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Chapter 20 - Dying and Death

AB
life-support systemsMedical technologies, such as the respirator, that allow vital body functions to be artificially sustained
brain deathA medical determination of death as the cessation of brain activity indicated by various diagnostic criteria
electroencephalogram (EEG)A record of the electrical activity of the brain (brain waves)
clinical deathA determination of death made according to accepted medical criteria
cellular deathThe breakdown of metabolic processes at the level of the cell
mature understanding of deathRecognizing that death is-universal, irreversible, the cessation of all physiological functioning, and a biological occurance
noncorporeal continuityThe notion that human beings survive in some form after the death of the physical body
willA legal instrument expressing a person's intentions and wishes for the disposition of his or her property after death
estateThe money, property, and other possessions belonging to a person
testatorThe person who makes a will
intestateReferring to the situation in which a person dies without having made a legal will
palliative careA form of medical care aimed at reducing the intensity or severity of a disease by controlling pain/discomforting symptoms
hospiceA program of care for dying patients and their families
persistent vegetative stateA condition of profound unconsciousness in which a person lacks normal relfexes and is unresponsive to external stimuli
passive euthanasiaThe practice of withholding (not starting) or withdrawing (stopping) treatment that could potentially sustain a person's life
physician-assisted suicide (PAS)The practice of a physician intentionally providing, at the patient's request, a means for a patient to hasten death
double effectA situation in which a harmful effect occurs as an unintended side effect of a beneficial action
active euthanasiaA deliberate act intended to end another person's life
advance directiveStmt. from a competent person of their choices for med. treatment if unable to make such decisions/communicate
living willAdvance directive-allows individuals to provide instructions about their medical care if they become unable to participate in treatment decisions
health care proxyAdv. directive-allows an indiv. to appoint someone as an agent in making health care decisions if they can't
surrogateThe agent or substitute decision maker appointed by a person to act on his or her behalf by means of a health care proxy
Uniform Donor CardA consent form authorizing the use of the signer's body parts for transplantation or medical research upon his or her death
embalmingThe process of removing blood and other fluids and replacing them with chemicals
memorial societyA nonprofit membership group that provides simple and economical burial or cremation
middle knowledgeState of knowing when a person acknowledges the reality of a threatening situation and maintains hope
defense mechanismsUnconscious mental processes that alter a person's internal psych. states in reaction to a threat w/o affecting the external problem
coping strategiesConscious, purposeful efforts employed with the intention of controlling a threatening or stressful situation or problem
trajectory of dyingDuration and nature of a person's experience in approaching death as influenced by the cause of dying
griefA person's reaction to loss as manifested physically, emotionally, mentally, and behaviorally
bereavementThe objective event of loss
mourningThe process whereby a person actively copes with grief in adjusting to a loss and integrating it into his or her life


Jean Widdison

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