Awareness of Dying
o The dying person is not aware of his or her impending death, although
others many know.
o A person suspects that his or her prognosis involves death, but this
suspicion is not verified b
A Mature Concept of Death
o Universality: All living things eventually die. Death is all-inclusive,
inevitable, and unavoidable.
o Irreversibility: Organisms that die cannot be made alive again.
o Non-functionability: Death involves the cessati
Health Care System in the U.S.
What is Medicare/aid?
o Medicare is the government health insurance for the elderly (~ 65 yrs.)
o Medicaid is the government health insurance for the poor
What are the Main Elements of the Crisis?
1. Health care i
Needs of the Dying
o People need people
o Sick people need people
o Dying people really need people
The terminally ill have certain rights as well as needs:
1. The right to know the truth.
2. The right to confidentiality and privacy.
3. The rig
You Have My Sympathy
Dos & Donts For Writing a Condolence Letter
Use greeting cards as a last resort.
Be honest and avoid euphemisms.
Mention the deceased.
o I am sorry for your loss.
o I am sorry for you and
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Modes of Death
Every society has its own death system, and it changes over time:
o Population growth or decline
Loss & Grief
Some Common Beliefs About Grief
If you dont express your grief feelings, it will lead to problems later.
Women are better at grieving than men are.
Grief involves letting go of the relationship you had with the decea
Euthanasia & Physician Assisted Death: Rights and Choices
Differentiating the Two
o Euthanasia: The act of intentionally ending the life of somebody other
than the person concerned at his/her request
o Physician Assisted Death: Intentionally he
Suicide Dr. Kay
o A disease of civilization.
o Negative effect of modernization.
o Is commonly viewed as representing failure.
Definition of Suicide
o Currently in the Western world, suicide is a conscious act of self-induced
Introduction to Death
o Death A permanent cessation of all vital functions.
o Dying The process of decline in body functions resulting in the death of
o I wish to live deliberately, and front the essentials of li
Near Death Experiences
Near Death Experiences
Near Death Experiences: Profound psychological events with
transcendental and mystical elements, typically occurring to individuals
close to death or in situations of intense physical or emotional dang
Death of Lives of Children
o What are the traditional indicators to determine health status of the
o More children die during infancy than throughout the
Attitude Towards Death
Past vs. Present
o In the past, people usually died at home
o In the past, funerals were usually at home and young children were
encouraged to attend
o In modern day funeral practices, young children are not encouraged to
Review for Exam One
o The right to die is your right to make decisions upon your death
Right to refuse treatment
o Dying with dignity is an act
Physician allowing you to quicken your death
o Hospice refers to the institute in which you go to
o Permits meaningful action at a chaotic time.
o Offers cues as to what we are supposed to feel and models how we are to
Funeral and memorial societies are organized to:
A. Offer a wider range of option in fune
major institutional medical care
o Devoted mainly to acute intensive care of a limited duration
o Aggressive techniques are employed to diagnose symptoms, provide
Savannahs Review Guide
There will be 42 items:
8 T/F questions
34 multiple choice
Chapters covered: 10, 11, 12, 13, 14, and 15.
o Identifying suicidal context
Anomic: people who feel very disconnected to society & that there
are no place for
Music and Death
Guest Speaker Kaitlyn Reho, MPH
o Music has been used throughout history to express many feelings
including death, sadness and grief
o Because death is taboo and can be uncomfortable to talk about, we often
use euphoniums and m
Death As Loss
Death As Loss
Loss of experiencing
Loss of people
Los of control and competence
Loss of the capacity to complete projects and plans
Loss of body
Loss of Experiencing
o Loss of the capacity to experience anything seems to