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Sudden Death A Case of Suicide
Initial Definitions of the Dying Trajectory
Lingering Trajectories Institutional Dying
Lingering Trajectories At Home and in Hospitals
The Expected Quick Trajectory
The Unexpected Quick Trajectory
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announcement Anselm Strauss asked aspects autopsy Awareness of Dying body cancer chance chaplain comatose comfort crisis cues dead death scene death watch decision discussion doctor dying patient emergency ward especially example expected family members feel geriatric give grieving Grounded Theory handle happen head nurse heart arrest hospital career hospital staff husband ical initial definitions instance involved kinsmen last days last hours last look lingering trajectory live manage medical ward mother night night nurse occur organization pain patient died patient's trajectory person physician pital possible post-mortem story potential preannouncement preemie problems procedures prolong quick death quick dying trajectory quick-dying wards quickly relative save the patient sentimental order social loss sometimes staff members status passage strategies structural conditions suicide surgery surprise tactics talk temporal terminal terminal care tient tion told trajec types unexpected quick trajectory upset usually waiting ward's wish
Page 7 - ... downward; it may vacillate slowly, moving slightly up and down before diving downward radically; it may move slowly down at first, then hit a long plateau, then plunge abruptly even to death. Neither the duration nor shape of a dying trajectory is a purely objective physiological property. Both are perceived properties; their dimensions depend on when the perceiver initially defines someone as diseased and on his expectations of how the disease course will proceed. (We can add further that the...
Page 14 - Since a revised notion of the patient's condition may necessitate new procedures or additional time spent at his bedside, considerable reordering of work — even changes in the division of labor — may be involved. A disruption of the ward's organization of work is paralleled by a shattering of its characteristic "sentimental order" — the intangible but very real patterning of mood and sentiment that characteristically exists on each ward.
Page 8 - These occur in either full or truncated form: (1) The patient is defined as dying. (2) Staff and family then make preparations for his death, as he may do himself if he knows he is dying. ( 3 ) At some point, there seems to be "nothing more to do
Page 4 - With rare exceptions, medical services include both recovering and dying patients. Even on intensive care units or on cancer services, not all patients are expected to, or do, die. On any given service, the temporal organization of work with dying patients is greatly influenced by the relative numbers of recovering and dying patients and by the types of recovering patients. For instance, on services for premature babies, babies who die usually do so within 48 hours after birth; after that, most are...