Week 5 - Palliative approach to care

Question 1

What does the ‘Medical Treatment and Planning and Decisions Act 2016’ allow individuals to do?

Answer 1

• Complete a legally binding advance care directive

- Appoint a medical treatment decision maker (when the individual is no longer at capacity)

Question 2

What are the two types of advance care directives?

Answer 2

• An instructional directive: the legally binding part, the clear instructions as to what the individual does or doesn’t want
• A values based directive: where a patient can outline their values/preferences around what they do and don’t want

Question 3

Eligibility for voluntary assisted dying:

Answer 3

• Be 18+
• A Victorian resident
• An Australian citizen
• You must have decision-making capacity
• You must be diagnosed with an incurable disease, illness or medical condition that is advanced and progressive (that will cause death within weeks or months, but not longer than 12 months)

Question 4

How do you make a voluntary assisted dying request?

Answer 4

To make a request you must make 3 separate requests; two verbal, one written and witnessed with a minimum of 10 days between the first and final request.

Question 5

How many doctors need to assess you for voluntary assisted dying?

Answer 5

2, independently. One must have a minimum of five years post fellowship experience.

Question 6

Where does the voluntary assisted dying lethal medication be kept?

Answer 6

In a locked box

Question 7

How is voluntary assisted dying recorded at births, deaths and marriages?

Answer 7

‘the underlying disease/condition’

Question 8

Grief definition:

Answer 8

Personal response to a loss

Question 9

Mourning definition:

Answer 9

The period after a loss

Question 10

Bereavement definition:

Answer 10

The outward and active expression of grief

Question 11

What model type is Elizabeth Kubler-Ross and what does it involve?

Answer 11

Stage model, 5 stages -inclusive of denial, anger,

bargaining, depression & acceptance

Question 12

What model type is William Worden and what does it involve?

Answer 12

Task model, 4 tasks- accept reality of loss; work
through pain & grief; adjust to life
without deceased; relocate the deceased

Question 13

What model type is Margaret Strobe and Henk Schut and what does it involve?

Answer 13

Stressor specific model, Dual process model