1. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. DEATH, DYING, AND GRIEVING 17 ESSENTIALS OF LIFE-SPAN DEVELOPMENT JOHN W. SANTROCK 3e

2. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-2 CHAPTER OUTLINE Defining death and life/death issues Death and sociohistorical, cultural contexts Facing one’s own death Coping with the death of someone else

3. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-3 DEFINING DEATH AND LIFE/DEATH ISSUES Determining death Decisions regarding life, death, and health care

4. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-4 DEFINING DEATH AND LIFE/DEATH ISSUES Determining death Brain death : A person is brain dead when all electrical activity of the brain has ceased for a specified period of time A flat EEG reading for a specified period of time is one criterion of brain death Includes both the higher cortical functions and the lower brain stem functions

5. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-5 DEFINING DEATH AND LIFE/DEATH ISSUES Decisions regarding life, death, and health care Natural death act and advance directive “Choice in Dying” created the living will, a legal document that reflects the patient’s advance care planning

6. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-6 DEFINING DEATH AND LIFE/DEATH ISSUES Euthanasia : The act of painlessly ending the lives of individuals who are suffering from an incurable disease or severe disability Passive euthanasia : Treatment is withheld Active euthanasia : Death deliberately induced Recent cases - Terri Schiavo and Jack Kevorkian

7. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-7 DEFINING DEATH AND LIFE/DEATH ISSUES Needed: Better care for dying individuals Death in America is lonely, prolonged, and painful A “good death” involves physical comfort, support from loved ones, acceptance, and appropriate medical care Hospice : A program committed to making the end of life as free from pain, anxiety, and depression as possible Emphasizes palliative care Reducing pain and suffering, helping individuals die with dignity

8. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-8 DEATH AND SOCIOHISTORICAL, CULTURAL CONTEXTS Changing historical circumstances Death in different cultures

9. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-9 DEATH AND SOCIOHISTORICAL, CULTURAL CONTEXTS Changing historical circumstances The age group in which death most often occurs Life expectancy has increased from 47 years for a person born in 1900 to 78 years for someone born today Location of death 80% of deaths in the U.S. today occur in institutions or hospitals

10. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-10 DEATH AND SOCIOHISTORICAL, CULTURAL CONTEXTS Death in different cultures Cultural variations characterize experience of death and attitudes about death Individuals more conscious of death in times of war, famine, and plague In most societies, death is not viewed as the end of existence Spirit lives on Americans are death avoiders and death deniers

11. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-11 FACING ONE’S OWN DEATH Kübler-Ross’ stages of dying Perceived control and denial

12. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-12 FACING ONE’S OWN DEATH Kübler-Ross’ stages of dying Denial and isolation : Person denies that death is really going to take place Anger : Person recognizes that denial can no longer be maintained Bargaining : Person develops the hope that death can somehow be postponed or delayed Depression : Dying person comes to accept the certainty of death Acceptance : Person develops a sense of peace, an acceptance of one’s fate, and in many cases, a desire to be left alone

13. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-13 FIGURE 17.2 - KÜBLER-ROSS’ STAGES OF DYING

14. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-14 FACING ONE’S OWN DEATH Perceived control and denial Perceived control may be an adaptive strategy for remaining alert and cheerful Denial insulates and allows one to avoid coping with intense feelings of anger and hurt Can be maladaptive depending on extent

15. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-15 COPING WITH THE DEATH OF SOMEONE ELSE Communicating with a dying person Grieving Making sense of the world Losing a life partner Forms of mourning

16. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-16 COMMUNICATING WITH A DYING PERSON Open communication with a dying person is very important because: They can close their lives in accord with their own ideas about proper dying They may be able to complete plans and projects, and make arrangements and decisions They have the opportunity to reminisce and converse with others They have more understanding of what is happening to them

17. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-17 GRIEVING Dimensions of grieving Grief : Emotional numbness, disbelief, separation anxiety, despair, sadness, and loneliness that accompany the loss of someone we love Pining or yearning reflects an intermittent, recurrent wish or need o recover the lost person Most survivors experience normal or uncomplicated grief reactions Include sadness and even disbelief or considerable anguish

18. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-18 GRIEVING By six months after their loss, they accept it as a reality More optimistic about the future, function competently in their everyday lives Prolonged grief disorder : Grief that involves enduring despair and remains unresolved over an extended period of time

19. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-19 GRIEVING Disenfranchised grief - An individual’s grief involving a deceased person that is a socially ambiguous loss that can’t be openly mourned or supported Examples - Ex-spouse, abortion, stigmatized death (such as AIDS)

20. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-20 GRIEVING Coping and type of death Impact of death on surviving individuals is strongly influenced by the circumstances under which the death occurs Sudden deaths are likely to have more intense and prolonged effects on surviving individuals

21. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-21 MAKING SENSE OF THE WORLD Grieving stimulates individuals to try to make sense of their world A reliving of the events leading to the death is common When a death is caused by an accident or a disaster, the effort to make sense of it is often pursued more vigorously

22. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-22 LOSING A LIFE PARTNER The death of an intimate partner brings profound grief Many widows are lonely The poorer and less educated they are, the lonelier they tend to be

23. © 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 17-23 FORMS OF MOURNING Approximately 66% are buried and 34% are cremated Funerals are an important aspect of mourning in many cultures Cultures vary in how they practice mourning