someone other than the patient commits an action with the intent to end the patient's life, for example, injecting him or her with a lethal dose of a drug
loss that can be recognized by others as well as by
the person sustaining the loss, such as loss of a limb or a
written directive that allows people to state in advance what their choices for healthcare would be if certain circumstances should develop
condition in which a person displays loss and grief behaviors for a loss that has yet to take place
state of grieving or going through the grief process
an order written to indicate that the goal of treatment is a comfortable, digniﬁed death and that further lifesustaining measures are no longer indicated
termination of life
an order specifying that there be no attempt to resuscitate a patient in the event of cardiopulmonary arrest
abnormal or distorted grief that may be either unresolved(lengthy or denied grief reaction) or inhibited (suppression of grief reaction)
"good dying" mercy killing; the deliberate termination of the life of a person
emotional response to loss. varies from person to person
inaccessibility or change in a valued person, object, or situation.
a type of end-of-life care for persons who are terminally ill
period during which a person learns to accept grief
(hospice care), taking care of the whole person—body, mind, spirit, heart and soul—with the goal of giving patients with life-threatening illnesses the best quality of life they can have through the aggressive management of symptoms
loss of youth, of ﬁnancial independence, and of a valued environment experienced by a person, but intangible to others
illness from which there is no reasonable expectation of recovery or cure
withdrawal of life-sustaining therapy with the understanding that death may result, generally after adecision is made that the therapy in question is medically futile or disproportionately burdensome
result of a natural development processes ex: parent of single child may experience a loss when a child starts school.
result of a unpredictable event ex: traumatic injury, disease, death, natural disaster.
Engel 1964 Six stages
First to define stages of grief 1. Shock and disbelief (No not me) 2. developing awareness (Why me)3. restituition (religious services, funeral) 4. revolving the loss(dealing with void) 5. idealization (acceptance, talking about person) 6. outcome (Common life occurance)
Kubler-Ross (1969) Five-stages
1. denial and isolation (They made a mistake) 2. anger (why me) 3. bargaining (If i can just make it until...) 4. depression (crying and not speaking much) 5. acceptance (Ive tied up all loose ends...I am ready)
Medical criteria to define death
1. Cessation of breathing 2. No response to deep painful stimuli 3. Lack of reflexes or spontaneous movement
allows a person to die on his or her own terms. Free of pain and distress.
US law requires one be prepared for each dead person. Mortician assumes responsibility for handling and filing. Requires a MD signature.