the final stage of a terminal illness; patient understands and accepts the fact that they will die
acceptance
a thickening and hardening of the walls of the arteries, can also decrease the blood supply to the brain and cause a decrease in mental abilities
arteriosclerosis
a dreamlike thought process that occurs when a person is awake
Daydreaming
transferring feelings about one person to someone else
displacement
the measurable physical changes that occur throughout a person’s life
growth
12-18 years
adolescence
patient accepts death but wants more time so tries to make a deal (usually with God) to live longer and see milestones or important events
bargaining
unconscious acts that help a person deal with an unpleasant situation or socially unacceptable behavior
Defense mechanisms
19-40 years
early adulthood
care that provides support and comfort to a dying patient (6 months or less to live)
hospice
a warm and tender feeling for another person; occupies 3rd level in maslow’s hierarchy of needs
affection
use of substances such as alcohol or drugs and the development of a physical and/or mental dependence on these chemicals
chemical abuse
disbelief of an event or idea that is too frightening or shocking for a person to cope with.
Denial
1-6 years
early childhood
birth to 1 year
infancy
A progressive brain disease that destroys memory and thinking skills.
Alzheimer's disease
intellectual development including learning how to solve problems, make judgments, and deal with situations
cognitive
patient realizes death is near and goes into a stage of deep sadness and withdrawal
Depression
feelings including dealing with love, hate, joy, fear, excitement, and other similar feelings
emotional
65 years and older
late adulthood
can no longer deny death; feeling of hostility and “why me?”
anger
the substitution of one goal for another goal to achieve success
Compensation
the changes in intellectual, mental, emotional, social, and functional skills that occur over time
Development
feeling of importance and worthwhileness
esteem
6-12 years
Late childhood