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Chapter 14

Chapter 14. Death and Dying. Concept of Death. Death as a part of life Grief Responses Mourning Bereavement. Theories of Loss and Grief. K ü bler-Ross’s Stages Denial Anger Bargaining Depression Acceptance. J. Bowlby’s Stages of Separation and Mourning. Separation Protest

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Chapter 14

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  1. Chapter 14 Death and Dying

  2. Concept of Death • Death as a part of life • Grief • Responses • Mourning • Bereavement

  3. Theories of Loss and Grief • Kübler-Ross’s Stages • Denial • Anger • Bargaining • Depression • Acceptance

  4. J. Bowlby’s Stages of Separation and Mourning • Separation • Protest • Despair • Detachment • Mourning • Numbing stage • Painful stage • Disorganization and despair

  5. Types of Losses • Loss of a spouse • Loss of a parent • Loss of a child • Death of an unborn • Loss of a sibling • Facing one’s own death

  6. Developing a Concept of Death • Early childhood • Late childhood • Adolescence • Early adulthood • Middle age • Old age

  7. Cultural and Religious Differences • Catholicism • Protestantism • Jehovah’s Witness • Christian Science • Seventh Day Adventist • Eastern Orthodoxy • Hinduism • Buddhism • Islam • Judaism

  8. Signs of Approaching Death • Withdrawal—turning inward • Decrease in senses • Change in activity level • Change in breathing patterns • Change in vital signs • Loss of bowel and bladder control • Decrease in level of consciousness

  9. End-of-Life Issues • Advance Directives • Living Will • Durable power of attorney • Do Not Resuscitate (DNR)

  10. Ethical Decisions • Euthanasia • Right to die • Palliative care • Hospice care

  11. Chapter Challenge • Define grieving • Explain a child’s understanding of death • List signs of impending death • Explain hospice care

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