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one free of avoidable distress and suffering for patient and family

Not having ones wishes met

• cessation of heart beat
• absence of respirations
• irriversible brain function

Procedure that involves forcing air into lungs of patient who has stopped breathing and giving chest compressions in absence of pulse

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

legal document in which a person appoints someone else 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 life-sustaining treatment a person does or does not want at some future time if he or she become unable to make a decision

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

• Cooliness to extremities
• Increased sleeping
• Decrease fluid and food
• Incontinence
• Congestion and gurgling
• Disorientation
• Restlessness
• Breathing pattern change

The emotional feeling related to the perception of the loss

Outward social expression of the loss

• 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 survivor

• Breathing stop
• Body temp drops
• Urine and stool may release
• Heart stops beating

• Discontunuation of 1 or more therapies that might prolong the life of a person who cannot be cured by the therapy
• "letting die"

• A health care provider taking action that purposefully and directly cause patients death
• Legal in oregon