KIN 3605 exam 4 - ch. 13
T/F -- women have a greater probability of becoming widowed than men
TRUE
older adults engage in a ______ _________, which allows them to integrate their memories and experiences - process may last months or years
life review
when individuals specific their wishes for treatment in advance in case they should become terminally ill
living wills
what percentage of people die in hospitals?
60%
widowhood is associated with increased risk of --
illness mortality
whites are (more/less) likely than African Americans to discuss treatment preferences before death, to complete a living will, and to give power of attorney over their affairs to a relative
more
a central component of hospice philosophy is --
pain management
what year was the first hospice-type facility seen?
1974
rights of dying --
Open communication Death is as painless as possible Presence of others As much control over the environment as possible Treatments are fully explained
what percentage of people die at home?
20%
what percentage of people die in nursing facilities?
20%
issues with DNRs --
emergency personnel that are sent to a home for an emergency may not know about this information
the shift in the proportion of deaths among the young and the elderly is called an --
epidemiologic transition
person may be transferred here. can get comfort of home but have a little more supervision
free-standing hospice facilities
saying this isn't happening
denial
there is a natural progression to the dying process in which recognition of impending death proceeds through 5 stages --
denial anger bargaining depression acceptance
outward expression loss -- emotions
grief
live in a depressed state of mind -- fatigue, lack of eating, etc
depression
can stay in their home. people come in (family or professional) that provides homeware for them
home-based
T/F -- Buddhists do not fear death
TRUE
T/F -- a wife who prepares for widowhood by anticipating the grief adjust better to her circumstances
TRUE
T/F -- ancient Hebrews regarded the corpse as unclean and to not be touched
TRUE
T/F -- in many preliterate societies, the dead are imbued with special powers and considered potentially harmful to the living
TRUE
T/F -- nearly a quarter of all suicides committed by people 65+
TRUE
T/F -- people think Hospice is cheaper than hospitals, and can save 3% in medical care costs
TRUE
5 sources of payment for hospice services --
Medicare Medicaid Private insurance Private pay Charitable donations
El Dia de los Muertos is celebrated by
Mexican cultures
4 tasks of dying --
Completing any unfinished business Dealing with medical care needs Want to have a say-so in where they allocate their time - what they want to put their energy Help with arranging final arrangements
T/F -- among some aboriginal tribes of Australia, a dead person can still be mentioned by name after the burial
FALSE -- cannot
T/F -- terminal pain is not considered an illness in itself
FALSE -- is considered
T/F -- men have less problems adjusting to widowhood than women
FALSE -- more
T/F -- when the period of mourning has passed, some widows don't enjoy their new independence, free time, and reduced load of housework
FALSE -- some enjoy
T/F -- among most traditional Native American tribes, ghosts of the dead were not feared
FALSE -- were feared
T/F -- widows with a good relationship with an adult child shows that they tend to live longer bc they have a strong support system
TRUE
3 stages of widowhood --
Preparation Grief/mourning Adaptation
they understand that bargaining won't happen, and try to live life as best as possible
acceptance
also called assisted suicide. occurs when a physician, close friend or relative helps an ill or disabled person terminate his or her life.
active euthanasia
like a DNR. specifies which means can be used to save their life. not very popular
advanced directive
strong negative emotion. could be angry bc of what it means on their life, or take it out on family and friends bc the feeling is so strong
anger
individual's religious beliefs come into play -- try to make a deal with God
bargaining
experience of being deprived of one's presence by death
bereavement
no higher functioning. there are machines now that can keep vital organs functioning
brain dead
practice associated with Hinduism was --
burning or burying women alive with their deceased husbands
involves withholding or withdrawing medical treatment from the hopelessly ill. has been recognized for decades. can come into play where the family decides to proceed with death if there is no living will or DNR, etc. deciding to "pull the plug".
passive euthanasia
Hospice emphasis ________ over the quantity of life
quality
daughters experience this more -- wishing the parents as still alive. thinks this grief should be suppressed
selfish grief
distinguishing feature of Hinduism is --
the belief in the transmigration of souls
El Dia de los Muertos =
the day of the dead
a major criticism with the Stage Theory of Dying is ----
the stages do not occur in a fixed sequence