PSYCH218 Study Guide - Comprehensive Final Exam Guide - Wysiwyg, Wwe Raw, Twin Study

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PSYCH218
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Medical level
Medical system most influential shaper of our experience with death
Our most influential shaper of experience of death is the medical system
Medical system most influential shaper of experience with death
Majority of people still die in the hospital
No perso’s life eer saed, just prologed
No lives are ever saved, just prolonged, we all die at some point
Most treatments are short term, no always compotent
Factors that affect when, whether and how we have contact with medical system
Community health initiatives
o Cookie monster, sometimes food
o Disease prevention resources, what is available in community to prevent
diseases
o Community health initiatives what is available in the community to prevent
diseases
o We assume that water will be clean
Whe it does’t happe, it’s a ig issue
o Basic health education is assumed, in order to prevent illness (washing hands)
o Expect food to not be contaminated
o Assure vaccinations will be provided
o Problematic if not
o Community health initiative
Health care access
o Literal availability of healthcare affects psychological availability of healthcare
o Access to health care affects psychological availability of healthcare
o In US where it is available but must pay out of pocket, we try to walk it off before
we actually go get treat, psychological availability of healthcare
Four types of death
o Expect, unexpected, natural and unnatural
o Times to get affairs in order or not depending on type of death
Individuals experience in medical system key players
Medical staff
Biggest risk factor of staff is treating symptoms and not people
Risk factor for medical staff is risk of treating symptoms and not people
Staff should receive death education
o Have psychological issues that can make their work harder
o Physicians have higher fear of death than the general population
o Have an understanding of the body and things that can go wrong
o Physicains have a higher suicide rate than general population
o Experience early death and loss
o Death represents failure and loss of control for them
o An aspect of perfectionism
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o If they experience death as a person, a much bigger issue for them
so push patients away in order to make death easier, objectify
patients
o Biggest risk factor is treating symptoms and not people
o Should receive death education
o Have psycholigcal issues that make work harder
o Physicians fear death and have higher suicide rate than the
general population
o Have an understanding of the body and what can go wrong
o Have experienve with early deaths and loss
o Deal with this by pushing patients away as to not have death as a
person, objectify patients
Family
o People communicate indirectly with preferences for treatment
o What messages communicate with dying individual
o ou at die right o, e eed ou
o Pressure is put on the dying individual, I need to stay, need to be a
tough a bit longer
o Unfinished business surfaces at this time
o How much should they suffer, decision making
o People communicate indirectly about treatment preference
o Put pressure on dying individual
o ou at die right o
o Pressure put on dying individual
o I eed to stik aroud, tough it out for a hile loger
o Unfinished business surfaces at this time
Patient
o The patient is the one dying
o Fears
What is the patient feeling
Telling themselves they cannot die right now
How competent is the person, to ask for more medication
Pain can de rail quality of life
Responsibility
Pateint is adult, how involved in own care and decision
kaking
Adult, should be involved
Unfinished business
Grudges
Relationships
Individual may feel let down by survivors
What affects person experienve with medical system
o Medical staff
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Document Summary

I cant die right now more pain medication: sense of responsibility, how involved in their medical and decision making process are they. If adult, should be involved, put decisions on family. I cannot do it right now, you choose: unfinished business, grudges, relationships. Individual may feel betrayed by survivor, survivors may feel betrayed by individual. In an over way, done to protect physical harm, protect rights. If so(cid:373)ethi(cid:374)g does(cid:374)"t (cid:373)ake se(cid:374)se, it is usually symbolic: helps make sense of an otherwise confusing thing. Ignorance is lack of knowledge, cannot drive behaviour for something you do not know about, no access to information, cannot make decision while dying, cannt make something part of final plan. Impalitable (serious illnae: consent, grievance (serious illness), ireemediable (incurable) in palatable (lots of suffering, consent, grievance (very seious illness), irremediable (cannot be fixed), inpalatable (serious suffering, pain can be managed, need better palliative care.

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