Goals of Care Flashcards
what are goals of care?
are designations used by your healthcare providers to describe the general aims of your healthcare and the preferred location of that care
what is an advanced care plan?
a verbal or written summary of an adult’s wishes or instructions about the kind of care they want or do not want if they cannot express themselves
what is the purpose of ACP?
- ensure clear understanding of illness, its trajectory, and available treatment options
- prioritizes the expression and understanding of the beliefs and values of the patient and how those will influence healthcare related preferences and decisions
define personal directive
a legal document that names your agent or substitute decision maker; personal directive comes into effect if you lose capacity to make decisions for yourself
define capacity
the ability to make an informed choice; capacity may change over time or based on the situation
define agent/substitute decision maker
an individual chosen to make decisions on your behalf in the event that you are unable to make those decisions yourself
define power of attorney
is a legal document that you make to give another person the authority to make financial decisions on your behalf
define goals of care designation
a medical order that describes the general focus of care
define values based decision making
making decisions based on what is most important to an individual
what are the 5 steps of ACP?
- Think about your values and goals
- Learn about your health
- Choose your agent
- Tell others your wishes
- Write a personal directive
what are the 3 levels/categories of care?
- resuscitative care
- medical care
- comfort care
what is the goal of resuscitative care?
preserve life at all costs using full interventions
what is the goal of medical care?
Treat illness/injury without aggressive resuscitation or within the limits of comfort and patient wishes
what interventions are used in resuscitative cave?
- CPR
- intubation
- defibrilation
- ICU care
- emergency surgery
what interventions are used in medical care?
- medications
- fluids
- antibiotics
- oxygen
- hospital care
what is the goal of comfort care?
Maximize comfort and quality of life when cure is not possible - Focuses on relief of pain, breathlessness, and distress
