a. Typical reaction when a patient learns that he or she is terminally ill. Important and necessary. Helps cushion the awareness that death is inevitable. 2. Rage and anger: “Why me?” a. Patient resents the fact that others will remain healthy and alive while he or she must die. God is usually a special target for anger. 3. Bargaining: “Yes me, but…” a. Accept the fact of death but strike bargains for more time. Usually with God, even if they have never talked to God before. Promises are irrelevant and never fulfilled. 4. Depression: “Yes, me.” a. First mourns past losses, things not done, and wrongs committed. Then wants to be alone, has “finished his unfinished business” with people and is at peace. 5. Acceptance: “My time is very close now and it’s all right.” a. Not happy, yet not unhappy. There is acceptance and peace.
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1. Which of the following is true?
i. People who meet the criteria for brain death can continue breathing. 2. Jon, aged 23, has just been told he has a brain tumor that will likely kill him in a matter of months. According to Kϋbler-Ross, what is his first response likely to be? i. It’s just a headache; nothing is really wrong. 3. Several weeks after being told her heart was failing and she was likely to die soon, Donna appeared to be at peace and even commented to others that she was ready to die. What Kϋbler-Ross stage does this represent? i. Acceptance. 4. Which of the following is a valid criticism of Kϋbler-Ross’s stages of dying theory?- i. It is applicable to those who receive a terminal diagnosis, but many people never receive a specific terminal diagnosis. 5. Which of the following appears to affect the adjustment of a dying individual? i. Prior experiences with crises. 6. What proportion of U.S. deaths occur in nursing homes? i. 20% 7. Which of the following is true of hospice care? i. It allows people to die with the maximum dignity and the minimum pain and suffering. 8. Which of the following is likely to be a part of hospice care? i. Support groups for the families of dying persons. 9. What does the word euthanasia mean, literally? i. Good death. 10. What is terminal sedation? i. Sedating a dying individual so they do not experience distress. 11. What percentage of Americans object to physician-assisted suicide? i. 69% 12. Which of the following is true of living wills? i. A living will only goes into effect if the individual making it becomes incapacitated and cannot make his or her own healthcare decisions. 13. Which of the following is true of children’s responses to death? i. It is not uncommon for young children to regress upon the death of someone with whom they are close. 14. Which of the following is true of funeral arrangements? i. Deceased veterans will be buried at national cemeteries at no cost. 15. Which of the following is true about grief? i. There is no right or wrong way to grieve. 16. What do The Day of the Dead, All Saints Day, the Bon Festival, and Chuseok have in common? i. They are all celebrations of the dead. 17. Months after her husband’s death, Marcia found that she and her children had established a new normal, with different ways of doing things than her husband. Which of Bowlby’s stages has Marcia reached? i. Reorganization. 18. Research in Jacob’s stages of grieving indicate that disbelief will wane in what period of time? i. 2 years. 19. What can you do when faced with the death of someone with whom you are close? i. Don’t move on until you are ready to. 20. How can you help a bereaved friend or relative? i. Offer to do practical chores like running errands or shopping. WEAR-AND-TEAR THEORY According to the wear-and-tear theory of aging, body parts simply wear out with normal use and exposure to disease, poor diet, environmental hazards, and other stresses. But many systems improve with use, thus seeming to disprove this theory. CELLULAR THEORIES Cellular theories of aging propose that aging is the result of the accumulation of cellular accidents that occur during cell reproduction. Cellular imperfections in combination with the body’s declining ability to detect and correct them can result in harmless changes, small declines in function, or fatal damage. FREE RADICAL A cellular theory which focuses on atoms with unpaired electrons that are capable of reacting violently with other molecules in the cell, splitting them or tearing them apart. Free radicals damage cells, affect organs, and accelerate diseases such as cancer, diabetes, and atherosclerosis. ERROR CATASTROPHE Another cellular theory, believes errors occur in the cells due to declines in the processes of repair and healing and become so extensive that the body can no longer control or isolate them. PROGRAMMED SENESCENCE The body is genetically programmed to die after a fixed number of years, and death will result even if no fatal disease or accident occurs. MAXIMUM LIFE SPAN The maximum number of years that a particular species is genetically programmed to live, is 115 years for humans. GENETIC CLOCK Programs the moment of death, with genes switching off growth processes and switching on aging processes at some predetermined age. (Down syndrome and progeria support this theory.)