Can a person who has Power of Attorney make health care decisions during advance care planning for end-of-life issues? Discuss. Background Making treatment decisions on behalf of critically ill patients with a high probability of death or prolonged morbidity is a common challenge in intensive or long term care. Patients are encouraged to convey their wishes for future medical treatment. This may be achieved through advance planning, either through a written document such as an advance care plan, or by appointing a person to make decisions on their behalf such as a medical enduring power of attorney.
Life and Death Issues in Healthcare A Review of the Case Study HS101 Abstract There are many issues raised by life and death choices in healthcare. Advance directives are a set of directions you give about the healthcare you want if you ever lose the ability to make decisions for yourself. If you have a disease you can choose curative care which is directed at healing or curing the disease or palliative care which involves care that helps relieve the symptoms, but does not cure or treat then disease. When it becomes apparent that a patient is approaching the end of life, or that the patient no longer wants to prolong their life, a decision can be be made to withhold or withdraw treatment. Advance directive laws merely give doctors and others immunity if they follow it, the only reliable strategy is to discuss your values and wishes with your healthcare providers ahead of time to make sure they are clear about what you want.
I feel the appropriate standard of care for the case study would be for the doctor to perform the procedure. Since the patient is incoherent and can’t decide for herself. The wounds from falling must have been bad enough were it could have been too dangerous to wait for the kin to agree to care or the patient. In these situations I think it’s up to the medical staff mainly physician to decide what is appropriate care at the time. The patient had a severe head wound which needed attention right away.
Informed consent could be implied, explicit, verbal or written. This is to protect health care professionals as a failure to obtain a patients consent to healthcare may result in criminal charges of assault or civil action for battery, in addition to this failure to disclose material risks to patients may give rise for ones action for negligence. “Patient centred care is widely recognised as a core dimension of a quality modern health services” (QLD health informed consent guide 2014). Informed decision making about benefits, risks and alternatives of treatment, taking into account each patients personal circumstances, beliefs and priorities is vital for a truly patient centred care. A well informed patient can have an active involvement in their decision making in regards to health care and treatment, allowing them to have realistic expectations about the likely or potential outcomes of the treatment and an additional protection against errors or adverse events.
When it comes to understanding health doctors and other medical professional’s use what is know as the biomedical model of health. The biomedical model treats illness as strictly something that is wrong with the workings of the body caused by things such as germs, disease and accidents and doesn’t take in to account a persons social or mental factors. The biomedical model also gives doctors a set of basic guidelines in which to work to. These guidelines include some practices that the general public would just take as obvious, for example; putting the care of the patient as top priority, to do no harm to the patient and to provide a cure for the patients ailment. These are all things we expect to get when we visit the doctor as this is why we go there.
Life threatening infections, skin infections, and allergic reactions are issues people should be concerned about. If one has a medical condition; that person should talk with a physician prior to getting a tattoo. A pre-existing medical condition might not keep one from having the procedure done. Make sure to choose a clean tattoo parlor. If one takes the time to research and follow a few simple tips, one can greatly reduce the medical dangers related to receiving a tattoo.
Notions of apprehension and fear of a paperless system is brought to the fore front by those who are deemed to commission the latest and greatest EMR technology. Medical Record Security State laws are specific on the access to patient’s records to only those authorized to do so. A major goal of the Privacy Rule is to assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being. The Rule strikes a balance that permits important uses of information, while protecting the privacy of people who seek care and healing. What information should be protected, How to deter security as well as how to keep this organization patient’s records safe.
‘ An advance directive is a legal document stating end of life treatment. This document states what the patient wants and does not want to have done to them when they are not able to let you know themselves. Advance directives states who will be in charge of decision making when the patient is not consciously able to make them their selves. The purpose of the advance directive would be for the physician to be able to know what treatments they can perform on the patient, and what treatments the patient does not want performed. 2.
Patient-centred care This guideline offers best practice advice on the care of adults with acute stroke or TIA. Treatment and care should take into account peoples’ needs and preferences. People with acute stroke or TIA should have the opportunity where possible to make informed decisions about their care and treatment, in partnership with their healthcare professionals. However, the person’s consent may be difficult to obtain at the time of an acute episode, or where the stroke or TIA results in communication problems. If the person does not have the capacity to make decisions, healthcare professionals should follow the Department of Health guidelines – ‘Reference guide to
A nurse may personally feel that a patient who is dying of cancer should utilize any and all pain management options available to them, however, if the patient does not wish to use pain medications because he/she feels “out of it” or is afraid of becoming “addicted”, the nurse needs to respect that patient’s choice. One may personally feel that a patient should try all treatment options available when dealing with an illness such as cancer, but needs to be respectful if a patient does not wish to continue treatment or try something new even if the nurse feels that is the “right” thing to do. B. In the scenario presented, different strategies can be used in the Thomas’s situation to improve the quality of life for Mrs. Thomas and her husband during this illness. First of all, discussing with Mr. and Mrs. Thomas what their wants/needs are is imperative.