Name of deceased :
To be given in full, do not use initials. If deceased is an infant,
not yet named at time of death, write, 'Son of (S/o.) or Daughter or
(D/o.)', followed by names of mother and father.
Age : If the deceased was over 1 year of age, give age in completed
years. If the deceased is below 1 year of age, give age in months and
if below 1 month give age in completed number of days and if below one
day, in hours.
Cause of Death : This part of the form should always be completed
by the attending physician personally.
The certificate of cause of death is divided into two parts I and II.
Part I is again divided into three parts, Lines (a) (b) (c). If a single
morbid condition completely explains the deaths, then this will be written
on line (a ) of Part I, and nothing more need be written in the rest
of Part I or in Part II, for example, smallpox, lobar pneumonia, cardiac
beriberi are sufficient cause of death and usually noting more is needed.
Often, however, a number of morbid conditions will have been present
at death and the doctor must then complete the certificate in the proper
manner so that the correct underlying cause will be tabulated. First
enter in Part I (a) the immediate cause of death. This does not mean
the mode of dying e.g., heart failure, respiratory failure, etc. These
terms should not appear on the certificate at all since they are modes
of dying and not causes of death. Next consider whether the immediate
cause is a complication or delayed result of some other cause. If so,
enter the antecedent cause in Part I, line (b). Sometimes there will
be three stages in the course of events leading to death. If so, line
(c)will be completed. The underlying cause to be tabulated is always
written last in Part I .
Morbid conditions or injuries may be present which were not directly
related to the train of events causing death but which contributed in
some way to the fatal outcome. Sometimes the doctor finds it difficult
to decide, especially for infant deaths, which of several independent
conditions was the primary cause of death; but only one cause can be
tabulate, so the doctor must decide. If the other diseases are not effects
of the underlying cause, they are entered in Part II.
Do not write two or more conditions on a single line. Please write the
names of the diseases (in full) in the
certificates as legibly as possible to avoid the risk of their being
misread.
Onset : Complete the column for interval between onset and death whenever
possible, even if very approximately, e.g. "from birth""several years".
Accidental or violent deaths : Both the external cause and the nature
of the injury are needed and should be stated. The doctor or hospital
should always be able to describe the injury, stating the part of the
body injured and should give the external cause on full when this is
shown. Example :(a)Hypostatic pneumonia:(b)Fracture of neck of femur,
(c) Fall for ladder at home.
Maternal deaths : Be sure to answer the questions on pregnancy and delivery.
This information is needed for all women of child-bearing age, even
though the pregnancy may have had nothing to do with the death.
Old age or senility :Old age (or senility) should be not given as a
cause of death if a more specific cause is known. If old age was contributory
factor, it should be entered in Part II. Example : (a)Chronic bronchitis,
II old age.
Completeness of Information : A complete case history is not wanted,
but if the information is available, enough details should be given
to enable the underlying cause to be properly classified.
Example: Anaemia - Give type of anaemia, if know. Neoplasms - Indicate
whether benign or malignant and site, with site of primary neoplasm,
whenever possible, Heart disease - describe the condition specifically,
if congestive antecedent injury, if known. Operation - State the condition
for which the operation was performed . Dysentery - Specify whether
bacillary, amoebic, etc., if known. Complications of pregnancy or delivery
- Describe the complication specifically. Tuberculosis - Given organs
affected.
Symptomatic statement : Convulsions, diarrhoea, fever, ascites, jaundice,
debility etc. are symptoms which may be due to any one of a number of
different conditions. Sometimes nothing more is known, but whenever
possible, give the disease which caused the symptoms. |