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Chapter 10: Death and Dying:

Chapter 10: Death and Dying Module 10.2: Confronting Death

Looking Ahead :

Looking Ahead In what ways do people face the prospect of their own death? How do people exercise some control over the place and manner in which they die?

PowerPoint Presentation:

Confronting Death

Are there steps toward death?:

Are there steps toward death? Kübler-Ross Developed a theory of death and dying Built on extensive interviews with people who were dying Input from those who cared for them

Kübler-Ross Theory:

Kübler-Ross Theory

Evaluating Kübler-Ross’ Theory :

Evaluating Kübler-Ross’ Theory PROS One of first people to observe systematically how people approach their own deaths Increased public awareness and affected practices and policies related to dying CONS Largely limited to those who are aware that they are dying Less applicable to people who suffer from diseases in which the prognosis is uncertain Stage-like increments questioned Anxiety levels not included

Other Theorists:

Other Theorists Edwin Shneidman “Themes” in people’s reactions to dying that occur—and recur—in any order throughout the dying process Charles Corr People who are dying face a set of psychological tasks

PowerPoint Presentation:

Should people be free to select the nature of their own death? ? ? ?

Choosing the Nature of Death:

Choosing the Nature of Death DNR Issues Differentiates “extreme” and “extraordinary” measures from those that are simply routine Determines individual’s current quality of life and whether it will be improved or diminished by a particular medical intervention Determines decision-maker role

Doctors and Decisions:

Doctors and Decisions Medical personnel are reluctant to suspend aggressive treatment. Physicians often claim to be unaware of patients’ wishes Physicians and other health care providers may be reluctant to act on DNR requests Trained to save patients Avoid legal liability issues

Living Wills:

Living Wills Health care proxy Durable power of attorney See figure 10-2 for an example of a living will

Euthanasia and Assisted Suicide :

Euthanasia and Assisted Suicide Euthanasia Passive Voluntary active Assisted suicide Kevorkian

What are the arguments?:

What are the arguments? PROS CONS

Caring for the Terminally Ill:

Caring for the Terminally Ill Place of Death

Review and Apply:

Review and Apply REVIEW Elisabeth Kübler-Ross has identified five steps toward dying: denial, anger, bargaining, depression, and acceptance. Issues surrounding dying are highly controversial, including the degree of measures that physicians should apply to keep dying patients alive and who should make the decisions about those measures.

Review and Apply:

Review and Apply REVIEW Assisted suicide and, more generally, euthanasia are highly controversial and are illegal in most of the United States, although many people believe they should be legalized if they are regulated. Although most people in the United States die in hospitals, increasing numbers are choosing home care or hospice care for their final days.

Review and Apply:

Review and Apply APPLY Do you think assisted suicide should be permissible? Other forms of euthanasia? Why or why not?

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