ACP Flashcards
what is ACP?
a process of planning for the future, so that the patient gets what they want for their healthcare as they age, it’s a process over time and not a one off thing.
What is included in an ACP?
Advance statement. “what do want”
o Personal preferences – where they wish to live
o Values – the welfare of their spouse/children
o Views- about treatments they do not wish to receive but they do not want to formalise
Advance decision to Refuse Treatment
DNACPR
Lasting Power Of attorny.
Powers of Attorney
A person with capacity may appoint another person to make decisions on their behalf when they lose capacity
o Can be appointed for property and financial affairs (can be used as soon as it is registered), and for health and welfare decisions (can only be used when patient is unable to make their own decisions)
o Must be registered with the Office of the Public Guardian before coming into effect
·Deprivation of Liberty Safeguards
People who lack capacity should only be deprived of their liberty when it is in their best interest, and in the least restrictive way possible
§ Medication given against their will
§ Staff having complete control over a patient’s care or movements
§ Staff making decisions about a patient, including assessments, treatments and visitors
o Nurse in charge or home manager must apply to the Court of Protection for authorisation to ensure the loss of liberty is lawful
o Safeguards allow for a representative of the person affected
formulate a plan for setting a ceiling of healthcare
Be able to discuss the ethical issues raised when making end of life decisions
- May not be part of their culture or against their cultural beliefs as it does not ‘exist’ in the countries they have come from (South Asia communities)
- They may believe in treatment ‘till the end’ (Middle Eastern and South Asian communities)
- Palliative care and DNACPR is seen as withdrawal of treatment so is viewed as unethical and unkind
Mental capacity act
how to access capacity
includes the ability to make decisions affecting daily life, healthcare and financial issues.
- a. understand the information relevant to the decision*
- b. retain that information*
- c. use or weigh that information as part of the process of making the decision*
- d. communicate the decision made by talking, sign language or other means*
Best interest
- The past and present wishes, feelings, beliefs, values of the person and any other relevant factors
- Views of other relevant people
