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33 Cards in this Set
- Front
- Back
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What is an expression of future wishes regarding medical care?
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An advance directive
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What are 2 types of advance directives?
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-Living Will
-Medical Power of Attorney |
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What is the Values history used for?
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More comprehensive Advance Care Planning
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What is a Living Will?
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Written wishes for medical treatment should you be unable to communicate at end of life.
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What can a living will do for the patient?
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Allow them to Accept or Refuse treatment, protected by the constitution and common law.
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What is a POA for medical care?
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A document that lets a patient designate someone else to make medical decisions for them if the patient becomes unable to do it for themself.
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What are 2 other names of medical POA?
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-Health care proxy
-Health care agent |
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What is a type of advance directive that allows patients to explore in greater depth their values and wishes for care near the end of life?
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A Values history
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Is there a legally binding Values History document in WI?
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No
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What is the provision of a lethal drug/procedure to a patient with full knowledge that it can be used to induce death at the time/place of pt's choice?
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Assisted Suicide
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What is the active administration of a drug/proedure with the intent of causing death?
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Euthanasia
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What is the key difference between Assisted suicide and Euthanasia?
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In assisted suicide, the actual act by which death occurs is performed by the patient.
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Where is Assisted suicide legal?
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In Oregon
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What is Brain death?
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Death of the entire brain - both cortex and brainstem.
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What is a patient who is brain dead considered in WI?
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Legally dead
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What was CPR never intended for?
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Patients with chronic diseases
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What is often the outcome of CPR?
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Significant damg to chest, brain damage from lack of oxygen.
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What kind of terms are Competence and Incompetence?
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Legal terms; not medical
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Who can determine and declare competence?
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Only a judge
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What is Decision Making Capacity?
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The ability of a patient to make their own medical decisions.
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What are the 3 minimum components of decision making capacity?
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1. Patient can recieve info
2. Patient can process, evaluate, and reason 3. Patient can communicate their decision to others |
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Are physicians required to seek outside consultation to determine a patient's decision making capacity (DMC)?
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Only if activating a WI POAHC document
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What is POAHC?
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Power of Attorney for Healthcare
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What is required for activation of a WI POAHC document
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-Signatures from 2 physicians or 1 physician + 1 psychologist certifying that the patient has lost DMC
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What is a DNR?
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An order in the medical record written by the attending physician so that CPR will not be started at the time of death.
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What is the provision of information to a patient or surrogate so that a medical decision can be made called?
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Informed consent
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What are the 3 essential elements of informed consent?
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1. Disease process
2. Benefits and risks of recommended and alternative txmt 3. Impact of no txmt |
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What are 3 components of Futile Medical Care?
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1. Will not serve any medical purpose
2. Will cause needless pain and suffering 3. Does not achieve the goal of restoring the patient to any acceptable level of QOL |
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What is a Persistent Vegetative State?
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One in which the upper brain (cortex) is NOT functioning, but the lower brain (brainstem) IS.
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What is a Surrogate Decision-Maker?
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A person who is making medical decisions for a non-decisional patient.
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What is the standard convention used in WI for which family members have priority in being a surrogate decision maker?
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1. Spouse
2. Adult children 3. Parents 4. Other relatives 5. Friends |
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What is the discontinuation of life-sustaining medical treatments?
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Treatment withdrawal
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What are the typical interventions that the term Treatment withdrawal is used in reference to?
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-Mechanical ventilators
-IV antibiotics -Tube feedings |
