HLTHAGE 3N03 Lecture Notes - Lecture 20: Surrogate Decision-Maker, Dementia
22 Nov 2018
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Advance care planning: a process of discussion about goals of care and recording preferences for care of patients who may lose capacity or communicating ability in the future. Includes identifying your substitute decision maker (power of attorney for personal care) It happens when the person is cognitively well enough to have the conversation - it happens in advance. Then and now: completion of wills, identifying power of attorney, dnr orders, dnh (do not hospitalize) orders, on-going process of conversation about values. Speak up: national thing - resource for starting the conversation, 5 steps to having this conversation, think. Thinking about your beliefs (religious or spiritual: learn. Important thing is to identify that person: might not be that person you want to make decisions for you, consider who is willing to carry out your wishes, can be family conflict. If the person is against some of your wishes, are they going to be willing to carry out your wishes: talk.
