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GERO 200 (33)
Bolin (33)
Lecture 30

GERO 200 Lecture 30: GERO 200 Lecture 30 (4/17/17)

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Gerontology (UNO)
GERO 200

GERO 200 Lecture 30 (4/17/17) Philosophy of Hospice Care ● Controlling pain and symptoms ● Addressing psychological needs of patients and their families ● Providing care in a homelike setting Palliative Care ● Medical speciality focused on relief of pain, stress, and other debilitating symptoms of illness ● Many advances have been made in pain care in recent years including new methods of delivery (skin patches and intravenous pumps) and reduced side effects ● Attitudes have shifted toward allowing addictive substances for pain care Legal Rights of the Dying ● Until the late 20th century, the physicians made all informed decisions for patients ● Today, patients have the right to choose and accept or reject treatment options ● Informed consent: patients share in decision-making process Informed Consent ● Based on 3 principles: 1. Patients are competent 2. Patients give consent freely a. No coercion by the medical staff 3. Patient must understand what the options are Advanced Directives ● Legal documents signed by an individual about future treatment choices ● State your wishes if you are in a coma or persistent vegetative state ● Give instructions on whether to accept or refuse treatment ○ Respirators ○ Feeding tubes ■ Very controversial ○ Medication ○ Use or nonuse of health care facilities Advanced Directives ● Health Care Power of Attorney (HCPA) ○ Durable power of attorney ○ Talks about end of life decision ● Living Will ● Do-Not-Resuscitate (DNR) Order HCPA ● A document that appoints a person to be your advocate ● This person makes your treatment choices when you are incapacitated ● This person decides whether to accept or refuse treatment Living Will ● If you do not want to appoint a person to be your advocate ● A document stating your treatment choices in case you become incapacitated ● This document states your choice to accept or refuse treatment DNR Order ● A living will for a specific treatment choice ● A document that states: “if my heart and breathing stop, no person can attempt to resuscita
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