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DEATH & DYING

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FINAL EXAM Study Guide
SPRING 2019

(Part 1)

 

 

Chapter 8: How Communities Can Help

 

  • The SUPPORT study found 3 issues that were extremely problematic in regard to the care critically ill and dying patients were receiving. What were those 3 issues/problems?
  1. _____________________________________________________________
  2. _____________________________________________________________
  3. _____________________________________________________________

 

 

  • In order to qualify for hospice services, a patient must meet 2 specific criteria. What are those?
  1. ________________________________________________________________
  2. ________________________________________________________________

 

 

  • True or False: If a person qualifies for hospice, they can go to a facility to have this service, or they can have in-home hospice care (at their own residence).  ______________

 

  • If the above statement is false, rewrite it to make it TRUE here. (If it is already true, just type N/A).

________________________________________________________________________________________________________________________________________________________________

 

 

  • True or False: A person who qualifies for hospice services will be assigned a nurse who will stay in the person’s home  24 hours a day, and will provide all necessary medical care.  ____________________

 

  • If the above statement is false, rewrite it to make it TRUE here. (If it is already true, just type N/A).

________________________________________________________________________________________________________________________________________________________________

 

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  1. __________________________________________________________________________________
  1. __________________________________________________________________________________
  2. __________________________________________________________________________________

 

 

 

 

 

  • How does Palliative care differ from cure-oriented care? ________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

 

 

 

 

  • Your book listed 10 key principals of hospice? Name at least 3 of those.
  1. ___________________________________________________________________________
  2. ___________________________________________________________________________
  3. ___________________________________________________________________________

 

 

 

 

 

Chapter 11: Funerals   and   Chapter 16: Legal Issues

 

  • True or False: In the United States, embalming is always a federal requirement.  __________________

 

  • If the above statement is false, rewrite it to make it TRUE here. (If it is already true, just type N/A).

________________________________________________________________________________________________________________________________________________________________

 

 

 

  • True or False: “Pre-planning” funerals is permitted only if a person has learned (and can confirm) that they have a terminal illness.  _________________________

 

  • If the above statement is false, rewrite it to make it TRUE here. (If it is already true, just type N/A).

________________________________________________________________________________________________________________________________________________________________

 

 

 

 

  • When a person is embalmed (and their bodily fluid is drained), how is the fluid disposed? Where does it

go / how is it handled?

_________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

 

 

  • What is a “vault” and what is it used for? ___________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 

 

 

  • Advanced Directives are forms that outline actions a person wants taken (or not taken), if the person becomes incapacitated or unable to make ________________________________________ for themselves.

 

 

  • Which of the following is/are considered Advanced Directive? (circle all that apply)
    • A Living Will
    • A Will
    • A Health Care Power of Attorney
    • A DNR order
    • The Five Wishes Document
    • A patient’s medical chart

 

 

 

  • What is the difference(s) between a Will and a Living Will

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

 

 

 

  • True or False: A DNR order requires a signature from the person’s physician. However, a Living Will does not require a physician’s signature.

 

  • If the above statement is false, rewrite it to make it TRUE here. (If it is already true, just type N/A).

________________________________________________________________________________________________________________________________________________________________

 

 

 

  • What is the difference(s) between a Health Care Power of Attorney and a Living Will? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

  • Jake recently completed a Will. He named his sister (Stacy) as the _________________________________ of the will.  As such, Stacy will be responsible for carrying out the tasks outlined in Jake’s will, after he dies.

 

 

  • As discussed in class, approximately ___________% of Americans believe a living will is a good idea, but only __________% of Americans have one.

 

 

  • Which of the following is/are True about the Terri Schiavo case? (circle all that apply).
    • Terri was a young woman (in her 20s)
    • Terri had completed the 5 Wishes advanced directives, but it was not a recognized document in her state.
    • Terri was deemed to be in a Persistent Vegetative State (PVS)
    • Terri remained on artificial, life-sustaining technology (a feeding tube) as a means to keep her alive for a total of 7 years. Due to disputes among family members and the court system, the tube was inserted and removed three separate times before she was finally permitted to die naturally.

 

  • If any of the above statements are false, rewrite them below to make the statement(s) true. (If all of the statements are already true, just type N/A).

________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________

 

 

 

  • Address why/how the Schiavo case had an impact on the promotion of advanced directives in the US for some people.

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

Chapter 9: Coping with Loss and Grief.

 

 

  • Define Loss: ___________________________________________________________________________
  • Define Grief: __________________________________________________________________________

 

 

 

  • What are some “non-death” types of losses? List 3 and explain why these are losses that could also be associated with grief.

 

  • _____________________________________________________________________________

_____________________________________________________________________________

 

  • _____________________________________________________________________________

_____________________________________________________________________________

 

  • _____________________________________________________________________________

_____________________________________________________________________________

 

 

 

 

  • Grief is expressed physically, emotionally, behaviorally, & cognitively. Give some examples of each.
    • Physically: ________________________________________________________________________
    • Emotionally: ______________________________________________________________________
    • Behaviorally: ______________________________________________________________________
    • Cognitively: _______________________________________________________________________

 

 

 

 

  • What is the difference between anticipated grief / loss, and sudden grief / loss? _____________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 

 

 

  • What is Traumatic Loss & give an example. _________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 

 

  • Is there a particular standard for grief (in regard to how long grieving lasts)? If so, how should people grieve and for what length of time? Explain.

 

______________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________________________________

 

 

 

 

  • What does it mean that the “family context” often influences its members’ experience of grief, loss and mourning?

_______________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________

 

 

  • Anhedonia is one criteria of Major Depression. What is that and come up with a hypothetical example of that.  __________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________________________________

 

 

  • What are 4 additional diagnostic criteria associated Major Depression as noted in the DSM? ________________________________________ ________________________________________

________________________________________       ________________________________________

 

 

 

 

 

  • As noted in class/panopto, there is a symptom of depression that is not listed in the DSM criteria, but is “sometimes” seen in very severe cases of depression. What is that symptom?

 

 

 

  • Describe the similarities & difference(s) of Bereavement & Major Depression?

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 

 

 

  • There are 4 types of “complicated” grief reactions. Describe each.
    • Chronic grief. ______________________________________________________________________
    • Delayed grief. ______________________________________________________________________
    • Exaggerated grief ___________________________________________________________________
    • Masked grief. ______________________________________________________________________

 

 

  • Mourning is the process of trying to cope with a loss. Worden (2009) proposed 4 specific tasks that are associated with a healthy mourning process. What are those stages?

1._____________________________________________________________________________________

  1. ____________________________________________________________________________________
  2. ____________________________________________________________________________________
  3. ____________________________________________________________________________________

 

 

  • Other models of mourning have suggested that a central part of the mourning process is “meaning making.” In this regard, Attig noted the need to distinguish between Sense-making vs benefit finding.  What is the difference between the 2….and which one is typically considered helpful (as compared to the other that may not be very helpful), and why?

______________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

 

  1. 10: COPING: How individuals can help.

 

 

  • What are the 5 fundamental needs of a bereaved person?

1._______________________________________     4. ____________________________________

2._______________________________________     5. ____________________________________

3._______________________________________

 

 

 

 

 

  • What is disenfranchised grief/mourning? _____________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

 

Give a potential real example of disenfranchised grief/mourning. (Then explain why it would be considered disenfranchised)

______________________________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

 

 

  • Many times when trying to help a grieving person (by attempting to give words of wisdom), we inadvertently imply unhelpful or even negative messages. This was discussed in class. Give an example of messages that may suggest that the “loss should be or is minimized.” _______________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________

 

 

Give an example of messages that may suggest that the person should “suppress” the loss.

______________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________

 

 

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