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10.0 Psychological Issue in Advance & Terminal Illness - Coggle Diagram
10.0 Psychological Issue in Advance & Terminal Illness
Death Across Life Span
Adolescent & Young Adulthood
Middle Age
Infant & Childhood
Old Age
Psychological Issue in Advancing Illness
Continued Treatment
Right to Die
Policy on "Do Not Resuscitate (DNR)" due to cardiac arrest were applied for patient in regards of their preference
Dying should be personal matter&control
Involve legislative&social trends
Mora;&Legal Issue
Euthanasia- Terminate ill patient commonly need euthanasia when they experiencing extreme distress& suffering.
To terminate illness, however, it could cause a unpleasant side effect
Result to refusal of treatment and hopelessness
Psychological & Social Issue
Communication Issue
Depending on patient's prognosis, if its worsen, it may disrupt communication skills.
Question that may assist suicide
Issue with Social Interaction
Ill patient may terminate or restrict their social acquintance even they seek for social support.
Issue of Non-traditional Treatment
Highly turn over to traditional medicine due to untrustworthy treatment.
Change in Patient Self Concept
Lose the cognitive function&unable to present themselves
Stages of Dying
Kubler Ross's Theory
5Stages
BARGAINING
DEPRESSION
ANGER
1.DENIAL
ACCEPTANCE
Final Evaluation
Broke the silence&taboos surrounding death.
May unnecessarily follow the order.
Psychological Issue in Terminating Illness
Counselling
Help resolve unfinished issue
Management in Children
Require counselling, frequent physician follow up & supportive mental health.
Medical Staff & Terminally Ill Patient
In such short time of visit, staff unable to give full attention. Hospital setting should also be considered.
Problem for Survival
After patient dies , there are activities related to the death and settling the estate .
A week before patient death are often a period of frienzed activity.
Become upset & sad
Alternative Care to Terminate Ill
Hospital Care
To provide palliate care even patient may felt psychological discomfort & stressed.
Home Care
Its often last resort for terminally ill person, Not condusive & practicable as hospital.