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HS 2711 WK 12 Lecture Notes

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Department
Health Sciences
Course
Health Sciences 2711A/B
Professor
Aleksandra Zecevic
Semester
Winter

Description
Week 12: Death and Dying Phases of Dying: 3 Phases = Agonal  ▯Clinical  ▯Mortality Defining death: ­ Brain death = all activity in brain and brain stem stopped  (irreversible) ­ Persistent vegetative state (PVS) = activity in cerebral cortex stopped o cerebral cortex = fxn’s in language processing/ information o brain stem is still active (consciousness is debatable) Death with Dignity (pride): ­ Communication with and care of dying person: o Assurance of support o Humane, compassionate care o Esteem and respect o Candid about certainty of death o Information to make end­of­life choices o “Majority of people don’t have an easy death” Concept of Death (children 7­10) ­ permanence = cant be brought back to life ­ inevitability = if you live you must die ­ cessation = body stops working ­ applicability = applies to everyone ­ causation = if you are alive you will eventually die Adolescents’ Understanding of Death ­ logically understand death, but problems applying idea to their lives o how much do you think about death? o It’s the last thing on your mind (social, hormonal)  o expansion growth and living are your primary thoughts o think we are beyond high­risk activities  ▯you don’t look at  snowboarding as a chance of death but as a fun activity o usually death is caused from unintentional injury, homicide,  suicide and very sudden (no time to think) ­ conversations with parents promote understanding Discussing Death with Children and Adolescents: ­ take the lead ­ listen perceptively ­ acknowledge feelings ­ provide facts o be culturally sensitive ­ joint problem solving Adulthood and Understanding of Death:   Late adulthood view of death: think more because they want to see if they  can control it to be the most peaceful (location, when, how) Death Anxiety: Cultural variations:  ­ Religious teachings ­ Westerners­ spirituality, meaning of life Individual variations: ­ Personal philosophy of death ­ Consistency of religious beliefs and practice ­ Symbolic immortality ­ Age ­ Gender Who’s more worried about death? Old? Young? Women? Men?  Answer: The graph here shows that young women have the most death  anxiety. Kubler­Ross’s Theory: 1. Denial – must accept denial (coping strategy) 2. Anger – not enough time to do all the things you want 3. Bargaining – I only want to be there for my child’s first child 4. Depression – I don’t want to lose everything 5. Acceptance  ­ when hope is gone (lets just leave) Appropriate Death is one that… ­ Makes sense with person’s pattern of living and values ­ Preserves or restores significant relationships ­ Is free off suffering (as much as possible) Communica
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