presentationprolonging life issue original

8/19/2019 Presentationprolonging Life Issue Original

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RDINARY AND EXTRA RDINARY MEANS

F TREATMENT:

• 1

.

RDINARY Treatment

- kind oftreatment that i tandard!

• " . EXT RA RDINARY Treatment

• A kind of treatment that i#hara#teri$ed %& the fo''o(in):

• 1. It i not readi'& a*ai'a%'e

• ". It i rik&+ %ein)e,erimenta'/nteted

• 0. it e,e#ted o/t#ome i )ra*e'&

in#on*enient or %/rdenome!


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FTI2ITY F TREATMENT

• Doe not im'& mean the fai'/re orina%i'it& of treatment to attain an& of

the )enera' )oa' of medi#ine /#h a:

• 1. to #/re

• ". to a''iate &mtom

• 0. to re*ent dieae or i''ne and it

#om'i#ation

• 3 to imro*e hea'th #ondition to af/n#tiona' #ondition


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To 4ro 'on) 2ife

• Thro/)h the rie of

medi#a' te#hno'o)&+

man& of / a*ai' of (hat

it offer %e#a/e (e

(ih to ro'on) 'ife and

to imro*e the 5/a'it& of

'ife!

http://www.animationfactory.com/en/search/close-up.mc?&oid=4953449&s=1&sc=1&st=163&q=nurse%20and%20patient&spage=1&hoid=3e6b34504f20a7f4a8ad40a72e71f035


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Not to 4ro'on) 2ife

• Thi take 'a#e (hen a'' other 'ife

/ort i not imro*in) the #ondition

of the atient+ if the atient or thefami'& de#ide not to ro'on) the a)on&.

EXAM42ES:

http://www.animationfactory.com/en/search/close-up.mc?&oid=5298112&s=1&sc=1&st=5275&category_id=EB&spage=1&hoid=334a56bdc91ed9994923c2623d41b97c


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1.D N T RESS6ITATE

RDERS 7DNR8

• Deri*in) the atient of6ardio/'monar& Re/#itation

764R8

I 9/d)ed to %e #'ini#a''& f/ti'e andnon-o%'i)ator& to %e ro*ided

ho/'d not %e the de#iion of the

hea'th #are ro*ider a'one %/t

ho/'d %e the re/'t of #on/'tationeither (ith the atient or (ith the

atient /rro)ate.


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". ;IT


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AD>AN6E 6ARE 42ANNIN=

• It i a 'annin) ro#e armed

at he'in) the #ometent

#on#io/ and ane8 atient

make medi#a' #are de#iion in

anti#iation of the thri*e (hen

the a%i'it& to de#ide i ' ot or

imaired!

http://www.animationfactory.com/en/search/close-up.mc?&oid=5298105&s=1&sc=1&st=5275&category_id=EB&spage=1&hoid=4d108cb4b75d9bfbf505d7c1cd7d6526http://www.animationfactory.com/en/search/close-up.mc?&oid=5298105&s=1&sc=1&st=5275&category_id=EB&spage=1&hoid=4d108cb4b75d9bfbf505d7c1cd7d6526


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; hat i De#iion

Makin) 6aa#it&?

• It i a medi#a' determination

re'atin) on'& the i/e at hand+

a eo'e ma& ha*e the a%i'it&to make de#iion a%o/t ome

area and not other.


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The E'em ent of

De#iion M akin)

6aa#it&:

• The atient m/t@

• ha*e the a%i'it& to /ndertand

a'' information

• ha*e the a%i'it& to #omm/ni#ate

/ndertandin) and #hoi#e

• ha*e erona' *a'/e and )oa'that )/ide the de#iion

• ha*e the a%i'it& to reaon and

de'i%erate


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= A2S F AD>AN6E


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• It ree#t the atient ri)ht

to a/tonom& a it ho'd the

atient reoni%'e formedi#a' de#iion intead of

fami'& mem%er.

• It he' minimi$e otentia'

mi/ndertandin) and

#onf'i#t %et(een hea'th #are

ro*ider and fami'& mem%er

in an end-of-'ife it/ation!.


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F 6S F AD>AN6E


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Ad*an#e D ire#ti*e

• Thi i the (ritten art of Ad*an#e

6are 4'annin)+ it i in the dire#ti*ethat the #ometent atient make

kno(n hi referen#e that (i'' %e

#onidered (hen for an& reaonhe i no 'on)er %e a%'e to eak

for hime'f.

• It a''e*iate tre on fami'&

and #'ini#ian (hen dea'in) (ith

end-of-'ife #on#ern.


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• I+CCCCCC+ am of o/nd mind+ an I *o'/ntari'& make the de#'aration.

• I dire#t that 'ife-/tainin) ro#ed/re ho/'d %e (ithhe'd or

(ithdra(n if I ha*e an dieae i''ne or in9/r&+ or e,erien#ed

e,treme menta' deterioration+ /#h that thee no reaona%'e

e,e#tation of retorin) or re)ainin) a meanin)f/' 'ife.

•

Thee 'ife-/tainin) ro#ed/re that ma& %e (ithhe'd or

(ithdra(n in#'/de %/t are not 'imited to:

•

6ardia# re/#itation. >inta'ator& /ort+ Anti%ioti#+ Artifi#ia'

feedin) and


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TY4ES F D 6M ENTS IN

AD>AN6E D IRE6TI>ES • A.2I>IN= ;I22S 7Intr/#ti*e8

• Thee are 'e)a' do#/ment )i*in)dire#tion to hea'th #are ro*iderre'ated to (ithho'din) or

(ithdra(in) 'ife /ort if #ertain#ondition e,it

• Thi )/ide de#iion %& indi#atin) aeron deire re)ardin) 'ife-

/tainin) inter*ention• A ro%'em en#o/ntered in 2i*in)

;i'' i that it ma& not indi#ate the#/rrent deire of the eron.


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•

. D1RA2E 4 ;ER F ATT RNEY 74ro,&

dire#ti*e8

• I a do#/ment that a''o( a

#ometent eron to dei)nate anothera a /rro)ate or ro,& to a#t on her orhi %eha'f in makin) hea'th #arede#iion in the e*ent of the 'o of

de#iion makin) #aa#it&.• The dei)natin) eron ma& re*oke the

D/ra%'e 4o(er of Attorne& an&time %&#han)in) the eron named or %&detro&in) the do#/ment.

• Thi doe not %e#ome effe#ti*e /nti' itha %een determined that thedei)natin) eron ha 'ot de#iionmakin) #aa#it&.


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SRR =ATE - i the eron

dei)nated to make the de#iion in

%eha'f of the atient.• /a'ifi#ation of a /rro)ate :

• ha intimate kno('ed)e of atient (ihe or *a'/e &tem

• doe not )o o/tide ethi#a' rin#i'e

• ho/'d not %e #ometent theme'*e %/t (e'' informed

• #ommitted (ith the interet of the in#ometent atient

• free of #onf'i#t of interet

• ho/'d i)n informed #onent


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Reaon (h& the atient fami'& dia)ree

(ith the ad*an#e #are dire#ti*e:

• 1. Differen#e in ho( %et to attain

the atient interet.

• ". Dia)reement (ith the hea'th#are ro*ider interretation of the

2i*in) ;i''.

• 0. 6'aim of atient #han)e of

*ie( or attit/de to(ard medi#a'#are de#iion!


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Ad*an#e 6 are D ire#ti*e:

• 1. Do &o/ ha*e %ai# information

a%o/t ad*an#e #are dire#ti*e+in#'/din) (i'' and d/ra%'e

o(er of attorne&?

• ". Do &o/ (ih to indi#ate anad*an#e dire#ti*e #are+ if &o/

ha*e a'read& reared one #an

&o/ ro*ide it no(?• 0.


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; ho are not 5/a'if ied to make an

Ad*an#e 6are Dire#ti*e 4'an?

• 1. Sho( rik for ear'& dementia

• ". Sho( hi)h rik for troke /#h athoe (ho ho( #hroni#

h&ertenion or a%norma''& hi)h

%'ood re/re.

• 0. Thoe en)a)ed in a#ti*itie that

are hi)h'& ao#iated (ith erio/

head in9/rie+ 'ike for intan#e+ #ar

ra#er+ motor #'it+ et#.• 3. Thoe (ho e,erien#e e*ere

and re#ei*in) hiatri# i''nee.

• B. The termina''& i''.


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NRSIN= R 2ES AND

RES4 NSII2ITIES

• ;e need to /ndertand (hat are theeron *a'/e in 'ife+ (hat he

er#ei*e a 5/a'it& 'ife+ erona'

%e'ief on d&in) #on#ern in d&in).

• no( o/r tate tat/te that )/ide

and )o*ern ad*an#e dire#ti*e

• e a(are of the o'i#ie and

ro#ed/re re)ardin) ad*an#edire#ti*e (here (e (ork

• Ti'den 7"FFF8 /r)e / to #om'ete

o/r o(n ad*an#e dire#ti*e!


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For the /roe of :

• 1. Ref'e#tin) on o/r o(n *a'/e+%e'ief+ and #on#ern

ao#iated (ith end-of-'ife

i/e

• ". To 'earn more of the e#ifi#

form and ro#ee in*o'*ed

• 0. To ha*e more emath& (ith

atient )oin) thro/)h thiro#e


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• Di#/ the ad*an#e dire#ti*e

to atient fami'& if 'imited

e,'anation #o/'d %e done toatient theme'*e.

• e fami'iar (ith o/r atient

dire#ti*e for #are and toen/re that #are i #onitent

(ith the atient (ihe.

• Inform other hea'th teammem%er if the


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