Lecture 10 - Acute care end of life issues

Question 1

What are some end of life situations

Answer 1

sudden
refusal of treatment
end of life decision

Question 2

End of life contexts for physios

Answer 2

ICU/NICU
Oncology area - breast cancer, brain tumours etc
Degenerative/progressive disorders/ diseases

Question 3

To be a valid refusal of treatment the patient must be…

Answer 3

informed
competent
and must be voluntary

treatment refusal is a human and legal right

Question 4

What is an enduring guardian

Answer 4

person you appoint to make your personal or medical decisions if you lose ability to decide for yourself because of a disability

Question 5

What are the 4 advance care decisions about care

Answer 5

advanced care directives
enduring power of attorney
guardianship orders
gillick competence - <18 parental or guardian consent is considered adequate despite the wishes of the child

Question 6

Illegal acts near end of life (spectrum of methods to end of life)

Answer 6

voluntary manslaughter
murder
manslaughter 
criminal negligence
suicide
assisted suicide
euthanasia

Question 7

Define Euthanasia

Answer 7

the deliberate bringing about of the death of a person to end an intolerable existence

passive - withholding life sustaining treatment
active - deliberate inducement of death