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Chapter 15: Dying and Bereavement

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The Many Faces of Death. Death as an image. Tombstone. Hearse. Death as a statistic. Mortality rates. Life expectancy tables. Death as an event ... – PowerPoint PPT presentation

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Title: Chapter 15: Dying and Bereavement


1
Chapter 15 Dying and Bereavement
  • I am not afraid of death I just dont want to
    be there when it happens!
  • Woody Allen

2
The Many Faces of Death
  • Death as an image
  • Tombstone
  • Hearse
  • Death as a statistic
  • Mortality rates
  • Life expectancy tables
  • Death as an event
  • Funeral
  • Memorial Service

3
Faces of Death (cont.)
  • Death as a state of being
  • Nonthingness
  • Being with God
  • Death as an analogy
  • Dead meat
  • Dead as a doornail
  • Death as a mystery
  • What is it like to die?
  • What happens after death?

4
Faces of Death, contd.
  • Death as a boundary
  • Youll never get out of this world alive
  • How many years do I have left?
  • Death as a thief of meaning
  • I have much left to do
  • I feel so cheated
  • Death as fear/anxiety
  • Im afraid to die
  • I worry about my family
  • Death as a reward or punishment
  • The wicked go to Hell
  • Heaven awaits the just

5
Brain Death
  • No spontaneous movement
  • No spontaneous respiration/1 hour
  • Total lack of responsiveness
  • No eye movement (blinking/pupil)
  • No postural activity swallowing, yawning,
    vocalizing
  • No motor reflexes
  • Flat EEG - 10 minutes
  • No change in any of these if tested again in 24
    hours

6
Issues about Death
  • Persistent Vegetative State
  • Cortical functions cease
  • Brain stem activities continue
  • Euthanasia
  • Active
  • Passive
  • Dr. Kevorkian

7
Ideas about Death
  • Childhood
  • Death of a pet
  • Lack of abstractive abilities
  • Adolescence
  • Sensitive still no real restriction until
    personal experience
  • Young Adulthood
  • Cheated of future
  • Middle Age
  • Most people confront death at this time
  • Late Adulthood
  • Imminent

8
Death Anxiety
  • Elisabeth Kübler-Ross Stage Theory
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance

9
Alternate Theory
  • Phase Theory (Pattison)
  • Acute become aware that condition is terminal
  • High anxiety, denial, anger, and bargaining
  • Chronic Living Dying Phases
  • Adjusts to idea of terminal illness
  • Anxiety declines
  • Terminal phase - withdrawal

10
Task Based Approach
  • 1. Satisfy physical needs minimize physical
    stress
  • 2. Maximize psychological security live life to
    fullest
  • 3. Sustain/enhance interpersonal Commitments
  • 4. Develop/reaffirm spiritual energy fosters
    hope.

11
Hospice - dying with dignity -
  • Grief Process
  • Acknowledge reality of loss
  • Work through emotional turmoil
  • Adjust to environment where deceased is absent
  • Loosen ties to deceased.

12
Death expectations
  • Expected vs. unexpected death
  • Grief over time
  • Abnormal grief reactions
  • Death of loved ones
  • Death of parent
  • Death of child
  • Death of partner
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