Advance Care Planning Flashcards
Describe the value of supportive care, including end of life care which involves a holistic, integrated approach.
Death, like life, is a matter of individuality. Service users should be granted autonomy in all aspects of their care with continued input and feedback from the family. Exemplary end of life care is not about rigid guidelines but rather supporting the individual and their family on their personal journey.
Describe how to make an assessment of need.
Someone from the council such as a social worker or occupational therapist will ask you how you’re managing everyday tasks like washing, dressing and cooking.
They might ask you to describe how well you do certain things like making a cup of tea and getting out of a chair.
If it seems you may need some alterations in and around your home such as grab rails in the bathroom, you might also be referred for a separate assessment of your home.
Describe the need for a setting a ceiling of healthcare.
The aim is to provide guidance to admitting staff who do not know the patient, so that there is continuity with the patients’ previously expressed wishes, and/or limitations to their treatment are clear.
Describe what is meant by DNAR.
If your healthcare team think that CPR won’t work then they won’t attempt it. A DNAR form will then be added to your medical records to reflect this. You must be told if this is the case. If you lack capacity to make a decision, for example if you’re unconscious, and it’s decided that CPR won’t be attempted if your heart and breathing stop, then your healthcare team should discuss this decision with your family.
If your healthcare team say that CPR won’t work but you still feel that you would like them to attempt it, you should talk to them about your feelings. Although no one has the legal right to demand a treatment, in reality no healthcare professional would refuse your wish for CPR if there was any possibility of it being successful and you making a healthy recovery from it.
Describe what is meant by futility.
Treatment evaluated by the healthcare team, family, or both, as being nonbeneficial or harmful to a dying patient.
Describe what is meant by withholding or withdrawing treatment.
While withholding treatment and withdrawing treatment refer to actions taken by health care providers, the actual decision to decline or discontinue treatment rests with the patient or the patient’s family or substitute decision-maker.
Describe the ageism that is present in healthcare.
Ageist stereotypes and discrimination against older adults have an impact on the health and well-being of older citizens and are potential barriers to health equality.
