Week 3 - Geriatric Advanced care planning

Question 1

What is included in the varification of death form?

Answer 1

date, case number, team and fleet number

Details of deceased- date of birth and age full name, address and location of death
date and time of death
Has doctor been notified, doctors name, hone and address
Assesment

Question 2

what assesments need to be done for a varification of death?

Answer 2

no response to centralised stimuli- sternal rub
no motor withraw or facial grimice to painful stimuli
pupils fixed and dialted
no carotid pulse
no breath sounds for 2 minutes
no heart sounds for 2 minutes
ECG strips

Question 3

what things are on an advanced care directive?

Answer 3

paitent details
current major health problems
what matters most about life, worries about future, aceptable putcomes after ilness, values, people wanted involved in care, imporant things nearning death, organ donation, treatments consented to and refused

Question 4

what does the last year of a patients life typically look like?

Answer 4

pts with advanced disease may have 8 hospital admissions in the last year of their life

Question 5

what is done when planning ahead for death? what are the advanatges?

Answer 5

legal, finical and healthr realted decisions for people to make
Advanates- clear communication, wishes are known, support people are confident and can decreases disagreetments between family memebers

Question 6

what is a medical treatment decision maker?

Answer 6

A person can nominate a trusted relative/friend to manage their health if they are no longer able to make decisions
they can consent to or refuse treatment on the pts behalf - making decsions they belive the person woulf make if they could make their own decisions

Question 7

what is an advanced care directive?

Answer 7

pt records specific preferences for future healthcare
- only used if capacity to make or communicate decisons are compromised after completion of the form
must have capacity to complete the form

Question 8

what is an instruction directive?

Answer 8

Advanced care directive -
legally binding instructions about future medical treatment that the person consents to or refuses
- for sepcific mental treatment
HCW bounded to follow the instructions

Question 9

what is a values directive?

Answer 9

document the persons values and preferences for their medical treatment decision maker to consider when they are making decisions for them