Ethical and legal issues and EOL care Flashcards
Ensures rights of individuals/client/patient to “author or execute” written and signed instructions about his/her wishes for medical treatment in the event of becoming incapacitated (Advanced directive)
requires appropriate witness
Requires health care facilities receiving Medicare funds to provide information about AD to patients
Patient self -determination act
Holistic approach to care or treatment
Focuses on reducing severity of disease symptoms, rather than trying to delay or reverse progression of a cure
Palliative care
patient must be eligible for and desire services (two physician must certify that the patient has 6 months or less)
Concept of care that provides compassion, concern, and support for dying patients and their families once the patient decides to forego curative treatments
Hospice care
Occurs when all vital organs and body systems cease to function
Irreversible cessation of cardiovascular respiratory, and brain function
death
Irreversible loss of all brain functions including the brainstem
Occurs when the cerebral cortex stops functioning or is destroyed
Brain death
refers to the final phase of a patients illness, when death is imminent
end of life
Term used for issues and services related to death and dying
Focuses on physical and psychosocial needs of patient and family
End of life care
is the period of time following the death of a loved one during which grief is experienced and mourning occurs
bereavement
is the normal process of reacting to loss
Is a dynamic process
Includes both psychologic and physiologic responses following a loss
grief
Kubler ross five stage of grief
Denial Anger Bargaining Depression Acceptance
stages of the grief wheel
Normal Shock Protest Disorganization Reorganization New normal
caregivers of patients with chronic illness often begin to grieve long before the actual death
Patients can also experience this
anticipatory grief
grief that help accept the reality of death
Healthy process
Revealed in positive memories and seeing some food from the death
adaptive grief
Four fears of death
Pain
SOB
Loneliness and abandonment
Meaninglessness
