Bioethics Week 14- Shared Decisions and Medical Choices

Question 1

What are the two Advance Care Planning?

Answer 1

Wellness and Prevention

Goals of Care

Question 2

What are the three elements of Advance Care Planning?

Answer 2

1. Independence
2. Quality of Life
3. Functional Status

Question 3

What are the three factors of Advance Care Planning?

Answer 3

1. Presumption of capacity
2. Competency
3. Surrogacy

Question 4

What are the two documents for Advance Care Planning?

Answer 4

1. Appointing an agent

2. Living Will

Question 5

What is included in Appointing An Agent?

Answer 5

• DPOAHC (Durable Power of Attorney for Health Care)
• Delineated and Reserved Powers
• Effective Date

Question 6

What is included in the Living Will?

Answer 6

Healthcare Directive

Presumption of Capacity

Question 7

What are the obligations of the health care professional?

Answer 7

informed consent and provide options for treatment and goals of those treatments

Question 8

What is DNR?

Answer 8

do not resuscitate order

Question 9

Who determines the final decision of benefit and burden?

Answer 9

patient- “just because they can doesn’t mean they should”

Question 10

What are Gillick’s 5 “Remaining Issues” in Decision Making?

Answer 10

1. Discuss health status
2. Overburdening # of choices for patients and family
3. Importance of end of life care
4. Confusion between beliefs and science
5. Confounding decisions between medical team from advocating cure to comfort

Question 11

What does QHPCs stand for

Answer 11

Qualified Health Care Professionals

Question 12

Who is considered a QHPCs

Answer 12

Physicians, PA, APNs, Clinical Nurse Specialist