Care
care intended to reduce pain and discomfort and improve quality of life in patients with chronic/terminal illness; standard form of care in nursing homes
What is palliative care?
A physician knowingly and intentionally provides a person with knowledge or means required to end their life including counselling about lethal doses, prescribing them and supplying them
What is medically assisted dying?
Denial, anger, bargaining, depression, acceptance
What are the stages of dying?
What is symbolic immortality?
despite living longer than men, women have more health issues
What is the health survival paradox?
Informed consent, safe conduct, significant survival, anticipatory grief, time and appropriate death
What are goals in end of life care
incompatibility with care provider’s ethics, errors in diagnoses/prognoses, coercion by doctors/family, suicide contagion effect, disproportionate impacts on vulnerable groups, impact on bereaved
What are concerns and criticisms of assisted dying?
Denying death and minimizing bleakness of prognosis and making plans for one’s death
What are the two opposite views of death involved in death denial?
Meaning based and altruistic motivations religiosity
What is intrinsic religiosity?
Optimizing life expectancy and minimizing physical/psych/social morbidity
What can successful aging be defined as?
Racialized individuals have lower use of palliative care, worse symptom control, less like to have end of life wishes documented or respected
Indigenous cultural needs and traditions unaccommodated in hospitals
What are disparities in end of life care?
Decreasing ability to participate in activities, loss of autonomy, loss of dignity
What are reasons for choosing death?
a giving in and realizing of the inevitability of death; often neother happy nor sad—sometimes void of feelings; may involve letting go and detaching from events and things we used to value
What is death acceptance?
Due to accumulating more experience with loss and death and having lived a long life and accepting death as natural
What is the reason for older adults more llikely to think about death but fear death less than younger adults due to?
People are increasingly motivated to find meaning as they shift their priorities in 2nd half of life
What is socio-emotional selectivity theory?
Lower pain, improved quality of life, lower anxiety and depression, reduction in disease symptomology, prolonged survival
What is palliative care associated with?
Accompanied by 2 safeguards for non-foreseeable deaths; 90 day waiting period and consultation with physician with expertise in the condition, mental illness cannot be only underlying condition but only fro 2 years (Eligible after 2 yrs)
What are the requirements for bill c-7?
Denial and acceptance are interdependent and fluctuating coping strategies
What are coping strategies used by hospice patients (complexities of denial)
Meaning and purpose
What can help dying individuals reach death acceptance?
What is telomere length correlated with?
Emotionally draining, unpleasant custodial work, not curative cure, less interesting/stimulating
What are the difficulties of working in end of life care?
Written request in presence of 2 independent witnesses, minimum 10 day reflection period, make decision voluntarily and opportunity to withdraw, at least 18 years old and Canadian citizen
What are the requirements for bill c-14?
Denial of death
What prevents us from being overwhelmed?
A concern for establishing and guiding the next generation
What is generativity?
(Not related to aging but grief instead)
persistent gried response following death of loved one; yearning/longing for deceased and/or preoccupation with deceased for at least 12 months following loss
accompanied by distress and emotional/social challenges
What is prolonged grief disorder?