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Gerontology (Fach) / Chapter12 (Lektion)
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- What are the main parts that chapter consists of ? 1) Death and Dying 2) Bereavement and Loss
- How is death defined ? Dying is the irreversible cessation of biological functioning. Its the physical decline that ends in death.
- What is a Dying Trajectory ? The rate of decline in functioning that precedes death can vary considerably after the onset of a disease. The book illustrates three different forms.
- What are the three leading causes of death in the USA ? 1) Heart Disease 2) Cancer 3) Cerebrovascular Disease (Stroke)
- How many aging trajectories mentiones the chapter ? 3. 1) Sudden dying trajectory 2) Gradual slowing trajectory 3) Slow but ambiguos dying trajectory
- What would be an example of an sudden dying trajectory ? A car accident !
- Which dying trajectory is most likely in modern society ? The gradual trajectory.
- What means "intestate" ? A person who dies without having a testament. - nicht testamentarisch geregelt.
- What does "advance directive" mean ? Patientenverfügung.
- What is a living will ? A living will specifies what type of medical care they would chose in the event thy lack the capacity to express their wishes at some time in the future. With a living will a oersin diagnosed with a terminal illness can have a say in what if any medical intervention should be used to prolongue life in case he or she becomes unable to express a preference later.
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- What does the term " advance directive" mean ? Refers to the individuals wishes for his or her own end of life care.
- What is the durable power of attorney in health care matters ??? With this document a patient assigns the power to make future decisions about life and death matters to one family member. The advantage is that only particular family members are allowed to make a decision in the case of a disagreement.
- Do older adults or MIDDLE aged people worry more about death ? Middle aged people ! ( Not young people nor children)
- What are Kübler - Ross's five stages of death and dying Denial Anger Bargaining Depression Acceptance
- At what age do most people die ? 85 +
- What are span has to most people dying in it ? ? ? The old- old (75-84) and die oldest old ( 85+)
- In a living will what do most people state ? Prolongue their life artificually or end their life naturally ??? Most people decide not to prolongue their lives artificually and to let them die when the time has come naturally :)
- What is meant by "bereavement" , "Grief" , "Mourning" ? Bereavement refers to the situation and the long term process of adjusting to the death of someone to whom a person feels close. Grief is the affective, emotional response Mourning is dependent on ones culture
- People often see the death of a child as a catastrophic event. Is that also the case for older people ? In which case is the medical treatment to rescue the person more aggressive ? People are less likely to consider the death of an older person as tragic. Also when medical intervention has little chance of success doctors try more aggressive with younger people.
- What can be said about the bereavement process ? Early in b. strong feelings of grief Strong individual differences in the intensity and and type of emotions that are felt as well as the time course. Although a common view is that people who do not show any signs do not successfully "work through" the death. Feelings of psychological and physical distress often taper off after 12 month but never to a level of people who are not bereaved.