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Adult and Aging Chapter 13 Flashcards

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3568821245healthy life spana term that means that older adults live as long as possible in as healthy a state as possible.0
3568821246dyingthe period during which the organism loses its vitality.1
3568821247dying trajectorythe rate of decline in functioning prior to death.2
3568823997anorexia-cachexia syndromea syndrome observed at the end of life in which the individual loses appetite (anorexia) and muscle mass (cachexia).3
3568823998crude death ratethe number of deaths divided by population alive during a certain time period.4
3568846411age-specific death ratethe crude death rate for a specific age group.5
3568846412age-adjusted death ratea statistic that combines all the age-specific death rates within groups of the population.6
3568848412death ethosthe prevailing philosophy of death7
3568848413tamed deaththe prevailing view until the Middle Ages in which death was viewed as familiar and simple, a transition to eternal life.8
3568848414invisible deaththe current Western attitude where the preference is that the dying retreat from the family and spend their final days confined in a hospital setting.9
3568850180social deaththe process through which the dying become treated as nonpersons by family or health care workers as they are left to spend their final days in the hospital or nursing home.10
3568851344stages of dyingthe process considered to occur universally among terminally ill patients including denial, anger, bargaining, depression, and acceptance.11
3568851345death with dignitythe idea that death should not involve extreme physical dependency or the loss of control of bodily functions.12
3568852256good deaththe opportunity for patients to have autonomy in making decisions about the type, site, and duration of the care that they receive at the end of life.13
3568852257legitimization of biographysteps to leave a legacy that will continue to define oneself after one is gone.14
3568853880awareness of finitudethoughts about mortality that occur when individuals pass the age when other people close to them had themselves died.15
3568855114Patient Self-Determination Act (PSDA)passed in 1990, guarantees the right of all competent adults to have an active role in decisions about their care.16
3568855115advance directive (AD)also called a living will, which is a written order that stipulates the conditions under which a patient will accept or refuse treatment.17
3568857443durable power of attorney for health care (DPAHC)also known as a health care proxy, is appointed to make decisions to act on a person's behalf should that person become incapacitated.18
3568857444do not resuscitate (DNR)directs health care workers not to use resuscitation if the patient experiences cardiac or pulmonary arrest.19
3568858945palliative carea request by dying patients that will provide them with relief from symptoms such as nausea, pain, and dyspnea as well as with some services such as physical and occupational therapy.20
3568858946overtreatmentoccurs when patients request palliative care but instead receive active life support that includes resuscitation.21
3568860176physician-assisted suicide (PAS)a process through which terminally ill individuals make the conscious decision, while they are still able to do so, that they want their lives to end before dying becomes a protracted process.22
3568860177euthanasiaa process where physicans take actions that cause the patient to die, with the intention of preventing the suffering associated with a prolonged ending of life.23
3568861237hospicea site or program that provides medical and suppportive services for dying patients.24
3568864011attachment view of bereavementthe view that the bereaved can continue to benefit from maintaining emotional bonds to the deceased.25
3568864012dual-process model of coping with bereavementproposes that the practical adaptations to loss are as important to the bereaved person's adjustment as the emotional.26

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