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27 Cards in this Set
- Front
- Back
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Lingering trajectory |
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Kubler-ross stage theory |
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Unexpected quick trajectory |
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Expected quick death trajectory |
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History of hospice |
Hospice was started in 1971, alive hospice started in 1975, National hospice organization 1977, Protestant reform= hospices were replaced by state run institutions Modernization of Healthcare no more religion and there was a loss in interest in dying patients (they died anyway) In 1842 hospice started to make a comeback |
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Hospice |
A home where people in need could find comfort under Christian auspices. Basically a place for the dying to be taken care of until they died. No curative care mainly helps pain. Helping quality of life while dying |
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Euthanasia |
The act of causing death (active) or allowing death (passive) of hopelessly sick or injured individuals in a relatively painless way. |
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Active Euthanasia |
Causing death, giving someone something to die |
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Passive Euthanasia |
Allowing someone to die, taking off respirator |
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Assisted suicide |
Type of active Euthanasia, someone actively provides the means or carries out the instructions required for an individual to end his or her own life |
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Karen ann Quinlan case |
Took drugs and alcohol, crashed car, was in vegetative state. Family was denied the right to take off life support. Once appealed Supreme Court ruled there was a right to privacy to permit withholding or withdrawing life support. She was taken off ventilator and lived another 9 years in home until she died in 85. Sparked major right to die laws. California neutral death act 1976= substitutive judgment (what would the patient want) and best interest standard (what is the benefits and burdens that a reasonable person might want under those conditions) |
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Nancy Beth cruzan case |
Suffered brain damage and was being kept alive by artificial nutrition and hydration. Family was denied right to stop it saying that no clear evidence of her wishes were available. Supreme Court appealed saying that a competent person has a constitutionally protected interest in refusing unwanted medical treatment. First time a court had rendered a verdict in a right to die case. Upheld right to refuse life sustaining care. Court found that an appointed proxy or surrogate decision make is the same as a competent person. Court endorsed advanced directives |
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Jack kevorkian |
Made final exit (machine that gives lethal dose), was charged with murder, his activities created the death with dignity act |
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Death with dignity act |
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Living will |
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Power of attorney for health care |
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Terri schaivo case |
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Competence |
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Decisional capacity |
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Health care proxy |
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Healthcare surrogate |
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Palliative care |
Like hospice but can be given at any time during a patients illness, no life expectancy requirements |
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Physician assisted suicide |
Basically a doctor sits there and administers a lethal dose of a drug to kill you when you want to die |
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Autonomy |
Independence or self determination. Can give a person the right to live or die the way they want |
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Beneficience |
The act of doing good or active kindness. Especially for others. Is this helping someone? |
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Nonmaleficense |
Means causing no harm. Basically develop an awareness and sensitivity to a person's needs. This along with Beneficience can help answer the suicide questions |
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Double effect principle |
Actions that cause 2 effects one good and one bad. If someone is in pain giving a dose of meds can do 2 things alleviate pain or kill. To follow nonmaleficense you must give the amount to help but have no intentions to kill |
