Bursitis of the Hip. What is an advance directive? This could happen if you: Are in a coma. Are seriously injured. Are terminally ill. Have severe dementia. Path to improved well being A good advance directive describes the kind of treatment you would want, depending on how sick you are. Advance directives could include: Living will A living will is one type of advance directive. Durable power of attorney for health care A durable power of attorney DPA for health care is another kind of advance directive.
Do not resuscitate order A do-not-resuscitate DNR order can also be part of an advance directive. Other possible end-of-life issues that may be covered in an advance directive include: Ventilation — if, and for how long, you want a machine to take over your breathing. Tube feeding — if, and for how long, you want to be fed through a tube in your stomach or through an IV.
Palliative care comfort care — keeps you comfortable and manages pain. This could include receiving pain medicine or dying at home. Organ donation — specifying if you want to donate your organs, tissues, or body for other patients or for research. Should I have an advance directive? How can I write an advance directive? You can write an advance directive in several ways: Use a form provided by your doctor. Write your wishes down by yourself. Call your health department or state department on aging to get a form.
Call a lawyer. Use a computer software package for legal documents. Things to consider Can I change my advance directive? It may involve: Simple efforts such as mouth-to-mouth breathing and pressing on the chest Electric shock to restart the heart Breathing tubes to open the airway Medicines. Making the Decision. If you do want to receive CPR, you do not have to do anything. Think about the issue while you are still able to decide for yourself. Learn more about your medical condition and what to expect in the future.
Talk to your doctor about the pros and cons of CPR. Your doctor must follow your wishes, or: Your doctor may transfer your care to a doctor who will carry out your wishes. If you are a patient in a hospital or nursing home, your doctor must agree to settle any disputes so that your wishes are followed.
The doctor can fill out the form for the DNR order. The doctor writes the DNR order in your medical record if you are in the hospital. Your doctor can tell you how to get a wallet card, bracelet, or other DNR documents to have at home or in non-hospital settings. Standard forms may be available from your state's Department of Health. Make sure to: Include your wishes in an advance care directive living will Inform your health care agent also called health care proxy and family of your decision If you do change your mind, talk with your doctor or health care team right away.
Or, they may be reluctant to agree to the order because they feel guilty that they are not helping their loved one as they feel they should. Asking for a DNR does not mean that we have stopped care.
What it means is that we have simply changed the goal of treatment. CPR: Cardiopulmonary Resuscitation: The vigorous emergency procedure to restore heart and lung function in someone whose heart or lungs have stopped working.
Basic CPR involves chest compression and mouth-to-mouth breathing. Advanced CPR includes the use of medications to regulate blood pressure and heart rhythm, controlled electrical shock to change heart rhythm, and intubation and mechanical support of breathing.
DNR order: The physician's order to withhold resuscitation. No CPR. Cardioversion or Defibrillation: The use of controlled electrical shock to treat certain kinds of heart rhythm problems.
Intubation: A tube inserted through the mouth or nose to open the person's airway to assist with breathing. Intubation prevents a patient from talking or eating by mouth.
Medications for Advance Life Support: The use of very potent medications given through the veins that help to correct problems with blood pressure "pressors" , heart rate and rhythm. Resuscitation: The use of basic or advanced life support treatments in an emergency situation begun when someone has stopped breathing or whose heart has stopped beating. Offering comprehensive medical, surgical and psychiatric care as well as complete emergency, ambulatory and diagnostic services to residents of southwest Boston and the surrounding suburbs.
Stay Informed. Connect with us. Advanced Care Directives.
0コメント