Loss, Grief, and the Dying Patient
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| What is the difference between a living will and a durable power of attorney? | A living will prescribes treatment upon incapacitation. Durable power of attorney gives others the decision-making power.
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| What are the 5 stages of the KUBLER-ROSS’ STAGES OF GRIEVING? | 1)Denial 2)Anger 3)Bargaining 4)Depression 5)Acceptance
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| What are the steps of the Martocchio: Survivor’s Reaction? | 1)Shock and disbelief 2)Yearning and protest 3)Anguish, disorganization, and dispair 4)Identification in bereavement 5) Reorganization and restitution
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| What is the shock and disbelief phase of Martocchio: Survivor’s Reaction? | *“Maybe this is not happening” *Unreality; rejects comfort; disbelief
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| What is the yearning and protest phase of Martocchio: Survivor’s Reaction? | *“Why do I feel this way?” *May express anger towards diseased for leaving
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| What is the Anguish, disorganization and despair phase of Martocchio: Survivor’s Reaction? | *"Living is a chore; joy has gone out of life" *Realizes reality and permanency of loss
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| What is the Indentification in bereavement phase of Martocchio: Survivor’s Reaction? | *"I’m just like him or her" *May adopt behaviors, mannerisms or ideals. Desire to carry out the dead person’s goals
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| What is the reorganization and restitution phase of Martocchio: Survivor’s Reaction? | *"Life goes on" *Life stabilizes but some of the pain may last a lifetime.
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| What areas (aspects of human functioning) need to be assessed with impending death? | Physical, Emotional, Intellectual, Social, and Spiritual
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| What is passive euthanasia? | with holding treatment that may extend life such as medication or life-support
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| Fill in the blanks: A DNR must be ________ to be valid. | Written
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| What prohibits selling or purchasing of organs? | National Organ Transplantation Act
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| What written document that states your wishes about medical treatment should you be unable to communicate at the end of life? | Living will
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| What requires healthcare institutions to inquire whether patients have an advance directive? | Patient Self-Determination Act
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