hannah cont. - metastatic ovarian cancer Flashcards
how would you explain to hannah why an ACD is significant in her healthcare?
it gives you control over your healthcare, ensuring your values and preferences are respected, even if you can’t communicate your wishes at a later time. it provides peace of mind and helps ensure that you recieve the care that aligns w/ your goals and values
what 6 ‘places’ should a completed MTDM form for submitted to?
- office of the public advocate (OPA)
- healthcare facility
- treating physician
- appointed decision maker
- emergency services
- copy for yourself
what 3 ways would you support hannah Hannah in addressing her fears about dying?
- provide a safe & empathetic environment
- active listening
- therapeutic communication
is the MTDM document flexible, can it be revised?
yes
who are the 6 key parties a ACD should be submitted to?
‘Healthcare Treating Appoints Other Emergency Victorian’s’
- healthcare facility
- treating physician
- appointed medical decision maker
- other relevant healthcare professionals
- emergency services
- victorian government’s health department
what 8 ways would you support Hannah in her symptom management and addressing any other needs?
‘Palliative Addresses ‘ANne So BAD’, Monitors drainage, Obstructions & Prescribes Nutrition Regime Supportively’
- work closely w/ palliative care physician
- address ascites, nausea, shortness of breath, abdominal discomfort
- monitor response to increased frequency of ascites drainage & ensure she remains comfortable
- be vigilant for bowel obstruction
- administer prescribed medications for pain management e.g., ocycontin & endone
- coordinate w/ dietition to provide nutritional support - small, frequent, easy-to-digest meals & fluids
- ensure she is taking colocyl & senna - bowel management regime
- offer emotional support & encouragement to eat & drink
how many witnesses does an ACD need?
2
should hannah review her ACD periodically?
yes
what other 5 professionals might you refer to, to assist hannah?
- palliative care physician
- dietition
- pastoral care worker (spiritual & emotional support)
- social worker > Brian’s needs
- child psychologist/counsellor > Mary
- paediatric palliative care specialist > Mary
what are the 8 requirements to facilitate an ACD for adults in Vic?
‘Assess Document, Discuss Witness, Document Review, Communicate Support’
- assessment & education
- document provision
- discussion & decision making
- witnessess
- documentation submission
- review & revision
- communication w/ healthcare team
- support & emotional care
how would you explain to hannah the significance of appointing an MTDM?
1 sentence + ‘a Peaceful Voice is Empowering’
it gives you control over your medical care, even when you may not be able to communicate your preferences.
it ensures that your wishes are heard and followed.
it provides peace of mind knowing that someone you trust will advocate for the care you want.
it empowers you to have a say in your healthcare.
what 7 things do you do to facilitate the completion of an Appointment of Medical Treatment Decision Maker (MTDM) Vic?
‘Assess Documents, Discuss Witnesses, Document Copies, Keep Healthy’
- assessment & education
- document provision
- discussion & decision-making
- witness requirments
- documentation submission
- keep copies
- healthcare team communication
what are the guidlines for a MTDM witness?
(4)
2 > 18yr olds
not be the person’s healthcare provider
not be the person’s beneficiary
not have personal interest in the person’s estate
where can you find the documents for an ACD?
(3)
- local healthcare institutions
- government websites
- palliative care team
how would you explain to hannah what an Advanced Care Directive (ADC) is?
An ADC is a legal document that allows you to make your own decisions about the medical care and treatments you would like to receive, especially towards the end of life. It’s like a guide for your healthcare team to ensure your wishes are honored
