PSY 350 CH 15

palliative care

Any intervention designed not to cure illness but to promote dignified dying.

advance directive

Any written document spelling out instructions with regard to life-prolonging treatment if individuals become irretrievably ill and cannot communicate their wishes.

persistent complex bereavement-related disorder, or prolonged grief

Controversial new diagnosis, appearing in the most recent versions of the Western psychiatric disorder manuals, in which the bereaved person shows intense symptoms of mourning with no signs of abatement, or an increase in symptoms 6 months to a year after a loved one's death.

active euthanasia

A deliberate health-care intervention that helps a patient die.

hospice movement

A movement, which became widespread in recent decades, focused on providing palliative care to dying patients outside of hospitals and especially on giving families the support they need to care for the terminally ill at home.

palliative-care service

A service or unit in a hospital that is devoted to end-of-life care.

physician assisted suicide

A type of active euthanasia in which a physician prescribes a lethal medication to a terminally ill person who wants to die.

Do Not Resuscitate (DNR) order

A type of advance directive filled out by surrogates (usually a doctor in consultation with family members) for impaired individuals, specifying that if they go into cardiac arrest, efforts should not be made to revive them.

durable power of attorney for health care

A type of advance directive in which people designate a specific surrogate to make health-care decisions if they become incapacitated and are unable to make their wishes known.

living will

A type of advance directive in which people spell out their wishes for life-sustaining treatment in case they become permanently incapacitated and unable to communicate.

Do Not Hospitalize (DNH) order

A type of advance directive put into the charts of impaired nursing home residents, specifying that in a medical crisis they should not be transferred to a hospital for emergency care.

End-of-life instruction

Courses in medical and nursing schools devoted to teaching health-care workers how to provide the best palliative care to the dying.

age-based rationing of care

The controversial idea that society should not use expensive life-sustaining technologies on people in their old-old years.

dying trajectory

The fact that hospital personnel make projections about the particular pathway to death that a seriously ill patient will take and organize their care according to that assumption.

middle knowledge

The idea that terminally ill people can know that they are dying yet at the same time not completely grasp or come to terms emotionally with that fact.

Kübler-Ross's stage theory of dying

The landmark theory, developed by psychiatrist Elisabeth Kübler-Ross, that people who are terminally ill progress through five stages in confronting their death: denial, anger, bargaining, depression, and acceptance.

passive euthanasia

Withholding potentially life-saving interventions that might keep a terminally ill or permanently comatose patient alive.

A living will allows someone else to make decisions for you if you are a terminally-ill patient who is unable to communicate as you are dying.

false

Voluntary euthanasia allows a person who believes in the right to die to take care of his/her own death.

false

Kübler-Ross described the stages of grief. Which of the following is NOT one of those stages?

shock

Palliative care is not designed to treat an illness.

true