Human Development Final Chapter 19

Front 1

agonal phase

Back 1

"Strugle" agonal refers to gasps and muscle spasms during the first moments in which the body can no longer sustain life.

Front 2

clinical death

Back 2

a short interval follows in which heartbeat, cirulation, breathing, and brain functioning stop but resuscitation is still possible

Front 3

mortality

Back 3

individual passes into permanent death

Front 4

brain death

Back 4

irreversible cessation of all activity in the brain and the brain stem (which controls reflexes) is used in most industrialized nations to determine life from death.

Front 5

persisten vegetative state

Back 5

the cerebral cortex no longer registered electrical activity but the brain stem remained active

Front 6

permanence

Back 6

once a living thing dies, it cannot be brought back to life

Front 7

inevitability

Back 7

all living things eventually die

Front 8

cessation

Back 8

all living functions including movement, body processes, thought, and feeling, cease at death

Front 9

applicability

Back 9

death applies only to living things

Front 10

causation

Back 10

death is caused by a breakdown of bodily functioning

Front 11

death anxiety

Back 11

fear and aprehension about death

Front 12

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appropriate death

Back 12

is one that makes sense in terms of the individuals pattern of living and values and, at the same time, preserves or restores significant relationships and is as free of suffering as possible

Front 13

hospice

Back 13

is not a place but a comprehensive program of support services for terminally ill people and their families. It aims to provide a caring community sensitive to the dying person's needs so patients and famly members can prepare for death in ways that are satisfying to them.

Front 14

palliative care

Back 14

(comfort care) relieves pain and aother symptomes (nausea, breathing difficulties, insomnia, and depression) rather than prolonging life.

Front 15

euthanasia

Back 15

the pratice of ending the life of a person suffering from an incurable condiditon

Front 16

passive euthanasia

Back 16

life sustaining treatment is withheld or withdrawn, permitting a patient to die natureally.

Front 17

advance medical directive

Back 17

a written statement of desired medical treatment should they become incurably ill.

Front 18

living will

Back 18

people specify the treatments they do or do not want in case of a terminal illness, coma, or other near death situation.

Front 19

durable power of attorney for health care

Back 19

authorizes appointment of another person (usuall, though not always, a family member) to make health care decisions on one's behalf.

Front 20

co9luntary avtive euthanasia

Back 20

doctors or others act directly, at a patient's request, to end suffering before a natural end to life.

Front 21

bereavement

Back 21

the experience of losing a loved one by death

Front 22

grief

Back 22

intensephysical and psychologial distess

Front 23

mourning

Back 23

the culturally specified expression of the bereaved person's thoughts and feelings.

Front 24

dual-process model of coping iwth loss

Back 24

effective coping requires people to oscillate between dealing iwth the emotioal consequences of loss and attending to life changes, which-when handled sucessfully-have restorative, or healing, effects.

Front 25

anticipatory grieving

Back 25

loss is inevitable and preparing emotionally for it.

Front 26

denial

Back 26

on learning of the terminal illness, the person denies its seriousness to escape from the prospect of death

Front 27

anger

Back 27

recognition that time is short promotes anger at having had a chance to do all on wants to do.

Front 28

bargaining

Back 28

realizing hte inevitability of death, ther termianlly ill person attempts to forestall it by bargaining for extra time-a deal he or she ay try to strike withfamily members, friends, doctors, nurses, or God.

Front 29

depression

Back 29

when denial, anger, and bargaining fail to psotpone the illness, ther person becomes depressed about the loss of his or her life.

Front 30

acceptance

Back 30

most people who reach acceptance, a state of peace and quiet about upcoming death, do so only in the last weeks or days.

Front 31

thantology

Back 31

study of grieving and death

Front 32

closed awareness

Back 32

dying not aware/ not told

Front 33

suspicious awareness

Back 33

individual thinks that maybe dying but no one will confirm

Front 34

mutual pretense

Back 34

all are aware but no one will discuss

Front 35

open awareness

Back 35

all know and discuss

Front 36

patient self-determination act

Back 36

Give clients written information about their personal right to die in order for the person to make decisions about: medical care, formulating advance directives and refusing treatment
Applies to all institutions receiving Medicare/Medicare monies

Front 37

delayed grief

Back 37

act as if deciesed is still alive.

Front 38

complicated grief

Back 38

experience personal problems

Front 39

dysfunctional grief

Back 39

become dependent violent

Front 40

pathological

Back 40

overwhelmed, prolonged excessive symptoms