LINKS

HOME

WELCOME PAGE

The Questions

THE IMPORTANCE OF QUESTIONING AND LISTENING

STARTING OUT

MAKING PEACE

YOUR SUPPORTS

THE TIME OF DYING

POST MORTEM

pdf download

Other attentional activities

READING

CONTEMPLATION

FELLOWSHIP

Extras

DEATH DICTIONARY

THANK YOU

CONTACT

ABOUT US

 

mvallette@hotmail.com

 

 

Last Rights Vermont

 

DEATH DICTIONARY: This is a work in progress. This information is provided as a starting point, a guide and a courtesy, and not intended as legal advice. Follow the links, consult your physician, attorney, death doula, and other references for depth of understanding and legal and financial preparation for your planning. Please be aware that laws in Vermont may differ from the laws in your state. If you find glaring innaccuracies, please contact me. Thanks

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

 

Act 39 – See “Vermont Act 39”. 

Advance Directive:  An advance directive is a written document that outlines your wishes for medical treatment in the future, including if you are no longer able to make those decisions. It serves as a guideline for heathcare professionals to honor your wishes. It is not technically a legal document nor is it a doctor’s order. An Advance Directive differs from a COLST form in that it is not a doctor’s order.  It is not a DPOA, that is a legal document that you will need a lawyer to draw up. Please be sure to fill an advance directive out and register it at your doctor’s office and/or local  hospital.   

Affordable Care Act: also known as “Obamacare” and “ACA.” Federally mandated and state implemented, the Affordable Care Act provides healthcare subsidies based on financial need, and also in some states, expands the Medicaid program based on income. https://www.healthcare.gov/glossary/affordable-care-act/ 

After death vigil: Also known as “Post Mortem Vigil” or “Wake” –  Many cultures and faiths believe that the soul needs time to depart from the body at death. A day-and-night vigil may last for more than a day, and include readings, poetry, music and prayer.Alkaline Hydrolysis is also called biocremation, resomation.  

Alkaline Hydrosis is a form of body disposal using chemicals. It is an alternative to burial or cremation, and it produces less pollutants than cremation or burial. https://en.wikipedia.org/wiki/Alkaline_hydrolysis_(body_disposal)

Allow Natural Death (AND): is a medical term defining the use of life-extending measures.  These orders emphasize patient comfort and pain management instead of life extension. https://en.wikipedia.org/wiki/Allow_natural_death

Anatomical Gift – also known as organ donation, or donating body to science.  In Vermont, contact UVM Medical Center or your physician for more information to donate your organs or your entire body. See also: http://donatelifenewengland.org

 

 

Blended Funeral:

Burial or committal:

Burial Transport Permit (If you’re moving the body to a crematorium yourself): 

Calling hours: See “Viewing”Casket – 

Casket: A casket has four sides.

Charnel ground meditation: A visualization contemplation or mediation where the death of yourself or others is examined. This is done in order to break attachments to the body and to alleviate fear of death. This is part of the death meditation practices, also known as contemplations on death or contemplations on impermanence.

Coffin – A coffin has six sides

COLST form:  Also referred to as a “DNR”  – This is a doctor’s order for guidelines on measures to be taken to resuscitate including chest compressions etc. See Vermont COLST Form. http://www.vtethicsnetwork.org/colst.html#p7APMt2_4

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Comfort Measures/Comfort Care Cremation Death (or Clinical Death) 

Death Café: http://deathcafe.com a discussion group, open to all, free admission, that gathers to talk about death. It is an international organization with conversational guidelines for discussion. Death Care Practitioner – a non-licensed individual who assists people with death planning and time of death. 

Death Certificate:  State law will require that a death certificate be filed with the state’s office of vital statistics. Although a physician assistant, or advanced practice registered nurse is responsible for filing the death certificate, the job may be, and often is, delegated to the funeral director.  https://en.wikipedia.org/wiki/Death_certificateElectronic Death Registration System (EDRS), it is registered and the death certificate is available to the town clerk’s office for filing. 

Death Declaration (and paperwork surrounding death)

Death Doula or Death Midwife: https://en.wikipedia.org/wiki/Death_midwife – This is a specially trained person with expertise in the nitty gritty details and practicalities surrounding death and dying.  Death Doulas may help by creating death plans, logistics, helping with services and providing guidance to family  members as well.  They may be licensed in some states. If they don’t know the answer to your question, they will know where to find the answer. 

Death Notice A death notice is a paid notice (like a classified advertisement) In most cases, a funeral home will handle this. It can run the newspapers you choose. If you choose to do it yourself, please contact your local newspapers for information on their guidelines. Death notices announce that the person has died, and offer information on funeral services, where donations can be made in the name of the person who died, and minor biographical information.  

Death with Dignity Act – see Vermont Act 39.

DNR ORDER or COLST FORM (Called POLST form in some other states): This is physician’s order that clarifies medical interventions of intubation, chest compressions and other steps taken to resuscitate a person in cardiac arrest. See Vermont COLST form. 

DNR Bracelet, or DNR Jewelry: If you get a medical order for DNR (a COLST form) you may order a bracelet or other form if you choose.  https://www.stickyj.com/category/dnr-jewelry-bracelets 

Doctor: Synonymous with Physician. A doctor of medicine has a medical degree and may be licensed to practice medicine. A doctor makes medical diagnoses, and may write prescriptions. A doctor may make a referral to a Hospice organization for end of life care.

 DPOA –  Durable power of attorney.   Also see medical power of attorney and financial power of attorney, Healthcare agent, guardianship. These designations contain a wide range of  responsibilities. Legal issues are beyond the scope of this website, but I encourage you to familiarize yourself with these terms. See an elder care attorney to  complete these forms.  

Eco-Friendly death practices   These are practices designed to be environmentally friendly. They include some interesting new practices, such as the Infinity Burial Suit, also known as the Mushroom Death Suit.

Embalming: Embalming is the art and science of preserving human remains by treating them to delay decomposition. The intention is to keep them suitable for public display at a funeral, for religious reasons, or for medical and scientific purposes such as their use as anatomical specimens. Vermont law does not require embalming.

Estate PlanningEthics – a branch of philosophy that involves systematizing, defending, and recommending concepts of right and wrong conduct. See also medical ethics.

Executor – The word executor refers to a person named by the creator of a will to carry out the instructions in the will.  

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Fetal Demise

Funeral Homes

Gatekeeper (phones, door):

Good Samaritan Act (link): SeeVermont Good Samaritan

Green Burials – also called Natural Burials and  Eco-friendly death practices.

Grief – Grief is a natural response to loss. See also the work of Elisabeth Kubler Ross. 

Healthcare Proxy

Home Burial – aka backyard burial. You will need to consult with your town’s attorney or local zoning authorities, as there may be local ordinances. 

Hospice –  As a descriptive term for end-of–life care, a home providing care for the sick, especially the terminally ill. This term is used this way mostly outside the United States.Hospice care is a type of care and philosophy of care that focuses on the palliation of a chronically ill, terminally ill or seriously ill patient’s pain and symptoms, and attending to their emotional and spiritual needs.  Sometimes the term “Hospice” refers to a building or a facility where end of life care is given. 

Hospice (proper noun, the name of standardized nonprofit organizations providing end-of-life care) –  Within the United States the term is largely defined by the practices of the Medicare system and other health insurance providers, which make Hospice care available (care specializing in palliative care and end of life care), either in an inpatient facility or at the patient’s home. https://www.nhpco.org/about/hospice-care  In the US, a client needs a doctor referral to be put on hospice.  

nsurance coverage of Death with Dignity care and drugs. See Vermont Act 39.Interment – Synonym of burial.

Jar-burials (I put this in just for fun) are stone-age human burials where the corpse is placed into a large earthenware and then is interred.  This was done in some stone age cultures and in modern stone-age cultures like Borneo. 

Living Will: A Living Will is a written statement detailing a person’s desires regarding their medical treatment in circumstances in which they are no longer able to express informed consent.  Synonymous with Advance Directive; Advance Health Care Directive; Advance Medical Directive. 

Living Will Agent: While you’ll be responsible for setting out your wishes in your living will form, selecting an agent to enact these wishes when you’re incapable is an incredibly important choice. In nearly every state, this person will have to be a legal adult, aged 18 or over, and this person will have to act in accordance with your wishes. That’s a key point: they will not be making your decisions for you (like they might in a power of attorney), but they will need to make certain that your wishes are carried out as you set them down.

LNA: Licensed Nurse Aid 

Long Term Care Insurance

 LPN: Licensed Practical Nurse.  In Vermont, the scope of practice of an LPN is nearly identical to that of an RN, with an exception being that an LPN may not declare a death. 

Medicaid: Medicaid is a mix of federal and state funded assistance, usually based on financial need.

Medicare: Medicare is healthcare insurance for ages 65 and up, federally funded, usually for aging and disabled.

Memorandum of Personal Property 

Morals – a person’s standardsof behavior or beliefs concerning what is and is not acceptable for them to do.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Natural Burial (or Natural Green Burial) Natural burial is the interment of the body of a dead person in the soil in a manner that does not inhibit decomposition but allows the body to recycle naturally. It is an alternative to other contemporary Western burial methods.

Natural Death

NDE – Near Death Experience.

Nurse

Obituary– An obituary (obit for short) is a news article that reports the recent death of a person, typically along with an account of the person’s life and information about the upcoming funeral. In most cases, a funeral home will handle writing and delivering obituaries.  You may choose to write your own. Organ donation:  http://donatelifenewengland.org

Palliative care:  Palliative care focuses on providing relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family.  You do not need to be in hospice care to receive palliative care, but palliative care is often given to those in hospice.  Palliative care may include surgery, drugs, radiation, with the aim at reducing symptoms. 

Post Mortem Care – Preparing the patient for viewing by the family (bathing, grooming, dressing, arranging); Ensuring proper identification of the patient prior to transport to the morgue or funeral home, and providing appropriate disposition of the patient’s belongings (if not at home). 

Postmortem photography (also known as memorial portraiture or a mourning portrait) is the practice of photographing the recently deceased. These photographs of deceased loved ones were a normal part of American and European culture in the nineteenth and early twentieth centuries. It is done occasionally nowadays for infants. 

Power of Attorney – POA is a written authorization to represent or act on another’s behalf in private affairs, business, or some other legal matter. 

PROD – Preliminary Report of Death Review: See “Viewing” Rigor Mortis: The body stiffens after death. https://en.wikipedia.org/wiki/Rigor_mortis 

 Registered Nurse. (RN)- Laws vary by state regarding scope of practice for licensed medical professionals, and in Vermont an RN may pronounce death. (LPNs, and LNAs and Personal Assistants may not unless doctor’s orders state differently.). 

Scattering of ashes – locally regulated. Funeral directors and death doulas may also help with permits and ceremonies.

SIDS – Sudden Infant Death Syndrome.

Sky Burial, or Celestia Burials:  Sky burial is a funeral practice in which a human corpse is placed outdoors to decompose while exposed to the elements or to be eaten by scavenging animals, especially carrion birds.  It is practiced in areas of China and Mongolia, Tibet, Bhutan, Nepal.  The locations of   sky burial are understood in the Vajrayana Buddhist traditions as charnal grounds.  Sky burials are not done in the United States. State and town laws vary, regarding burial practices. Check with your town clerk regarding any non-conventional burial practices you may wish.

Stages of Grief – dabda. Denial, anger, bargaining, depression, acceptance, as designated by Elisabeth Kubler-Ross.  See link: https://en.wikipedia.org/wiki/Kübler-Ross_model 

Traditional Funeral 

Vermont Act 39  (Death with Dignity) – (Vermont Act 39 aka Death with Dignity; aka Right to Die; aka End of Life Bill, aka physician-aided suicide.  Basic info – Legalized in Vermont May 20, 2013.  A person who is 18 or over, of sound mind, and terminally ill, may request that a doctor prescribe a lethal dose of medication. Doctors, family and friends are immune from prosecution if present. The law requires a 15-day wait period from the time the patient first requests both orally and with a witnessed written request. Doctors must wait 48 hours before issuing the medication.  http://www.healthvermont.gov/sites/default/files/documents/pdf/Act39_faq.pdf  and the actual Act: http://www.leg.state.vt.us/docs/2014/Acts/ACT039.pdf Vermont:

Advance Directive downloads. Long forms and short forms. Create and register your Vermont Advance Directive to let your health care providers and others know your wishes regarding medical care.  http://www.healthvermont.gov/health-professionals-systems/advance-directives/create-and-register-advance-directive 

Vermont: DNR/COLST  (DO NOT RESUSCITATE ORDER/CLINICIAN ORDERS FOR LIFE SUSTAINING TREATMENT).  This is a doctor-signed order so that health care workers have clarity on life sustaining treatments.  Medical professionals should be informed if their clients have a DNR /COLST order.  http://www.vtethicsnetwork.org/forms/dnr_colst_instructions%20and%20Form%2009.pdf Vermont:

Good Samaritan Act: This Act details the liability for healthcare professionals in an emergency situation. http://legislature.vermont.gov/statutes/section/12/023/00519Vermont: Medicaid  http://www.vtmedicaid.com/#/home 

Viewing: A viewing is sometimes referred to as calling hours, review, funeral visitation or a wake in the United States and Canada. Family and friends may see the deceased after they have been prepared by a funeral home.  A viewing may take place at the funeral parlor, in a family home or at a church or chapel prior to the actual funeral service.  

 Vigil: A vigil, from the Latin vigilia meaning wakefulness, is a period of purposeful sleeplessness.  It is a time for devotional watching, or an observance.   A death vigil may include the time prior to death, and time after death, known as a “Post Mortem Vigil.”

Wake: See “Viewing”  Water Burial  (“Burial at sea”) Burial at sea is the disposal of human remains in the ocean, normally from a ship or boat. It is regularly performed by navies, and is done by private citizens in many countries.  

Will: A will is a legal document, drawn up by a lawyer, that indicates how a person wants his or her estate (money and property) to be distributed after death.  Wills must be signed, dated and include the signatures of at least two witnesses.  https://www.merriam-webster.com/dictionary/will.   

 

 Marcie Vallettemvallette@hotmail.com