Advanced MND - long term Flashcards
Mr O 76y M. Intubated for pneumonia. Failure to wean from ventilation.
Mr O best interest ?
Surrogate decision making & dynamics of this family
Resource allocation
Thoughts of parent unit?
Education with regard to expected progression of the disease.
Mr O talked about his fears & wishes to one or more family members.
Any completed advance directive by Mr O?
Possible emotions
Desire not to lose his father
Fathers interest vs resource limitation
Over estimation of his fathers ability to interact
Accept situation difficult for the family
Do not deny home MV but discuss the pros & cons
Do NO RAISE RESOURCE ISSUE
Predict Mr O reaction to further deteioration
DO NO RAISE LONG TERM MV IN A WAY WHICH MAKES NOK FEEL THIS IS A RECOMMENDED OPTION
WHAT HAVE U BEEN TOLD ABOUT MND?
WHAT WAS UR FATHER SAYING ABT HIS CONDITION BEFORE HE GOT THE PNEUMONIA?
WHAT DO U THINK UR FATHER WOULD SAY?
HOW DO U THINK MR O WOULD COPE IF HE WERE UNABLE TO MOVE AT ALL?
WHAT LIMITATIONS DO U THINK THAT UR FATHER WOULD ACCEPT?
