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Death & Dying Ch 5

"The Last Dance - Encountering Death and Dying" Chapter 5

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.
Created by: silvrwood