Frail old lady - Do EVERYTHING Flashcards
1
Q
89y lady multiple co morbidities with pneumonia. last bed scenario. Daughter adamant.
A
Daughter will not accept that she will not be admitted to ICU
May agree if u promise she is fit to go to ward.
Dgtr - no interest in welfare of anyone except mother
2
Q
Listen to her concerns Likely medical progress Concepts of reasonable & extraordinary care Mum's expressed wishes & values Mum's best interest
A
Acknowledge Daughter concerns
Nurse in ward - more patients to look after but still well cared for appropriately monitored
UNFORTUNATELY - V DO NOT HAVE UNLIMITED ICU BEDS & V HV TO USE THEM FOR SICKEST PATIENTS. CAN U ACCEPT THAT
3
Q
UR MUM IS VERY SICK. UNLIKELY WILL BE ABLE TO CURE HER
CONSIDER DIRECTING UR MUM’S CARE TO ENSURE COMFORT & DIGNITY
A
UR MOTHER WILL STILL RECEIVE THE BEST CARE FROM THE NURSES ON THE WARD.
