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M6 13-005

Exam 18: Loss, Grief and the Dying Patient

Thanatologists identify stages of grief and dying
Kubler-Ross: Stages of Grief/Dying Denial. Anger. Bargaining. Depression. Acceptance.
Denial: reaction "No, not me." Description: Individual acts as though nothing has happened and may refuse to believe or understand loss has occurred.
Anger: reaction "Why me?" Description: Individual resists the loss and may strike out at everyone and everything.
Bargaining: Reaction "Yes, but..." Description: Individual postpones awareness of reality of the loss and may try to deal in a subtle or overt way as though the loss can be prevented.
Depression: reaction "Yes, me." Description: Individual feels overwhelmingly lonely and withdraws from interpersonal reaction.
Acceptance: Reaction "I am ready." Description: Individual accepts the loss and looks into the future.
Types of Eutanasia Passive Euthanasia. Active Euthanasia.
Passive Euthanasia Death occurs as a result of withholding treatment that might extend life, such as medication, life-support or feeding tubes
Active Euthanasia An action taken deliberately with the purpose of shortening life to end suffering or to carry out the wishes of the terminally ill
Do Not Resuscitate (DNR) (1) No cardiopulmonary resuscitation performed for a patient; this is the explicit desire of the patient/family in consultation with the doctor.
Advanced Directives Signed and witnessed providing specific instructions for health care treatment in the event that a person is unable to make those decisions at the time they are needed
Patient Self-Determination Act Requires healthcare institutions to provide written information to patients concerning the patient’s rights under state law to make decisions, including the right to refuse treatment and formulate advanced directives
Living Will Legal document that describes in detail what medical care a person wants if they are terminally ill. Two witnesses are required, neither may be a relative or physician.
Durable Power of Attorney Designates an agent, surrogate, or proxy to make healthcare decisions on the patient’s behalf based on the patient’s wishes. Legally prepared, signed and witnessed document that must be notarized.
Created by: jtzuetrong