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Death & Dying Ch 5
"The Last Dance - Encountering Death and Dying" Chapter 5
Question | Answer |
---|---|
What are the three major categories of institutional medical care? | Hospitals, nursing homes & hospices |
What focus and type of treatment do hospitals provide? | Focus = acute intensive care of a limited duration. Type = Aggressive medical techniques for diagnosing symptoms, providing treatment and sustaining life. |
What type of care do nursing homes provide? | Long-term residential care for people who are chronically ill and whose illness does not require acute, intensive care. |
How is hospice care distinguished, and what is its mission? | Orientation toward the needs of dying patients and their families. Mission = comfort the patient rather than cure the disease. |
What are the elements of the health care system? | Patient, staff and institution |
To efficiently use staff and facilities, procedures in the health care system become...? | Standardized and routine |
Describe the classic caring situation in modern health care. | Subservients rotate around the M.D. Supreme Leader and output care to the patient who is surrounded by family, friends & ministers. |
Describe the ideal caring situation in health care. | Service providers and friends center around the family and patient, and the family centers around the patient. |
What are aspects of the scientific method, which is the basis for many of the life-saving medical advances we applaud? | Abstraction, depersonalization, and standardization |
When does depersonalization take place? | When dying patients are given less attention by physicians and nurses due to their own fears or because of the belief that "nothing more can be done." |
In what year were the Medicare and Medicaid programs created? | 1965 |
Why were the Medicare and Medicaid programs created? | To provide health care coverage to under-served populations, especially the elderly and the poor. |
How does the U.S. compare in health care spending than other industrialized countries? | It spends more than any other. |
In part, what are the rising costs of health care due to? | A "technological imperative" that promises an unprecedented range of tools for combating disease. |
What has the ability of medicine to predict death at an early stage resulted in? | A category of experience called "terminal illness." |
In health care rationing refers to...? | Any system that limits the amount of health care a person can receive when not all care expected to be beneficial is provided to all patients, and when a medical benefit valued by a patient is withheld because of cost. |
What is the principle of symmetry? | Good balance between the extension and saving of life, and the quality of life. |