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Ch 12

For which of the following reasons did pagan tribes begin the custom of covering the face of the deceased with a sheet?

This is in the book.

An early custom for mourners was to go barefoot and to wear sackcloth and ashes. What was the purpose of this practice?

ok look it up

From which ancient custom do wakes held today originate?

look it up

What was the significance of placing a funeral wreath on a coffin in pagan times?

ok its in the book

States have their own criteria for determining when death actually occurs, but most have adopted the definition of brain death proposed by which of the following?

Uniform Determination of Death Act

Who determine that the criteria for death occurs when the entire brain ceases to function?

The Uniform Determination of Death Act

When a Persistent vegetative state (PVS) exists as a result of severe mental impairment, characterized by irreversible cessation of the higher functions of the brain, most often caused by damage to what/which organs?

Cerebral cortex; name any others...

Technically, it can be said that death results from lack of which of the following?

Oxygen

If a patient dies under suspicious conditions, what might occur to determine cause of this patient's death?

Autopsy

What may be the consequential result of autopsies performed in hospitals to confirm or correct clinical diagnoses?

Quality assurance

Are pathologists readily available to perform autopsies in small, rural hospitals?

No, in fact the reason for fewer autopsies is the unavailability of pathologists in small hospitals.

For which type of patients would palliative care be most appropriate?

Name the patients

What is not a goal of palliative care?

Using current research studies to effect a cure for a terminal illness

Which care program provides information to help patients and their families receive care that addresses all of the patient's needs. According to the organization's statistics, 58% of U.S. hospitals provide palliative care.

The Center to Advance Palliative Care, based in New York

Health Care practitioners are traditionally trained to provide what type of care?

Curative

Can hospice care be curative?

No, it is not designed to target the underlying disease process.

For patients to be eligible for hospice care, physicians usually must certify that they are not expected to live beyond how many months?

6

Correctly describe the aspect of hospice care?

Most in-home hospice programs are independently run.

What study found that nearly 4 out of every 10 terminally ill patients spend at least 10 days in intensive care connected to life-sustaining machines?

A 1995 study published in the Journal of the American Medical Association (JAMA)

What study showed that more than 50% of people dying in hospitals suffered from uncontrolled pain, and that decisions to medicate were inappropriately timed?

The six-year Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT) conducted by the Robert Wood Johnson Foundation in 1996

According to the 2010 British study that surveyed 8,500 physicians, which physicians would be most likely to discuss comfort care only for critically ill patients?

A physician who is an agnostic

What is the focus of this thanatology?

Death and psychological methods of coping with it

The right to die first became a matter for the courts to deliberate in 1976, with the death of whom?

Karen Ann Quinlan

What does the l989 Uniform Rights of the Terminally Ill Act address?

Advance directives

Which of the following state legislations was the first to permit physician-assisted suicide in certain circumstances?

We watch a whole documentary on this...

In 1992, which state became the 50th state to enact advance-directive legislation?

Pennsylvania

In 1967, what entity devised the original living will?

Euthanasia Society

Provide examples of what different types of Euthanasia?

Passive, active...etc.

The Patient Self-Determination Act was passed in 1990. What patient's concern did this legislation address?

Advance directives

Which of the following is not considered an advance directive?

find it..

What is the legal term for an advance directive that specifies an individual's end-of-life wishes for medical treatment without necessarily appointing a designee to make legal decisions for him or her?

ok, its in your book....

How is a health care proxy different from a durable power of attorney?

A health care proxy can only make health care decisions. DPA can manage both financial and health care

Which act passed in 2984 tries to address the shortage of organs?

National Organ Transplant Act

Studies conducted by the United Network for Organ Sharing (UNOS) in 2004 found the increasing need for more donor organs a recurring theme, especially for which of the following types of transplants?

Kidney

Over the decade from 1992 to 2002, the organ transplant waiting list increased by what percent?

150%

What was the goal of the Model for End-State Liver Disease (MELD)?

Put the sickest candidates on the top of the list for transplants.

What is the goal of the Organ Donation and Recovery Improvement Act, passed in _____________?

Increase organ donations. 2004

What was the purpose of the creation of the Uniform Anatomical Gift Act?

To allow individuals to donate their bodies to science after death

Name the provisions of the Uniform Anatomical Gift Act?

for example; Except in autopsies, the donor's rights override those of others.

Name the organs that can't be transplanted?

ok, you can look in your book, it's right there

A person signs up to be an organ donor through his driver-licensing agency. What is true regarding the process of organ donation?

A donor's name is released to recipients only if both parties agree to it.

Provide statements that best describes the term "grief"?

Grief is the human reaction to loss.

What aspect of death and dying did the late Elisabeth Kübler-Ross, MD describe?

Coping methods of persons who are grieving

Provide examples of a person who is experiencing the third stage of grief according to Elisabeth Kübler-Ross, MD?

A person who is dying asks God to keep her alive to see the birth of her grandchild.

Name the occurences in Stage V of Elisabeth Kübler-Ross's grieving process?

Acceptance

Name the stages of grief described by Roberta Temes, PhD in her book, Solace: Finding Your Way Through Grief and Learning to Live Again (New York: Amacon Books, 2009)?

Disorganization, plus more so add them

What are some of the recommendation for talking to a dying patient (adapted from "I Don't Know What to Say...": How to Help and Support Someone Who Is Dying?

Do not give unsolicited advice because it stops the dialogue.

the abbreviation PVS means?

Persistent vegetative state

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