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What is a good death?
one free of avoidable distress and suffering for patient and family
Describe a bad death?
Not having ones wishes met
What is death?
cessation of heart beat
absence of respirations
irriversible brain function
What is CardioPulmonary Resuscitation(CPR)?
Procedure that involves forcing air into lungs of patient who has stopped breathing and giving chest compressions in absence of pulse
What are Active directives?
written document prepared by a competent person that specifies what actions a person would want when he or she can no longer make decisions about personal health
Durable Power of Attorney
legal document in which a person appoints
to make his or her health care decisions in the event he or she becomes unable to make decisions
Legal document that instructs the physician and family about what
a person does or does not want at some future time if he or she become unable to make a decision
The Patient self-determination act of 1990
Requires all patients admitted to any health care agency be asked if they have written advanced directives
Interdisciplinary approach to assess and address the hollistic needs of patients and family to facilitate quality of life
prevent and relieve suffering and to support the best possible quality of life regardless of stage of disease or the need for other therapies
S/S of End of life
Cooliness to extremities
Decrease fluid and food
Congestion and gurgling
Breathing pattern change
The emotional feeling related to the perception of the loss
Outward social expression of the loss
What is a life review
Structured process of reflecting on one's life
Facilitated by an interviwer
Process of randomly reflecting on memories of events in one's life
connection to self, others, the environment and a 'higher power'
Formal expression of one's spirituality
Grief and mourning- the inner feelings and outward reaction of the
Sign and symptoms death has occured
Body temp drops
Urine and stool may release
Heart stops beating
Withdrawing or withholding life sustaining therapy (WWLST)
Discontunuation of 1 or more therapies that might prolong the life of a person who cannot be cured by the therapy
A health care provider taking action that purposefully and directly cause patients death
Legal in oregon