CHANGES IN SOCIETAL ROLES

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "CHANGES IN SOCIETAL ROLES"

Transcription

1 SOCIOECONOMICS OF AGING Keith A., Pharm.D., BCGP University of Oklahoma College of Pharmacy FACULTY DISCLOSURE Keith has no conflicts of interest to disclose. LEARNING OBJECTIVES At the conclusion of this application-based activity, participants should be able to: 1. Predict impact of societal and economic challenges on health status in the elderly 2. List major changes in support systems typically experienced during aging 3. Compare the impact of functional change on elders who have limited support systems 4. Contrast the goals and typical medical care interventions for palliative care against those of hospice care 5. Describe the components and effect on health care delivery for advanced planning tools including: living wills, do-notresuscitate orders, powers of attorney, guardianships, surrogates/proxies, advanced directives, trusts, and wills CHANGES IN SOCIETAL ROLES Employment to Retirement Parent to Grandparent (and back to parent/guardian) Spouse to Caregiver Spouse to Widow/Widower Independent to Dependent Higher Function to Lower Function Financial Stability to Limited/Fixed Income CHANGES IN ECONOMIC STATUS Retirement and net loss of income Variations in income sources Retirement savings Pensions Annuities Government programs Equity in family home Fixed Income vs. Increasing Costs Housing and food Taxes Medical insurance and co-payments Medications Transportation BROAD VARIABILITY IN FINANCIAL RESOURCES Geographic variation Urban vs. Rural Educational status Employment status Gender and race Marital status Health status Lifestyle expectations 1

2 CHANGES IN SOCIAL SUPPORT CHANGES IN FUNCTION Family transitions Mobility of grown children Declining health/death of spouse Loss of extended family Friends and neighbors Religious affiliation and organizations Civic organizations and clubs Health facilities and family doctors Support equated with positive emotions, greater purpose of life, lowered mortality Often initiated by health decline Changes self-perception and expectations Produces stress (loss of control) Fear influences decisions and quality of life Influences living environment and care services decisions Elder Living Environments Special Independent Living Communities Assisted Living Memory Care Long Term Nursing Care Home Health Care Respite Care In-home care aides and services CHANGING SOCIETAL SUPPORT SYSTEMS National programs and financial assistance Lack of knowledge, stress, and confusion Complicated requirements and application processes Burgeoning numbers influencing thresholds for receiving assistance Health status Indicator of well-being Predictor of societal and personal expenditures Influenced by health care actions and supports CHANGES IN COPING MECHANISMS Generational Standards Greatest Generation Boomers Self-reliance Substance use and abuse Reliance on medical, mental and cognitive care services and alternate health practices Expectations and respect for health providers SOCIETAL EXPECTATIONS FOR CARING FOR ELDERS - ETHICS OF CARE Autonomy: Respecting the rights of a person to make decisions regarding their care Beneficence: Responsibility of the caregiver to make good choices, to do good Nonmaleficence: Responsibility of the caregiver to do no harm SOCIETAL EXPECTATIONS FOR CARING FOR ELDERS - ETHICS OF CARE Justice: The responsibility of the caregiver to treat patients fairly, without prejudice, and founded on medical needs Self-determination: Responsibility of the caregiver to recognize the rights and needs of clients to be free to make their own choices and decisions. 2

3 Abuse: IMPACT OF ELDER ABUSE/NEGLECT Actions intended to cause harm or risk of harm to an older adult Done by person in a trusting relationship with that older adult Includes failure to supply needs or protect the older adult from harm Neglect: IMPACT OF ELDER ABUSE/NEGLECT Failure by a caregiver or other responsible person to protect an elder from harm Failure to meet needs for essential medical care, nutrition, hydration, hygiene, clothing, basic activities of daily living or shelter Results in a serious risk of compromised health and safety. SIGNS AND SYMPTOMS OF ELDER ABUSE/NEGLECT Physical: Unexplained bruising, fractures, burns, abrasions or sores Sexual: Bruising around the breasts or genitalia, infections Emotional: Social withdrawal, depression, isolation, frequent arguments with caregiver, and behavior of caregiver toward the older adult SIGNS AND SYMPTOMS OF ELDER ABUSE/NEGLECT Financial: sudden change in finances, not able to afford food, heat, clothing Neglect: Pressure sores, dehydration, disheveled appearance, lack of hygiene, weight loss ADDRESSING ABUSE & NEGLECT Reporting Family Facility administration Law Enforcement Support systems Protective Services Ombudsman END OF LIFE ISSUES Hospice and Palliative Care Decision-making in advanced disease Do-Not-Resuscitate (DNR) orders Living Wills and Advance Directives Designating Decision-makers Power of Attorney Surrogate/Health Care Proxy Guardianship 3

4 HOSPICE CARE Increasing Comfort Care Focus - symptom and pain management Decreasing Curative Care Focus - withdrawing non-essential interventions Generally offered for terminal conditions (final 6 months) Medicare Benefit since 1982 Hospital/ED admissions avoided except for easily corrected acute conditions that affect patient comfort Implementing support services for patient and caregivers Health Social Spiritual PALLIATIVE CARE Patient goals direct all decisions requires communication Focus on BOTH Comfort Care and Curative Care Reducing negative impact and risk from overlyintensive care at all points of terminal illness (no time constraints) Support services for patient, family, and caregivers Hospitalization/ED visits still an option HEALTH ISSUES IN PALLIATIVE CARE Weight loss/decreased appetite Anxiety/Depression Constipation Delirium/Cognition changes Dyspnea Nausea Pain ADVANCED CAREPLANNING Requires active discussions between patient, caregivers, clinicians Tools and talking points Advanced Directives Living Will Durable Power of Attorney Proxies and surrogates Do Not Resuscitate Order Guardianships Financial issues: wills and trusts, cost of institutional care SOCIETAL PERCEPTIONS OF AGING Ageism: stereotypical discrimination against older individuals or groups Prejudicial attitudes Discriminatory practices Institutional policies and practices Statutes and regulations CASE #1 SUMMARY A 93 year old WWII veteran is moved from his apartment attached to his daughter s home into a veterans home after having suffered 4 falls over two months. He was living with his daughter s family after depleting his savings over the first 20 years of his retirement. His wife died following a stroke 12 years ago at age 79. Following the last fall, his family had to call Emergency Services to provide assistance helping him up to his feet. He shares his semi-private room with a man 30 years younger than him who suffered a brain injury during the Vietnam War. His room mate is unable to speak and spends all his time in bed. Our patient attends several activities at the facility each week and is seen in the physical therapy department three times a week. 4

5 CASE #1 CLINICAL SITUATION His physician is considering starting an antidepressant due to complaints of insomnia and reduced levels of energy. When questioned, our patient says, The folks here are nice enough, but I miss going to my church on Sundays and attending my Tuesday Morning Bible Breakfast with the guys on Tuesday mornings. Over the past 2 months he s lost approximately 13 lbs (5kg) and is now using a wheel chair instead of the 4 leg walker he used at home. His medication list includes: metoprolol, furosemide, potassium chloride, and acetaminophen for arthritis. REFLECTION Does this situation sound familiar? What other issues would you expect to find if we dig deeper? What additional information do you need? QUESTION 1: Which issue is primarily responsible for his recent change in living arrangements? A. Change in economic status B. Change in family support C. Change in physical function QUESTION 2: Which socioeconomic issue is exerting the greatest influence on medical care decisions at this time? A. Reduced financial resources B. Reduced social interaction C. Loss of social supports QUESTION 3: Which end of life tool would be most helpful in guiding the medical team s decisions regarding the initiation of additional therapies? A. Advanced Directive for Health Care (Living Will) B. Do-Not-Resuscitate Order C. Durable Power of Attorney QUESTION 4: Our patient is refusing morning doses of his metoprolol because he feels lousy during the day after taking it. What ethical principles should guide the team s decisions when addressing this issue? A. Autonomy and Nonmaleficence B. Beneficence and Justice C. Justice and Self-determination 5

6 QUESTION 5: Which model of advanced life care is most likely applicable in this situation at this time? A. Hospice Care B. Palliative Care C. Respite Care ROLE OF THE PHARMACIST IN ASSURING OPTIMAL CARE Assessing socioeconomic influences impacting delivery of optimal health care Anticipate changes in condition and support systems that negatively impact patient function and increase risk and mortality Recommending interventions: Think Must Should Could Might QUESTIONS? 6

NATIONAL ACADEMY OF CERTIFIED CARE MANAGERS

NATIONAL ACADEMY OF CERTIFIED CARE MANAGERS NATIONAL ACADEMY OF CERTIFIED CARE MANAGERS Content Domains and Care Manager Tasks The Care Manager Certification examination questions contain content from the following domains. The approximate percentage

More information

Documenting and Reporting

Documenting and Reporting Duty: Communicate Client Information to Authorized Persons Task : E.01 Report abuse of client E.02 Report client s unusual behavior E.03 Complete incident report E.05 Respond to authorized persons request

More information

PO Box 350 Willimantic, Connecticut (860) Connecticut Ave, NW Suite 709 Washington, DC (202)

PO Box 350 Willimantic, Connecticut (860) Connecticut Ave, NW Suite 709 Washington, DC (202) PO Box 350 Willimantic, Connecticut 06226 (860)456-7790 1025 Connecticut Ave, NW Suite 709 Washington, DC 20036 (202)293-5760 Se habla español Produced under a grant from the Connecticut State Department

More information

Recommended Geropsychiatric Competency Enhancements for Psychiatric Nurse Practitioners

Recommended Geropsychiatric Competency Enhancements for Psychiatric Nurse Practitioners Recommended Geropsychiatric Competency Enhancements for Psychiatric Nurse Practitioners These recommended competency enhancement statements draw attention to the special needs of older adults with mental

More information

1/10/2017. ADVANCE CARE PLANNING in Older Adults. Disclosures. Objectives. I have no financial or conflicts of interest

1/10/2017. ADVANCE CARE PLANNING in Older Adults. Disclosures. Objectives. I have no financial or conflicts of interest ADVANCE CARE PLANNING in Older Adults Kathleen Hodgkins, MSW Ingham County Medical Care Facility Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine January 21, 2017 Disclosures

More information

HealthStream Regulatory Script

HealthStream Regulatory Script HealthStream Regulatory Script Advance Directives Version: [May 2006] Lesson 1: Introduction Lesson 2: Advance Directives Lesson 3: Living Wills Lesson 4: Medical Power of Attorney Lesson 5: Other Advance

More information

PATIENT SERVICES POLICY AND PROCEDURE MANUAL

PATIENT SERVICES POLICY AND PROCEDURE MANUAL SECTION Patient Services Manual Multidiscipline Section NAME Patient Rights and Responsibilities PATIENT SERVICES POLICY AND PROCEDURE MANUAL EFFECTIVE DATE 8-1-11 SUPERSEDES DATE 7-20-10 I. PURPOSE To

More information

(a) Regularly encourage all patients, regardless of age or health status, to:

(a) Regularly encourage all patients, regardless of age or health status, to: CHAPTER 5: OPINIONS ON CARING FOR PATIENTS AT THE END OF LIFE The Opinions in this chapter are offered as ethics guidance for physicians and are not intended to establish standards of clinical practice

More information

Who s Your Agent? Program. Next Steps Tool Kit

Who s Your Agent? Program. Next Steps Tool Kit Who s Your Agent? Program Getting Started Tool Kit Next Steps Tool Kit Next Steps Tool Kit Getting the best possible care that honors your choices is a lifelong journey. You can make a personal health

More information

Caregiver. Caring for the. Tips, Resources and Support for Those Caring for an Elderly Parent or Loved One

Caregiver. Caring for the. Tips, Resources and Support for Those Caring for an Elderly Parent or Loved One Caring for the Caregiver Tips, Resources and Support for Those Caring for an Elderly Parent or Loved One This educational information is proudly provided by Caring for the Caregiver According to the Family

More information

ADULT LONG-TERM CARE SERVICES

ADULT LONG-TERM CARE SERVICES ADULT LONG-TERM CARE SERVICES Long-term care is a broad range of supportive medical, personal, and social services needed by people who are unable to meet their basic living needs for an extended period

More information

*3ADV* Patient Rights & Responsibilities Advanced Directive Page 1 of 2. Patient Rights & Responsibilities. Patient Label

*3ADV* Patient Rights & Responsibilities Advanced Directive Page 1 of 2. Patient Rights & Responsibilities. Patient Label PATIENT RIGHTS Portneuf Medical Center encourages respect for the personal preferences and values of each individual and supports the Rights of each patient and resident of the Center, or their representative

More information

ADMISSION CONSENTS. 1. Yes No Automobile Medical or No Fault insurance due to an accident?

ADMISSION CONSENTS. 1. Yes No Automobile Medical or No Fault insurance due to an accident? Patient Name: I.D. Number: Section A: Identifying Proper Payor ADMISSION CONSENTS Are services provided to you by Hospice reimbursements through health insurance other than Medicare due to one of the following

More information

Patient s Bill of Rights (Revised April 2012)

Patient s Bill of Rights (Revised April 2012) Patient s Bill of Rights (Revised April 2012) TIRR Memorial Hermann recognizes the rights of human beings for independence of expression, decision, and action and will protect these rights of all patients,

More information

Hospice Care for the Person with Cancer

Hospice Care for the Person with Cancer Hospice Care for the Person with Cancer Hospice is a special type of care designed to provide comfort, support and dignity to patients with a lifelimiting or terminal illness. For hospice purposes, a life-limiting

More information

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness Palliative Care Care for Adults With a Progressive, Life-Limiting Illness Summary This quality standard addresses palliative care for people who are living with a serious, life-limiting illness, and for

More information

Delivering Solutions Through Innovation and Partnerships Quality, Innovation and Responsibility Report

Delivering Solutions Through Innovation and Partnerships Quality, Innovation and Responsibility Report Delivering Solutions Through Innovation and Partnerships 2018 Quality, Innovation and Responsibility Report 1 2 Building on a History of Performance and Growth. For more than a decade Kindred at Home has

More information

Chapter 2: Gerontological Nursing Issues

Chapter 2: Gerontological Nursing Issues Link download full: Test Bank for Gerontological Nursing 2nd Edition by Tabloski http://testbankcollection.com/download/test-bank-forgerontological-nursing-2nd-edition-by-tabloski Chapter 2: Gerontological

More information

Patient rights and responsibilities

Patient rights and responsibilities Patient rights and responsibilities (Also: Billing FAQs) Legacy Health Patient Information: Rights/Responsibilities, It s OK to Ask, Billing FAQs 1 Patient rights and responsibilities Your hospital experience

More information

The following are clues for recognizing signs of physical elder abuse. It is not intended to be exhaustive.

The following are clues for recognizing signs of physical elder abuse. It is not intended to be exhaustive. Updated 4/30/17 Recognizing and Reporting Elder Abuse FACT SHEET CANHR is a private, nonprofit 501(c)(3) organization dedicated to improving the quality of care and the quality of life for long term care

More information

Patient Advocate Certification Board. Competencies and Best Practices required for a Board Certified Patient Advocate (BCPA)

Patient Advocate Certification Board. Competencies and Best Practices required for a Board Certified Patient Advocate (BCPA) Patient Advocate Certification Board Competencies and Best Practices required for a Board Certified Patient Advocate (BCPA) Attribution The Patient Advocate Certification Board (PACB) recognizes the importance

More information

To define the process to support decision-making and provide for end of life care for patients with a terminal or an irreversible condition.

To define the process to support decision-making and provide for end of life care for patients with a terminal or an irreversible condition. Page Number: 1 of 14 TITLE: END OF LIFE CARE DECISIONS PURPOSE: To define the process to support decision-making and provide for end of life care for patients with a terminal or an irreversible condition.

More information

End of Life Care To Care is to Dare. Salah Zeineldine, MD FACP American University of Beirut

End of Life Care To Care is to Dare. Salah Zeineldine, MD FACP American University of Beirut End of Life Care To Care is to Dare Salah Zeineldine, MD FACP American University of Beirut The End Points Differentiate between Good Death and Bad Death Recognize the modifiable dimensions in End Of Life

More information

Continued Care. what are my choices? Please Note: Optimize your health CHOICES FOR

Continued Care. what are my choices? Please Note: Optimize your health CHOICES FOR Please Note: Talk to your doctor, case manager or healthcare professional to see if these options are right for you and are covered by your health insurance. CHOICES FOR Continued Care The appropriateness

More information

Choosing Hospice. a consumer s guide

Choosing Hospice. a consumer s guide Choosing Hospice a consumer s guide Table of Contents Introduction...2 Minnesota Network of Hospice & Palliative Care (MNHPC) promotes quality of life in Minnesota communities through education and access

More information

munsonhealthcare.org/acp

munsonhealthcare.org/acp Advance Care Planning Workbook A step-by-step guide for putting your medical wishes in writing. Advance Care Planning Workbook 1 munsonhealthcare.org/acp We never know what may happen on any given day,

More information

Objectives. Definitions 10/9/2018. Bryan Heart Nurses Conference October At the end of this presentation, participants will: Hospice Care

Objectives. Definitions 10/9/2018. Bryan Heart Nurses Conference October At the end of this presentation, participants will: Hospice Care Bryan Heart Nurses Conference October 2018 Objectives At the end of this presentation, participants will: Understand the difference between Palliative Care and hospice care Have a greater understanding

More information

YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE

YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE Communicating Your Health Care Choices In 1990, Congress passed the Patient Self-Determination Introduction Act. It requires

More information

Health & Financial Decisions

Health & Financial Decisions Health & Financial Decisions Legal Tools for Preserving Your Personal Autonomy American Bar Association Commission on Law and Aging There are decisions to be made every day in life... Financial Decisions

More information

ADVANCE DIRECTIVE INFORMATION

ADVANCE DIRECTIVE INFORMATION ADVANCE DIRECTIVE INFORMATION NOTE: This Advance Directive Information and the form Living Will and Durable Power of Attorney for Health Care on the Arkansas Bar Association s website are being provided

More information

11: Advanced Directives

11: Advanced Directives Section 11: Advanced Directives Section Author(s): erosenberg & dkoets Field Guide Section 11: Advanced Directives 1 Section 11: Advanced Directives 2 Section 11: Advanced Directives Field Guide Section

More information

Building a Person-Centered ADVANCE CARE Planning Program. Barbara J. Smith, LBSW, MS, CHC, NHA Carolyn Stramecki, MHSA, CPHQ

Building a Person-Centered ADVANCE CARE Planning Program. Barbara J. Smith, LBSW, MS, CHC, NHA Carolyn Stramecki, MHSA, CPHQ Building a Person-Centered ADVANCE CARE Planning Program Barbara J. Smith, LBSW, MS, CHC, NHA Carolyn Stramecki, MHSA, CPHQ Objectives Describe components of an advance directive document required to meet

More information

Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee

Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee What is Advance Care Planning (ACP)? Understanding/clarifying

More information

Medical Jurisprudence

Medical Jurisprudence Medical Jurisprudence Richard M. Watson, D.O.! Family Medicine Residency Program Director! Lankenau Medical Center! Last Updated: 1/17/16! Medical Jurisprudence Definition: The branch of the law that deals

More information

2017 IHCA Annual Convention

2017 IHCA Annual Convention 2017 IHCA Annual Convention Rick Bassett, MSN, RN, APRN, ACNS-BC,CCRN Adult Critical Care CNS David J. Wilson, J.D., LLM, CELA Elder Law Attorney End of Life Nutrition, Hydration and other Considerations

More information

A GUIDE TO HOSPICE SERVICES

A GUIDE TO HOSPICE SERVICES A GUIDE TO HOSPICE SERVICES PURPOSE: Minnesota Rules 4664.0140, subpart 1 states: "Every individual applicant for a license, and every person who provides direct care, supervision of direct care, or management

More information

Common Questions Asked by Patients Seeking Hospice Care

Common Questions Asked by Patients Seeking Hospice Care Common Questions Asked by Patients Seeking Hospice Care C o m i n g t o t e r m s w i t h the fact that a loved one may need hospice care to manage his or her pain and get additional social and psychological

More information

Ethical Issues: advance directives, nutrition and life support

Ethical Issues: advance directives, nutrition and life support Ethical Issues: advance directives, nutrition and life support December 12, 2013 2013 LegalHealth Objectives Discuss parameters of consent for medical treatment and legal issues that arise Provide overview

More information

Payment Reforms to Improve Care for Patients with Serious Illness

Payment Reforms to Improve Care for Patients with Serious Illness Payment Reforms to Improve Care for Patients with Serious Illness Discussion Draft March 2017 Payment Reforms to Improve Care for Patients with Serious Illness Page 2 PAYMENT REFORMS TO IMPROVE CARE FOR

More information

Educational Goals & Objectives

Educational Goals & Objectives Educational Goals & Objectives Primary care physicians are involved with patients over the course of their lives. Many of these patients will develop serious and/or life-threatening illnesses that affect

More information

National Multiple Sclerosis Society

National Multiple Sclerosis Society National Multiple Sclerosis Society National 1 Kim, National diagnosed MS in Society 2000 > HEALTH CARE REFORM PRINCIPLES America s health care crisis prevents many people with multiple sclerosis from

More information

CASE STUDIES. Module 1 Introduction to Palliative Nursing Care. ELNEC- For Veterans END-OF-LIFE NURSING EDUCATION CONSORTIUM

CASE STUDIES. Module 1 Introduction to Palliative Nursing Care. ELNEC- For Veterans END-OF-LIFE NURSING EDUCATION CONSORTIUM ELNEC- For Veterans END-OF-LIFE NURSING EDUCATION CONSORTIUM Palliative Care For Veterans Module 1 Introduction to Palliative Nursing Care CASE STUDIES : Introduction to Palliative Nursing Care Module

More information

MEDICAL JURISPRUDENCE

MEDICAL JURISPRUDENCE ! MEDICAL JURISPRUDENCE Peter Bidey, DO, MSEd! Family Medicine Residency Program Director! Suburban Community Hospital! Adapted from Lecture-! Richard M. Watson, DO! Family Medicine Residency Program Director!

More information

LOS ANGELES DEPARTMENT OF AGING (LADOA) OFFICIAL CONFLICT OF INTEREST CODE SCHEDULE "A" - DESIGNATED POSITIONS

LOS ANGELES DEPARTMENT OF AGING (LADOA) OFFICIAL CONFLICT OF INTEREST CODE SCHEDULE A - DESIGNATED POSITIONS LOS ANGELES DEPARTMENT OF AGING (LADOA) OFFICIAL CONFLICT OF INTEREST CODE SCHEDULE "A" - DESIGNATED POSITIONS CLASSIFICATION DISCLOSURE CATEGORY General Manager 1 Assistant General Manager 1 Senior Management

More information

P: Palliative Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141

P: Palliative Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141 P: Palliative Care College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141 Competency: P-1 Palliative Principles and Values P-1-1 P-1-2 P-1-3 Demonstrate knowledge and

More information

The Palliative Care Program MISSION STATEMENT

The Palliative Care Program MISSION STATEMENT The Palliative Care Program MISSION STATEMENT believes in providing compassionate, comprehensive, multidisciplinary care to residents living with a life threatening illness and their families to relieve

More information

Advance Care Planning - A benefit for you and your family

Advance Care Planning - A benefit for you and your family Advance Care Planning - A benefit for you and your family Objectives Identify what good care looks like Introduce concepts of advance care planning Take action with your personal plan What is Whole Person

More information

Goals & Objectives 4/17/2014 UNDERSTANDING ADVANCE HEALTH CARE DIRECTIVES (AHCD) By Maureen Kroning, EdD, RN. Why would someone need to do this?

Goals & Objectives 4/17/2014 UNDERSTANDING ADVANCE HEALTH CARE DIRECTIVES (AHCD) By Maureen Kroning, EdD, RN. Why would someone need to do this? UNDERSTANDING ADVANCE HEALTH CARE DIRECTIVES (AHCD) By Maureen Kroning, EdD, RN Goals & Objectives Participants will increase their knowledge about AHCD Review AHCD documents used at the hospital Role

More information

THE PAIN TREATMENT CENTER, INC. d/b/a STONE ROAD SURGERY CENTER

THE PAIN TREATMENT CENTER, INC. d/b/a STONE ROAD SURGERY CENTER THE PAIN TREATMENT CENTER, INC. d/b/a STONE ROAD SURGERY CENTER PATIENT INFORMATION GUIDE 280 Pasadena Drive Lexington, Kentucky 40503 (859) 278-1316 Visit us on the Web at www.pain-ptc.com Dear Patients

More information

Palliative Care Competencies for Occupational Therapists

Palliative Care Competencies for Occupational Therapists Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive

More information

Minnesota Health Care Directive Planning Toolkit

Minnesota Health Care Directive Planning Toolkit Minnesota Health Care Directive Planning Toolkit This planning toolkit contains information to help you: Plan Ahead Understand Common Terms Know the Facts Complete a Health Care Directive: Step-by-Step

More information

Ethical and Legal Issues

Ethical and Legal Issues 8 2 Ethical and Legal Issues 1. Define important words in this chapter 2. Define the terms law, ethics, and etiquette 3. Discuss examples of ethical and professional behavior 4. Describe a nursing assistant

More information

The Hospice Option. Hospice: A Way station for weary travellers

The Hospice Option. Hospice: A Way station for weary travellers The Hospice Option Hospice: A Way station for weary travellers Hospice is a philosophy that has become a reality. Hospice is appropriate for anyone with a life limiting condition, having and approximate

More information

MONTANA STATE UNIVERSITY COLLEGE OF NURSING Master Resource Outline

MONTANA STATE UNIVERSITY COLLEGE OF NURSING Master Resource Outline N330: Nursing Care of the Aging Adult Credits: 3 Lecture Semesters Offered: F, S Prerequisites: N215, N228, N229 or RN Status MONTANA STATE UNIVERSITY COLLEGE OF NURSING Master Resource Outline Course

More information

Advance Care Planning (ACP) and the National Advance Care Planning Cooperative

Advance Care Planning (ACP) and the National Advance Care Planning Cooperative Advance Care Planning (ACP) and the National Advance Care Planning Cooperative Kate Grundy 2012 Format What is advance care planning? Why is it important? What does it involve? The National ACP Cooperative

More information

Quality Standards and Practice Principles for Senior Care Pharmacists

Quality Standards and Practice Principles for Senior Care Pharmacists Quality Standards and for Senior Care Pharmacists Preamble The purpose of this document is to complement the current practice and professional standards of the American Society of Consultant Pharmacists

More information

The Purpose of this Code of Conduct

The Purpose of this Code of Conduct The Purpose of this Code of Conduct This Code of Conduct provides a framework to guide us in meeting our obligations as employees and volunteers of HPC Healthcare, Inc., and its current and future affiliates,

More information

Deciding About. Health Care A GUIDE FOR PATIENTS AND FAMILIES. New York State Department of Health

Deciding About. Health Care A GUIDE FOR PATIENTS AND FAMILIES. New York State Department of Health Deciding About Health Care A GUIDE FOR PATIENTS AND FAMILIES New York State Department of Health 2 Introduction Who should read this guide? This guide is for New York State patients and for those who will

More information

Rule definitions OAR (d) OAR (a)

Rule definitions OAR (d) OAR (a) Rule definitions OAR 411-020-002 (d) OAR 411-020-002 (a) Statute Definitions ORS 124.050 (b) ORS 124.050 (c) ORS 163.200-205 Application Neglect and Abandonment Neglect means the failure (whether intentional,

More information

HOSPICE IN MINNESOTA: A RURAL PROFILE

HOSPICE IN MINNESOTA: A RURAL PROFILE JUNE 2003 HOSPICE IN MINNESOTA: A RURAL PROFILE Background Numerous national polls have found that when asked, most people would prefer to die in their own homes. 1 Contrary to these wishes, 75 percent

More information

Measure #47 (NQF 0326): Care Plan National Quality Strategy Domain: Communication and Care Coordination

Measure #47 (NQF 0326): Care Plan National Quality Strategy Domain: Communication and Care Coordination Measure #47 (NQF 0326): Care Plan National Quality Strategy Domain: Communication and Care Coordination 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Process DESCRIPTION: Percentage

More information

Medical Legal Review Elizabeth Petsche, JD

Medical Legal Review Elizabeth Petsche, JD Medical Legal Review Elizabeth Petsche, JD The Phrase It Depends Doesn t Apply Today Elizabeth Petsche, J.D. petschee@msu.edu An Overview Law General Concepts Liability Key Statutes An Overview Law General

More information

Unit 301 Understand how to provide support when working in end of life care Supporting information

Unit 301 Understand how to provide support when working in end of life care Supporting information Unit 301 Understand how to provide support when working in end of life care Supporting information Guidance This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment

More information

Palliative Care Needs Assessment

Palliative Care Needs Assessment Palliative Care Needs Assessment 1. Please choose your position: Staff Nurse 51.8% 100 Nurse Manager 7.8% 15 Advanced Practice Nurse/Nurse Educator 7.8% 15 Nursing Assistant/Patient Care Tech 13.0% 25

More information

MASSACHUSETTS Advance Directive Planning for Important Healthcare Decisions

MASSACHUSETTS Advance Directive Planning for Important Healthcare Decisions MASSACHUSETTS Advance Directive Planning for Important Healthcare Decisions Caring Connections 1700 Diagonal Road, Suite 625, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a

More information

surveys where they had experience in long-term care and end of life management.

surveys where they had experience in long-term care and end of life management. SURVEY PROCESS Available data suggests little interaction between the long-term care industry and the criminal justice system. Surveys of long-term care workforce suggest substantial rates of witnessed

More information

Documentation. The learner will be able to :

Documentation. The learner will be able to : Functional Decline in Hospice Assessment, Intervention, & Objectives The learner will be able to : Assess functional decline utilizing appropriate evidence based tools Document functional indicators and

More information

ELDER MEDICAL CARE. Elder Medical. Counseling & Support. Hospice. Care. Care

ELDER MEDICAL CARE. Elder Medical. Counseling & Support. Hospice. Care. Care ELDER MEDICAL CARE Counseling & Support Elder Medical Care Hospice Care Mission To provide counseling, support and care to anyone with a serious illness, so they may live life to the fullest. Vision We

More information

Advance Directives at Lawrence Memorial Hospital. Comfort, Support & Care

Advance Directives at Lawrence Memorial Hospital. Comfort, Support & Care Advance Directives at Lawrence Memorial Hospital Comfort, Support & Care Advance Directives Contact Information Care Coordination Lawrence Memorial Hospital 325 Maine Street Lawrence, KS 66044 785-505-6149

More information

Patient Rights and Responsibilities: Working Together to Ensure Remarkable Care EXPANDED VERSION

Patient Rights and Responsibilities: Working Together to Ensure Remarkable Care EXPANDED VERSION Patient Rights and Responsibilities: Working Together to Ensure Remarkable Care EXPANDED VERSION St. Joe s is committed to providing compassionate and respectful care. Your health care team will: Care

More information

WITHHOLDING AND WITHDRAWING OF LIFE-SUSTAINING MEDICAL INTERVENTION

WITHHOLDING AND WITHDRAWING OF LIFE-SUSTAINING MEDICAL INTERVENTION Children's Hospital and Regional Medical Center (Administrative Policy/Procedure:RI) WITHHOLDING AND WITHDRAWING OF LIFE-SUSTAINING MEDICAL INTERVENTION POLICY: The decision to withdraw or withhold life-sustaining

More information

Moral Conversations with ICU Patients and Families

Moral Conversations with ICU Patients and Families Moral Conversations with ICU Patients and Families Barb Supanich,RSM, MD,FAAHPM Medical Director, Palliative Care and Senior Services Holy Cross Hospital March 11, 2010 Learner Objectives Describe three

More information

Appendix: Assessments from Coping with Cancer

Appendix: Assessments from Coping with Cancer Appendix: Assessments from Coping with Cancer Primary Independent Variable of Interest (assessed at baseline with medical chart review and confirmed with clinician) 1. What treatments is the patient currently

More information

PALLIATIVE SEDATION. AN ETHICAL APPRAISAL Chris GASTMANS KU Leuven - Belgium

PALLIATIVE SEDATION. AN ETHICAL APPRAISAL Chris GASTMANS KU Leuven - Belgium PALLIATIVE SEDATION AN ETHICAL APPRAISAL Chris GASTMANS KU Leuven - Belgium INTRODUCTION More attention for a humane end of life Great progress in pain and symptom control However, some patients experience

More information

A Care Plan Guide. (Simple Steps To Caring For Your Loved Ones)

A Care Plan Guide. (Simple Steps To Caring For Your Loved Ones) A Care Plan Guide (Simple Steps To Caring For Your Loved Ones) The personal journey as a caretaker can be very rewarding yet overwhelming at times. When we are instantly put into a situation of caring

More information

Hospice Care for anyone considering hospice

Hospice Care for anyone considering hospice A decision aid for Care for anyone considering hospice You or a loved one have been diagnosed with a serious illness that might not be curable. Many people find this scary or confusing. Some people feel

More information

HOSPICE INFORMED CONSENT

HOSPICE INFORMED CONSENT HOSPICE INFORMED CONSENT INSTRUCTIONS: This form is used to acknowledge receipt of our orientation booklet and confirm your understanding and agreement with its contents. Your signature below indicates

More information

MAKING YOUR WISHES KNOWN: Advance Care Planning Guide

MAKING YOUR WISHES KNOWN: Advance Care Planning Guide MAKING YOUR WISHES KNOWN: Advance Care Planning Guide ADVANCE CARE PLANNING The process of learning about the type of medical decisions that may need to be made, considering those decisions ahead of time

More information

National Standards Assessment Program. Quality Report

National Standards Assessment Program. Quality Report National Standards Assessment Program Quality Report - March 2016 1 His Excellency General the Honourable Sir Peter Cosgrove AK MC (Retd), Governor-General of the Commonwealth of Australia, Patron Palliative

More information

Advance Care Planning. Ken Brummel-Smith, MD Charlotte Edwards Maguire Professor of Geriatrics FSU College of Medicine

Advance Care Planning. Ken Brummel-Smith, MD Charlotte Edwards Maguire Professor of Geriatrics FSU College of Medicine Advance Care Planning Ken Brummel-Smith, MD Charlotte Edwards Maguire Professor of Geriatrics FSU College of Medicine 1 Principles of Ethics Autonomy/Respect for Persons Beneficence Non- maleficence Justice

More information

Presented by. Elaine Poker-Yount Visiting Angels East Valley

Presented by. Elaine Poker-Yount Visiting Angels East Valley Presented by Elaine Poker-Yount Visiting Angels East Valley WHY I AM HERE TODAY. Top 10 List La la la. I m not listening I don t want to.. Role adjustment? Role reversal? Recognition Anticipation Homework

More information

Caring for Patients with Cancer

Caring for Patients with Cancer Caring for Patients with Cancer Quality of life in health care refers to a person s emotional, social and physical well being (Berger, Shuster& Roenn, 2006). Most diseases lower the quality of life as

More information

10/3/2016 PALLIATIVE CARE WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION. What, Who, Where and When

10/3/2016 PALLIATIVE CARE WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION. What, Who, Where and When PALLIATIVE CARE What, Who, Where and When Mary Grant, RN, MS ANP Connections Nurse Practitioner Palliative Care Program Oregon Region WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION The Center for

More information

TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE

TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE ...from the Middle Ages to the 21st Century TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE Emily Bradford RN CHPN Director of Hospice Services VNA Middle Ages: 16th-18th Centuries: Religious

More information

End of life treatment and care: good practice in decision-making

End of life treatment and care: good practice in decision-making Ref: 3809 End of life treatment and care: good practice in decision-making A draft for consultation July 2009 All rights reserved. Third parties may only reproduce this paper or parts of it for academic,

More information

Making Your Wishes Known With the Help of the Five Wishes Document

Making Your Wishes Known With the Help of the Five Wishes Document Making Your Wishes Known With the Help of the Five Wishes Document Lora Rhodes, MSW, LSW Oncology Social Worker Department of Medical Oncology LBBC: Annual Conference for Women living with Metastatic Breast

More information

Personal Support Worker

Personal Support Worker PROGRAM OBJECTIVES The Personal Support Worker program prepares students to deliver appropriate short or longterm care assistance and support services in either a long-term care facility, acute care facility,

More information

Qualification details

Qualification details Outcome Statement Qualification details Title New Zealand Certificate in Acute Health Care Support (Level 4) Version 1 Qualification type Certificate Level 4 120 NZSCED 090511 Society and Culture > Human

More information

Hospital Administration Manual

Hospital Administration Manual PATIENT RIGHTS POLICY Hospital Administration Manual Effective Date: PC-33 HAM 5/1/2017 PURPOSE At the Milton S. Hershey Medical Center (MSHMC), our goal is to provide excellent health care to every patient.

More information

ABOUT THE ADVANCE DIRECTIVE FOR RECEIVING ORAL FOOD AND FLUIDS IN DEMENTIA. Introduction

ABOUT THE ADVANCE DIRECTIVE FOR RECEIVING ORAL FOOD AND FLUIDS IN DEMENTIA. Introduction ABOUT THE ADVANCE DIRECTIVE FOR RECEIVING ORAL FOOD AND FLUIDS IN DEMENTIA Introduction There are two purposes to completing an Advance Directive for Receiving Oral Food and Fluids In Dementia. The first

More information

483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research

483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research 483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research (F155) Surveyor Training of Trainers: Interpretive Guidance Investigative Protocol Federal Regulatory Language

More information

Supportive Care Consultation

Supportive Care Consultation WVUH Ethics Committee & Ethics Consultation Supportive Care Consultation Carl Grey, MD Outline/ Objectives Provide an example of ethics consultation Recognize the most common reasons for ethics consultation

More information

Advance Care Planning and Goals of Care

Advance Care Planning and Goals of Care Advance Care Planning and Goals of Care A Guide For Patients with A Serious Illness and Their Families Nova Scotia Edition www.nshpca.ca Receiving a diagnosis of a serious illness can be life altering.

More information

Adult Abuse, Neglect and Exploitation. What you need to know

Adult Abuse, Neglect and Exploitation. What you need to know Adult Abuse, Neglect and Exploitation What you need to know Let Me Introduce you to Andy O Andy is an older gentleman who was incredibly successful in his chosen career. O Andy made a lot of money. O When

More information

End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces.

End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces. End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces. Terms Definitions End of Life Care To assist persons who

More information

Advance Directives The Missing Conversation Why Our Patients Children Are Left Holding The Bag. End of Life Planning Barriers 10/7/2014

Advance Directives The Missing Conversation Why Our Patients Children Are Left Holding The Bag. End of Life Planning Barriers 10/7/2014 Advance Directives The Missing Conversation Why Our Patients Children Are Left Holding The Bag SC Chapter American College of Physicians October 29, 2014 Sewell I. Kahn, MD FACP End of Life Planning Barriers

More information

UW MEDICINE PATIENT EDUCATION. Coping During Treatment How to handle anxiety and depression DRAFT

UW MEDICINE PATIENT EDUCATION. Coping During Treatment How to handle anxiety and depression DRAFT UW MEDICINE PATIENT EDUCATION Coping During Treatment How to handle anxiety and depression This handout explains anxiety and depression, both of which are common responses to the stress of having treatment

More information

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008 End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November

More information

~ Idaho. Durable Power of Attorney for Health Care Christian Version NOTICE TO PERSON MAKING THIS DOCUMENT

~ Idaho. Durable Power of Attorney for Health Care Christian Version NOTICE TO PERSON MAKING THIS DOCUMENT ~ Idaho ~ Durable Power of Attorney for Health Care Christian Version NOTICE TO PERSON MAKING THIS DOCUMENT You have the right to make decisions about your health care. No health care may be given to you

More information

~ Colorado. Medical Durable Power of Attorney for Healthcare Decisions Christian Version NOTICE TO PERSON MAKING THIS DOCUMENT

~ Colorado. Medical Durable Power of Attorney for Healthcare Decisions Christian Version NOTICE TO PERSON MAKING THIS DOCUMENT ~ Colorado ~ Medical Durable Power of Attorney for Healthcare Decisions Christian Version NOTICE TO PERSON MAKING THIS DOCUMENT You have the right to make decisions about your health care. No health care

More information