reconstruction
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