2. Find your new seat on the seating chart Get a red book Get out your notes on Life Stages & Needs from last class Thursday, January 22, 2015

3. Finish & discuss You will have 10 minutes to finish your notes (if necessary) and discuss the stages of life and needs with your group

4. Group presentations Your group will be assigned one stage of life On your large sheet of paper, provide the following info: Name of life stage Age range Major developments Decide who in your group will speak

5. LEQ What are the stages of death and dying?

6. Get out a sheet of paper, copy the following: Physical Signs & Symptoms that the body is preparing for the final stages of life: Coolness – hands, arms, legs & feet may be cool to the touch Sleeping – increase in amount of time sleeping; may be difficult to wake Disorientation – confusion Incontinence – loss of bowel / urine control

7. Congestion – gurgling sounds from chest Restlessness Swelling in feet and legs Urine output decrease Decrease in appetite and thirst Regular breathing pattern change - A particular pattern consists of breathing irregularly, i.e., shallow breaths with periods of no breathing of five to thirty seconds and up to a full minute. This is called Cheyne-Stokes breathing.

8. Emotional, Spiritual, Mental Signs of Death Withdrawal Vision-like Experiences Restlessness Decreased Socialization Unusual Communication Saying Good-bye

9. When has death occurred? signs of death include such things as no breathing no heartbeat release of bowel and bladder no response eyelids slightly open, pupils enlarged, eyes fixed on a certain spot, no blinking jaw relaxed and mouth slightly open S/S of death from https://www.hospicenet.org/html/preparing_for.html

10. LEQ What are the stages of grief?

11. Read pages 199-201 On a new sheet of paper, answer the following in complete sentences: 1. What is the definition of a terminal illness? What are at least 2 examples? 2. What are Kubler-Ross’s 5 stages of grieving? Give a brief description of each. Discuss your answers with your face- partner.

12. Article: “Mom who lost 3 kids 35 years ago draws strength from God” As you read the article, mark it with a post- it / tab when you read about different stages of grief. Label the stage of grief Mrs. Walkup was going through. DO NOT WRITE ON THE ARTICLE!!!

13. Hospice reading questions 1. What type of care is offered by hospice? Where may it be offered? When may it be offered? 2. What is palliative care?