module 6- health directives Flashcards
health care directive
documents that outline treatment if pt. is unable to communicate or make decisions for themselves
health care directive act
Health care professionals are now
legally obligated to follow the
identified written instructions of
patients
what makes a health care directive official
signed/ witnessed and dated
when is a health care directive made
when patient have decision making capacity
who has access to health care directive
family and health care team
what is included in a health care directive (4)
DNR
end of life care
proxy
current individual medical needs
what are the positives of HCD (5)
communication
quality of life
reassurance
family member relief
decrease conflict
what are the limitations of HCD (2)
-must be updated when health condition changes
-include vague terms like “no heroic measures”
what to do when HCD is unable to address current situation
use proxy(s)
HCP legal and ethical responsibility regarding HCD (3)
-not legally obligated to perform interventions that are futile/impossible
-if not HCD-then family decides-then health care team
-if family can’t agree, closest relative decides
how nurse supports patient with HCD (5)
right to accept or refuse
encourage talking with family
effects of interventions
advocate
clarify desires