MEDI7212 Lecture Notes - Lecture 73: Art Therapy, Chemotherapy, Watchful Waiting
Document Summary
Patient admission: advanced care planning is a discussion with the patient about their health status, goals and wishes, clinical outcomes of their disease prior to palliative care admission. Palliative care team: patient admission into palliative care factors, nature of patient"s disease, acceptability and effectiveness of treatment available, patient"s beliefs and cultural values regarding illness, dying etc, patient"s age and any inter-current illnesses. Phases (pcoc: phases are not sequential - patient can move back and forth between phases, #1 stable phase, adequate control of sx, further interventions to maintain sx control and qol are planned. Introduction: decision making in palliative care is a collaborative process that should involve, patient (or substitute decision-maker, healthcare team. Impaired decision making capacity: patient"s condition deteriorates, or may be lost as death approaches. Substitute decision-maker can make healthcare decisions on behalf of patient who has lost decision-making capacity: encourage patients to consider advanced care planning early.
