ch 19 - Ch19:Death&Bereavement PROCESS OF DEATH Stages...

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PROCESS OF DEATH Stages of dying Agonal phase Struggle; grasps and muscle spasms during the 1 st moments in which the regular heartbeat disintegrates Clinical death Short interval folows in which heartbeat, circulation, breathing, and brain functioning stop, but resuscitation is still possible Mortality Pass into permanent death; appear shrunken Brain dead Irreversible cessation of all activity in the brain and brain stem (which controls reflexes) Persistent vegetative state Cerebral cortex no longer registered electrical activity but the brain stem remained active Cannot restore consciousness or body movement CHANGES IN UNDERSTANDING DEATH ACROSS THE LIFESPAN Explaining death Permanence Once a living thing dies, it cannot be brought back to life Inevitability All living things eventually die
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Cessation All living functions, including thought, feeling, movement, bodily processes, cease at death Applicability Death applies only to living things Causation Death is caused by a breakdown of bodily functioning Death anxiety – fear and apprehension of death KUBLER-ROSS’S STAGES Denial Deny truth Move in and out of denial Anger Knowing time is short promotes anger to dying without doing everything you wanted to do Rage, resentment, envy Bargaining Bargain for extra time Altruistic acts Depression Physical and mental deterioration, lack of control, connected to machines Health care needs to respond humanely to patient’s wishes
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Acceptance Comes in the last weeks or days State of peace and quiet Disengage from everyone but a few close people INFLUENCES ON ACCEPTING DEATH Appropriate death One that makes sense in terms of the individual’s pattern of living and values and, at the same
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ch 19 - Ch19:Death&Bereavement PROCESS OF DEATH Stages...

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