PUBH 4327 - Death and Dying Midterm Baylor - Klempnauer

Who makes up IDT (interdisciplinary team)?

Medical director, nurses RN, social workers, chaplains, volunteer coordinator, bereavement coordinator

What are some things we just cannot know

How quickly or slowly death happens, where will death happen (in hospital, nursing home?), being alone or not being alone

What are the three acts of listening?

Compassion, empathy, sympathy

Six steps in order of listening continuum

reflection of feelings, content, questions, reassurance, diagnose and analyze, advice

Four levels of treatment for hospice

routine, respite, inpatient, continuous care

Be manners

be there, be a giver, be supportive, helpful, a writer, at ease, a listener, honest, calm, normal with the person

4 examples of euphemisms

pushing up daisies, kicking the bucket, left this world, checked out, singing to the choir, gone to meet their maker, singing to the choir

values of studying death/dying (list 4)

better understand the grieving process, deal with death in a more compassionate way, better cope with our reactions to death, to better resolve guilt feelings, focus our attention on relationships and their importance, say the things that need to be said, put a better perspective on emotionally disturbing experiences, make satisfying final decisions

Death rattle

a gurgling sound, sometimes made in throat of dying person when mucus and fluid builds up

Dame cicely saunders

founder of modern hospice movement

Robert d. Myrick

made list of continuum

Thanatology

study of death

IDT

interdisciplinary team

St. christopher's house

located in london, started by dame cicely saunders

The art of living

ars vivendi

The art of dying

ars moriendi

Two greatest fears

being alone and being in pain

Two essential elements

being a good listener, expressing good manners

Year saunders visited US

1963

Last sense to go

hearing

Who wrote the book, Talking About Death Won't Kill You

Virginia Morris

Where can a hospice patient receive care

wherever the patient resides, nursing home, assisted living, residential home

T/F: morbidity is defined as illness

True

Who said "You can be a king or a street sweeper, but everyone dances with the grim reaper?"

Robert Allton Harris

US University Saunders visited

Yale

A person has been on hospice for 6 months and the disease is progressing. What happens next?

Receive documentation from IDT, Dr. looks at reports and as long as patient is declining then they will reserve them

Bereavement program is how long

13 months

T/F Quality of life can be defined as a balance of life and quality together, a yardstick that measures either the continued day to day living or the outcome of the end of life of how someone has lived his/her life

True

Mortality is defined as

Death

T/F "Listening Continuum" is attributed to Robert D. Myrick

True

T/F Being a good listener and expressing good manners are essential elements in an end of life experience

True

Goal of a hospice team

To provide comfort for the patient and family

T/F Life is defined as the time someone lived

True

Founder of hospice is

Dame Cicely Saunders

Main health components of a good death

physical, emotional, social and spiritual

In listening with sympathy, the appropriate response would begin

I feel ...

T/F Virginia Morris said, "A good death is for the dying and for the people who love them."

True

Gurgling sound is called

Death rattle

First modern hospice was located where?

London

How do we become aware of death

Losing a pet, hearing a siren, at holidays, motorcade, funeral procession

T/F Awareness is having the knowledge of something from observing it or realigning it is happening

True

Average # of years between life and death is

Longevity

T/F Genealogy is the study of history of families and the line of descent from their ancestors

True

T/F Illness and chronic pain = depression and anxiety = health

False

T/F Thanatology is the study of death

True

What are the 4 aspects of a diamond concept?

Physical, emotional, social, spiritual

Who can enter the hospice program?

Anyone from birth to 100+ years of age

Our attitudes toward living and dying are developed through who and what?

Family is primary influence, traditions, religion, culture, socioeconomic status

T/F Hospice is a holistic program of care and comfort for the patient

False

Three C's that describe hospice

Compassion, Care, Comfort

When does dying well begin?

Long before death happens, prior to brain damage or coma sets in, prior to medical treatment decisions being made, prior to administering treatment

T/F Examples of what hospice may do during the bereavement period includes phone calls, visits, memorial services, and letters

True

Statements that reflect good manners of a funeral

Dress respectively, enter quiet and reverently, don't interrupt the service, pay respect to the family afterwards

T/F Funding for hospice comes from medicare, medicaid, and private insurances include medical equipment, services of the team but does not include any medication

False

T/F One way to face our fears about death is to have simple conversations

True

T/F Goal of hospice is not to fight death, but to make the most of life, however much or little that is

True

Listening is defined as

Giving ear, hearing with thoughtful attention, paying attention to, or giving ear to conversation or music

T/F Manners is a social conduct or rules of conduct

True

Person enters hospice program by

A physician must refer patient to hospice with a prognosis of six months or less to live

In listening with empathy, appropriate response would begin with

You feel ...

T/F Fear is accompanied by a desire to flee or flight

True

Term hospice comes from the same linguistic root as

Hospitality

At time of death, the hospice nurse will want to know what?

What is the name of the funeral home you're using, will the body be embalmed or cremated, can i help you out by making phone calls to family or friends

T/F Continuum is defined as uninterrupted ordered sequence

True

Interment is defined as

Burial

T/F Empathy is the capacity for participation in another's feelings

True

Who made up the audience Saunders spoke to while in the US

Medical students, social workers, nurses, and chaplains

What are some of Morris's Principles for a Good Death

realize that death is coming, have dignity and privacy, choice of where death occurs, access to information and expertise, adequate control over physical pain relief and symptom management, attention for emotional and spiritual pain, access to hospice/palliative care, who is present and who shares the moment of death, issue advance directives, time to say goodbye, to let go