week 5: MAID Flashcards

1
Q

what are the two MAID pathways

A
  • RFND (reasonably foreseeable natural death)
  • NRFNA (no reasonably foreseeable natural death)
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2
Q

what is the process for RFND MAID

A
  • intake (provider contacts MAID)
  • triage (by RN over phone)
  • assessment (2 separate appointments)
  • written request
  • provision (make sure they have a chance to back out)
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3
Q

what is the process of NRFND

A

patient questionnaire
HCP input
phsychosocial assessment
minimum 90 day assessment period
expert input (does their condition cause suffering)
serious consideration of all treatment options

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4
Q

what are the three MAID meds

A
  • midazolam
  • propofol
  • rocuronium
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5
Q

when does cardiac arrest occur after MAID meds given

A
  • 8-10 minutes
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6
Q

what does it mean that MAID is not allowed through advanced directive request

A

it cannot be your ACP statuts

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7
Q

whats the difference between withholding treatment and withdrawing treatmnent

A

withholding treatment: the decision not to begin treatment
withdrawing treatment; the decision to stop an intervention that keeps a person alive

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8
Q

definition of death

A

irreversible cessation of all Brian function

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9
Q

what is the definition of euthinasia

A

ending someones life for compassionate reasons (illegal)

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10
Q

what is conscientious objection

A

not giving medical care because it interferes with morals

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11
Q

what is the criteria to being allowed conscientious objection

A
  • must not be an emergent situation
  • must have a longstanding belief that the intervention is morally wrong
  • there is another nurse who can resume care in a timely manner
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12
Q

what are misconceptions about conscientious objection

A

that theyre based on fear, prejudice and convenience

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13
Q

what is a tort

A

a civil law that is broken
doesn’t usually go to prison

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14
Q

what is life sustaining therapy

A

meant to prolong life but not resverse the underlying cause

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15
Q

do we withdraw care

A

no. only interventions

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16
Q

futile care what is ti

A

life sustaining/prolonging technology where patient will not return to a productive life
PVS patients

17
Q

what is a negative right

A

the right to be free from something a person doesn’t want (connects to autonomy)

18
Q

what is battery in the topic of negative right

A

battery is ignoring someones negative right

19
Q

what is a positive right

A

being allowed things like care, rights, etx

20
Q

what is the health care directive act

A

provides MB citizens with the right to accept medical treatment at any time

21
Q

what is health care directive

A

legally binding document where a person writes instruction about what treatment they want

22
Q

whats the difference between a proxy and a SDM

A
23
Q

whats the difference between health care directive and goals of care

A

HCD: legal with the law, self initiated, must be done by individual alone

GOC: still binding, but more organizational, initiated by health care team
can be done with family if patent cannot make decisions