Cremation Final ExamC

Which service options should the funeral director articulate to the family?

All service options

Following the removal of the cremated remains (Bone fragments) from the primary chamber, what is removed from the cremated remains?

Any metal that may have remained after the cremation process(remove with magnet)

When should the funeral director Engage the Stories - at the beginning of the arrangements, during the middle of the arrangements, or at the end of the arrangements?

At the beginning of the arrangements

What is placed into the crematory primary chamber to facilitate the loading of the deceased?

Cardboard cylinder/roller

Who is credited with building the first crematory in the United States?

Dr. Francis LeMoyne

Which portion of the deceased (head or feet) should be loaded into the primary chamber first during a normal (non-obese) cremation?

Feet first

According to the instructor notes, should the cremation container be opened at the crematory without the funeral director present?

No

Can you require the consumer to purchase a casket when arranging a Direct Cremation?

No

If a funeral home does not offer direct cremations, must the required disclosure be included on the General Price List?

No

Must the cost of the cremation itself be included in the Direct Cremation fee on the General Price List?

No, it may be, but doesn't need to be

List examples of medical devices which may need to be removed during the preparation for cremation.

Pacemakers Defibrillators Infusion pumps

What unit is utilized to reduce the bone fragments down to a fine sand-like powder?

Processor

What does the acronym REAPER Stand for?

R- respond to the pain E- engage the stories A- articulate the options P- paint the picture E- encourage ceremony R- review and refer

What container should be utilized to house the body when an identification viewing is performed?

The Casket or cremation container in which the deceased will be cremated.

According to Kubasak, what does the word Durable mean in conjunction with Power of Attorney?

The authority to act on behalf of the principal continues to be in effect in the event the principal become incapacitated.

Opacity

The degree to which a substance allows light to pass through.

What should be done if the cremated remains will not fit into 1 urn?

The operator will utilize 2 containers and return both to the family

What does the author mean by the fact that cremation is largely a non-participatory event?

This means that unlike burials or entombment, families rarely watch a cremation take place and it is generally performed behind closed doors

Why do you preheat the crematory prior to cremation?

To ensure that the temperature in the secondary chamber is high enough to combust the gases and particulates released from the primary chamber

According to Kubasak, what is the most accurate, fool-proof way to verify the identity of a deceased?

Visual identification by the next of kin

What types of questions should be asked to Engage the Stories?

What is one word that describes your mother?What hobbies or interests did your son have?Did your mother like to garden?Questions that are open ended, not yes or no questions

How does the author define a death story?

Where they were or what they experienced when their loved one died

Must the Direct Cremation fee include the cost of the basic professional services of the funeral director and staff?

Yes

Can the funeral director REQUIRE the next of kin to view the body for identification?

Yes, but if they refuse then you have them sign a release saying they refused, or you can refuse to serve them rather than make a mistake

Settling chamber

a chamber designed to reduce the velocity of the products of combustion to promote the settling of fly ash to allow for further combustion or to inhibit escape from the stack.

Combustion

a chemical reaction that results from mixing fuel and oxygen in the presence of an ignition source and releases light and heat.

Burner

a device used to introduce flame to the primary chamber of a retort; may be referred to as the primary burner.

direct cremation

a disposition of human remains by cremation without formal viewing, visitation, or ceremony with the body present

Crematory

a furnace or retort for cremating dead human bodies; a building that houses a retort; FTC definition - any person, partnership or corporation that performs cremation and sells funeral goods.

Flue

a horizontal passage for conducting products of combustion into the atmosphere.

Hearth

a solid surface upon which the human remains and container are placed for the cremation process.

Stack

a vertical passage for conducting products of combustion into the atmosphere.

Which burner is used to preheat the crematory?

afterburner

the secondary burner of a retort which facilitate additional combustion of the unburned combustible material that left the primary chamber.

afterburner

. the secondary chamber of a retort where unburned combustible materials from the primary chamber collects for further combustion.

afterchamber

cremated remains

all remains of the cremated human body recovered after the completion of the creation process including pulverization.

Cremation casket

an environmentally safe casket which is designed for encasing dead human remains for cremation.

What term is defined by a person who is legally entitled to order and direct the cremation and final disposition of specific human remains?

authorizing agent

a device used to introduce flame to the primary chamber of a retort; may be referred to as the primary burner.

burner

Secondary combustion chamber

chamber where unburned combustible materials from the primary chamber are completely burned.

Primary combustion chamber

chamber within a retort where primary ignition and burning of human remains occurs.

Pollutants

chemical compounds (gaseous or particulate matter) in combustion / flue gases that present human health and environmental concerns.

a chemical reaction that results from mixing fuel and oxygen in the presence of an ignition source and releases light and heat.

combustion

Emissions

combustion products such as smoke, soot, sulfur dioxide, etc.

informed consent

consent by an authorized person for participation in a procedure by a subject after achieving an understanding of what is involved in the procedure.

What term is defined by all remains of the cremated human body recovered after the completion of the creation process including pulverization?

cremated remains

The term defined by the reduction of a dead human body to inorganic bone fragments by intense heat in a specifically designed retort or chamber

cremation

What term is defined by specific written permission from the person(s) who is legally authorized to control disposition that authorizes the contracting funeral / cremation provider to cremate a person's body?

cremation authorization

an environmentally safe casket which is designed for encasing dead human remains for cremation.

cremation casket

the case / container in which the human body is delivered to the crematory and in which the body is cremated.

cremation container

What is the number one reason by cremation poses a huge liability for the funeral home?

cremation is irreversible

The term defined by a furnace or retort for cremating dead human bodies; a building that houses a retort

crematory

a furnace or retort for cremating dead human bodies; a building that houses a retort.

crematory

The term defined by a disposition of human remains by cremation, without formal viewing, visitation, or ceremony with the body present.

direct cremation

combustion products such as smoke, soot, sulfur dioxide, etc.

emissions

a horizontal passage for conducting products of combustion into the atmosphere.

flue

a solid surface upon which the human remains and container are placed for the cremation process.

hearth

What are the four demographics of most cremation consumers?

higher education level, high income level, less religious, a neo-localist

What term is defined by consent by an authorized person for participation in a procedure by a subject after achieving an understanding of what is involved in the procedure?

informed consent

According to the authors, who should identify the deceased prior to cremation?

next of kin

What does the author believe is essential for funeral directors to do in order to stay relevant and worthwhile to cremation families?

offer a ceremony for whatever they would like to do

The degree to which a substance allows light to pass through.

opacity

Complete this sentence from the first few paragraphs of Chapter 10 of the text... "What we need to understand is, when a family chooses cremation, the funeral home immediately becomes..."

optional

small pieces of liquids or solids that include dust, fumes, smoke, mists or sprays that are products of incinerated matter.

particulates

chemical compounds (gaseous or particulate matter) in combustion / flue gases that present human health and environmental concerns.

pollutants

chamber within a retort where primary ignition and burning of human remains occurs

primary combustion chamber

the process of reducing the size of cremated remains after or as a secondary step of cremation.

pulverizing

special high temperature lining of the combustion chambers.

refractory

the burning chamber in a crematory.

retort

Particulates

small pieces of liquids or solids that include dust, fumes, smoke, mists or sprays that are products of incinerated matter.

Refractory

special high temperature lining of the combustion chambers.

cremation authorization form

specific written permission from the person(s) who is legally authorized to control disposition that authorizes the contracting funeral / cremation provider to cremate a person's body.

What material is often used for the metal identification discs of cremation?

stainless steel or titanium

According to Kubasak, what is required of an authorizing agent in order to reach informed consent?

the authorizing person must comprehend what he/she is authorizing including the steps of the cremation process.

Retort

the burning chamber in a crematory.

Cremator

the burning chamber in a crematory; a retort designed specifically for the incineration of human remains.

Cremation container

the case / container in which the human body is delivered to the crematory and in which the body is cremated.

According to Kubasak, if the authorizing agent (next of kin) is not available to sign the paperwork giving permission for services and disposition, but a pre-arranged funeral gives the details, what should the funeral director do?

the funeral director is advised to wait until the authorizing agent (next of kin) is able to sign.

Pulverize

the process of reducing the size of cremated remains after or as a secondary step of cremation; sometimes referred to as processing.

Cremation

the reduction of a dead human body to inorganic bone fragments by intense heat in a specifically designed retort or chamber.

cremation

the reduction of a dead human body to inorganic bone fragments by intense heat in a specifically designed retort or chamber; FTC Definition - a heating process which incinerates human remains.

Afterburner

the secondary burner of a retort which facilitate additional combustion of the unburned combustible material that left the primary chamber.

Secondary burner

the secondary burner of a retort which facilitate additional combustion of the unburned combustible material that left the primary chamber.

After chamber

the secondary chamber of a retort where unburned combustible materials from the primary chamber collects for further combustion.

Commingle

to combine, intentionally or otherwise, the cremated remains of more than one person.

What is the greatest factor of why people choose cremation?

to save money

What must be included in the last sentence of the Alternative Container Disclosure on the General Price List?

"If you want to arrange a direct cremation, you can use an alternative container. Alternative containers encase the body and can be made of materials like fiberboard or composition materials (with or without an outside covering). The containers we provide are (specify containers)."

What steps are listed in the lesson for preparing the body prior to identification viewing?

-attach a funeral home ID tag to the deceased person -unwrapping/ undressing the deceased -inspecting the deceased person for valuables, medical devices and the overall condition of the body -topical cleansing, sanitizing and deodorizing -closing eyes, positioning body, straightening body and covering body with a gown

What medical devices need to be removed prior to cremation?

-implants -pacemakers -defribrillators -infusion pumps -radioactive devices -artificial limbs -braces

How long does the author recommend the story process should take during the arrangement conference?

15-30 minutes

When did Modern Cremation begin and who is credited with establishing the current model of cremation?

1873; Professor Brunetti of Italy

When was the first crematory built in the US?

1876

crematory

A furnace or retort for cremating dead human bodies; a building that houses a retort.

What must be on the metal discs that are inserted into the crematory prior to cremation?

A non-repeating number that is assigned to each decedent

authorizing agent

A person who is legally entitled to order and direct the cremation and final disposition of specific human remains.

According to Kubasak what are the 4 reasons why a funeral director needs to complete an identification of each person to be cremated?

1. Identification certifies that this is the right person beyond reasonable doubt. 2. Identification underscores the professional responsibilities of the funeral director. 3. Identification stresses the irreversibility of the cremation process. 4. Identification facilitates the process of grieving.

What two options relating to Direct Cremation must be included on the General Price List?

1. Price where the consumer provides the casket or container 2. Price where the funeral provider provides the casket or container

According to the text, what are the steps of the 10-point identification and verification procedure? (Note: #3 is listed in the Lesson.)

1. Verify the identity at place of death. 2. Family identification at funeral home. 3. Verification upon delivery to the crematory. 4. Verification before placement into cremation chamber. 5. Verification at the beginning of the chamber clean out. 6. Verification at the start of processing. 7. Verification before placement of cremated remains into urn/cremation container. 8. Verification when urn/container is given to funeral home. 9. Verification before urn/container is given to family. 10. Acknowledgment of receipt of urn/container by family.

What essential elements must be included in an informed consent statement?

1. cremation is irreversible by the use of flame and heat; 2. the cremation will occur in the container selected by the authorizing person; 3. only bone fragments and ash will remain; 4. the body may be repositioned during cremation to necessitate cremation; 5. microscopic particles of the deceased remain in the retort and are not returnable to the family; 6. personal items will only be removed with the consent of the authorizing person; 7. personal items (including clothing) will be destroyed by the process; 8. non-bone remains (such as prostheses) will be separated from the cremated remains and will not be returned to the family; and 9. if the cremated remains will not all fit into the selected urn or receptacle, an additional receptacle will be used.

What are 5 ways to reduce your cremation liability at the funeral home?

1.) obtain authorization to cremate (from a proper person using a document that discloses critical elements such as the body will be exposed to flames) 2.) Reach informed consent (the person who is authorizing the cremation is able to explain to you the procedure of cremation) 3.) IDENTIFY THE BODY (throughout the cremation process) 4.) remove medical devices, jewelry, and personal affects from the body prior to cremation 5.) ensure the location for final disposition of the cremated remains has been decided by the family (with an alternative procedure in place should the family not pick up the remains)