Case Study: Chronic Care and End of Life II. Glenise McKenzie
|
|
- Lesley Baldwin
- 5 years ago
- Views:
Transcription
1 Case Study: Chronic Care and End of Life II Glenise McKenzie 2010
2 Focus for this case: Application of an Ethical Decision-Making Model (with cultural considerations) Your assignment has two sections for a total of 50 Points: Copy of the Jonsen Ethical Decision-Making Model (pdf file below). Also in box format attached at the end of the case study. Part 1. Apply the questions within the four quadrants of the Jonsen Ethical Decision- Making Model to the case study that is attached (Ellen and George). a. Write a brief and concise synthesis of your findings in relation to each of the four ethical areas as presented in this case. Include consideration of each of the four ethical areas (quadrants): Medical Considerations (include list of care options) 5 Points Patient Preferences 5 Points Quality of Life 5 Points Contextual Features 5 Points (worth 20 out of total 25 Points). b. Reflect on your beliefs about dementia and end of life decision making. What are your reactions to this case scenario? Include your thoughts on how your beliefs might impact your practice as a nurse caring for older adults and their families. (worth 5 of the total 25 points) Part 1 = Possible Points = 25 2
3 Part 2: What if the family in the story was of a different cultural background? 1. Pick one of the following cultural groups (assume that George and Ellen are both from the same cultural group and that both have strong ties with this cultural group) a. Mexican American b. Native American c. Vietnamese d. Black/ African American 2. Explore the health beliefs, religious backgrounds, treatment preferences and EOL care preferences for this cultural group (utilize references supplied at the end of this assignment for help in locating this information). 3. Address the following (based on the cultural background you chose): a. Identify additional ethical considerations for decision making (look back at the four quadrants and related questions) that you will need to explore with a family with this cultural background 10 Points b. Discuss how you would modify a plan of care to provide culturally relevant care for a family with this cultural background who were facing the same issues as George and Ellen (dementia care planning and end of life decisions)? (i.e. apply what you learned about this cultural group to how you would approach the issues presented in the case scenario) 15 Points Part 2 - MAXIMUM length 2 pages single spaced 12 Font. Part 2 = Possible Points = 25 **TOTAL OF 3 single-spaced (12 Font) pages to cover both questions Part 1 + Part 2 = Total of 50 Possible Points. 3
4 Helpful resources for this assignment: Part 1: End of Life: An Ethical Overview - Pages Decision Making in Older Adults with Dementia (Review from Chronic I) From your theory reading assignments available on SAKAI Forbes, S. Bern-Klug, M., Gessert, C. (2000). "End-of-life decision making for nursing home residents with dementia." Journal of Nursing Scholarship, 32(3), pp Harvath, T., et al., (2006). "Dilemmas encountered by hospice workers when patients wish to hasten death, Journal of Hospice and Palliative Nursing Vol.8(4), pp Schwarz (2009). Stopping Eating and Drinking. AJN Vol. 109, No. 9. [Download.pdf] Framework for Ethical Decision-Making based on Jonsen s Model The Framework for Ethical Decision- is a process which facilitates a systematic and thorough examination of a situation. It encourages the incorporation of new or additional information as it is introduced to the review. This activity is reflected in the circular nature of the framework. Copy of the framework (pdf file below). Also in box format attached to case study. The four boxes surrounding the framework contain questions that will assist in constructing a summary of the facts that must be considered when carrying out an ethical analysis. They are intended to facilitate understanding of the ethical complexities around decision-making in primarily clinical situations. Part II: Resources Culturally Sensitive Dementia Care (pdf): Specific information by ethnicity is included: Stanford site: - Find the ETHNIC SPECIFIC MODULES (listed on left side of website) that address populations of interest to you and consider how this information can be of use to you in your practice settings (and for this assignment!). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (2002, 782 pp.) Brian D. Smedley, Adrienne Y. Stith, and Alan R. Nelson, Editors, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care (reference the specific mental health section pgs) ETHNOGERIATRICS AND CULTURAL COMPETENCE FOR NURSING PRACTICE by Helen McBride, PhD, RN. Available at: practice/want_to_know_more 4
5 George and Ellen Protagonist: Shawna Williams is a 47-year-old woman who has been a nursing home nurse for many years. She is very compassionate. She lives 6 hours away from own parents. Her mother is caring for her father who has dementia that has progressed to an advanced stage. As she heads into work on the evening shift she feels a sense of guilt that she cannot do the same care for her own parents that she does for the nursing home residents. She pauses to reflect on her own feelings and beliefs about the care of older adults with dementia. Client Data and History: The Jones family consists of Ellen and George Jones who have been married for fifty-seven years. They have two children, Steve (56) and Patty 54). Mrs. Jones is an 85-year-old woman with an 11-year history of dementia of the Alzheimer s type. Over the past year, her physical and mental conditions have deteriorated. She is no longer able to participate in conversations with George or their children. She calls out for her husband, George, but doesn t always recognize him when he responds. She no longer recognizes her children, who find this change devastating. Ellen needs assistance with bathing and dressing and ambulates hesitantly. At times, she resists care, slapping George s hands when he tries to help her to the bathroom. She has lost some weight lately and frequently refuses to open her mouth when George tries to encourage her to eat, though she willingly accepts ice cream and other sweet treats. Mr. Jones is an 86-year-old man who is his wife s primary caregiver. He does all the household work, inside and out, takes care of the bill paying, laundry, shopping and meals. He has some chronic health problems, including hypertension, hearing loss, and urinary incontinence that has persisted since his TURP 1 year ago. Their son Steve lives in another state. He cares very deeply for his parents and calls frequently to check in with them. Steve is gay and is in a committed relationship, and is employed as an aeronautical engineer. Patty lives nearby. She is a middle school teacher with two adult children. She went through a difficult divorce about 9 months ago. She is also going through menopause, does not sleep well at night, and has frequent headaches. She is being treated for depression. She is very concerned about her parents and does as much as she can for them. 5
6 Narrative: Ellen has been recently admitted to a skilled nursing facility following a hospitalization for an episode of aspiration pneumonia. This is the second time in 4 months that she has developed aspiration pneumonia and each episode has left her weaker and unable to recover to her prior functional level. The barium swallow showed that Ellen is a silent aspirator. While in the hospital, Ellen had a j-tube placed for enteral feedings because of her aspiration risk and weight loss and was made NPO. Although George was reluctant to go along with this because he knows how much pleasure Ellen gets from eating her favorite foods, he agreed because of his concerns about her risks for another bout of aspiration pneumonia. However, when George was asked about a code status for Ellen, he became very upset and stated that the doctors were being cold and calloused. While he agreed that he didn t want to put Ellen through the rigors of invasive procedures, he kept repeating that he needed to do everything possible to help Ellen. George hopes that he will be able to bring Ellen home after a brief period of recuperation. In the shift report, Shawna learns about this new admission. She is told that George is nervous and that he is very picky about the care that Ellen is receiving. The C.N.A. on the day shift had to stop him from giving Ellen a drink of water because she is NPO. Shawna arrives to find a very harried and hassled George. He had tried to settle Ellen into bed with a cookie, but the aide had said she couldn t have it. Ellen had become quite upset when the cookie had been taken away and hit George the first time that has ever happened. George starts to cry as he relates this story. He admits that he feels overwhelmed with the situation and that he finds himself praying to God to take both of them. He feels very guilty that he consented to the j-tube placement. He admits that he didn t understand that Ellen would be NPO for the rest of her life; he thought it was just while she had pneumonia. He also feels terrible that he is not able to care for Ellen at home, stating he had promised her he would never put her in a nursing home. He says he is interested in physician assisted suicide for Ellen, stating that she had never wanted to end up like this. He wants Shawna s help in putting her out of her misery. 6
7 Medical Indications Jonsen Four Topics Model for Clinical Ethics Patient Preferences The Principle of Respect for Autonomy The Principles of Beneficence and Nonmaleficence 1. What is the patient s medical problem? History? Diagnosis? Prognosis? 2. Is the problem acute? Chronic? Critical? Emergent? Reversible? 3. What are the goals of treatment? 4. What are the probabilities of success? 5. What are the plans in case of therapeutic failure? 6. In sum, what care options are appropriate for this person and what are the benefits and potential harm related to each option? Quality of Life The Principles of Beneficence and Nonmaleficence and Respect for Autonomy 1. What are the prospects, with our without treatment for a return to normal life? 2. What physical, mental, and social deficits is the patient likely to experience if treatment succeeds? 3. Are there biases that might prejudice the provider s evaluation of the patient s quality of life? 4. Is the patient s present or future condition such that his or her continued life might be judged undesirable? 5. Is there any plan and rationale to forgo treatment? 6. Are there plans for comfort and palliative care? 1. Is the patient mentally capable and legally competent? Is there evidence of incapacity? 2. If competent, what is the patient stating about preferences for treatment? 3. Has the patient been informed of benefits and risks, understood this information and given consent? 4. If incapacitated, who is the appropriate surrogate? Is the surrogate using appropriate standards for decision making? 5. Has the patient expressed prior preferences (e.g., Advance Directives)? 6. Is the patient unwilling or unable to cooperate with medical treatment? If so why? 7. In sum, is the patient s right to choose being respected to the extent possible in ethics and law? Contextual Features The Principles of Loyalty and Fairness 1. Are there family issues that might influence treatment decisions? 2. Are their provider (physicians and nurses) issues that might influence treatment decisions? 3. Are there financial and economic factors? 4. Are there religious or cultural factors? 5. Are there limits on confidentiality? 6. Are there problems of allocation of resources? 7. How does the law affect treatment decisions? 8. Is clinical research or teaching involved? 9. Is there any conflict of interest on the part of the providers or the institution? Jonsen, A.R., Siegler, M. & Winslade, W.J. (2006). Clinical ethics: A practical approach to ethical decisions in clinical medicine. New York: McGraw-Hill. 7
THE ETHICS CONSULT PROCESS
THE ETHICS CONSULT PROCESS L. Anderson-Shaw, DrPH, MA, MSN Director, UIC Clinical Ethics Consult Service 1 Six steps in the analysis of ethical problems and resolution- lots of information, partial facts,
More informationSECTION II CRITICAL THINKING FOR RESPIRATORY CARE PRACTITIONERS
SECTION II CRITICAL THINKING FOR RESPIRATORY CARE PRACTITIONERS Thinking is the hardest work there is, which is probably the reason why so few engage in it. Henry Ford 14 Critical thinking refers to a
More informationEthics Committee Overview Bioethics Case Studies. Francie H. Ekengren, MD Chief Medical Officer / Ethics Committee Chair Wesley Healthcare
Ethics Committee Overview Bioethics Case Studies Francie H. Ekengren, MD Chief Medical Officer / Ethics Committee Chair Wesley Healthcare Objectives Understand what an Ethics Committee is, who is on the
More informationAutonomy, Paternalism and the Limits of Staff Responsibility
Autonomy, Paternalism and the Limits of Staff Responsibility Wisconsin FOCUS November 16, 2017 Michael A. Gillette, Ph.D. (434) 384-5322 mgillette@bsvinc.com http://www.bsvinc.com Family Control I Want
More informationPersonal 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 informationResident Rights Bingo Activity Long-Term Care Learning Activity
Item Objective: Materials Needed: Total Time for Activity: Prior to Class: Description Surveyor will identify the resident right used in the scenario, as identified in the Long-Term Care (LTC) requirements.
More informationAdvance Directive for Health Care
Advance Directive for Health Care respecting your right to: Choose Your Healthcare Agent Choose the Authority Given to Your Healthcare Agent Choose Your Preferences Related to Treatment & Care Printed
More informationReligious and Spiritual Perspectives among Clients in a Mental Health Day Care Setting
Religious and Spiritual Perspectives among Clients in a Mental Health Day Care Setting Anne E. Belcher, PhD, RN, AOCN, CNE, ANEF, FAAN The Johns Hopkins University School of Nursing Background Observations
More informationHospice Care For Dementia and Alzheimers Patients
Hospice Care For Dementia and Alzheimers Patients Facing the end of life (as it has been known), is a very individual experience. The physical ailments are also experienced uniquely, even though the conditions
More informationThe POLST Conversation POLST Script
The POLST Conversation POLST Script The POLST Script provides detailed information in order to develop comfort and competence when facilitating a POLST conversation. The POLST conversation utilizes realistic
More informationWhat would you like to accomplish in the process of advance care planning and/or in completing a health care directive?
Completing a health care directive is an important step in making sure your loved ones and health care providers understand your values and choices for health care treatment if you are not able to speak
More informationHome Alone: Family Caregivers Providing Complex Chronic Care
Home Alone: Family Caregivers Providing Complex Chronic Care Title text here Susan Reinhard, RN, PhD AARP Public Policy Institute Katz Policy Lecture Benjamin Rose Institute on Aging September 28, 2012
More informationArnold Mackles, MD, MBA, LHRM
By Arnold Mackles, MD, MBA, LHRM The Sullivan Group - Author of on line CME courses - Volunteer member of Advisory Board Innovative Healthcare Compliance Group, Inc. - CME speaker - Consultant I will
More informationPsychological issues in nutrition and hydration towards End of Life
Psychological issues in nutrition and hydration towards End of Life Dr Sylvia Puchalska, Clinical Psychologist Raisin exercise Why do people eat and drink? What does it MEAN to them? What are some of the
More informationRespecting Patient Choices: Advance Care Planning to Improve Patient Care at Austin Health
Respecting Patient Choices: Advance Care Planning to Improve Patient Care at Austin Health Meagan-Jane Lee, Melodie Heland, Panayiota Romios, Charin Naksook and William Silvester Medical science has the
More informationHere are some tips related to preparation, execution, and evaluation of role plays:
Module 4 Figure 13: Tips for Using Role Play Exercises Role playing can provide a beneficial educational exercise by allowing persons the opportunity to practice communication skills and techniques in
More informationWhat are ADLs and IADLs?
What are ADLs and IADLs? Introduction: In this module you will learn about ways you can help a consumer with everyday activities while supporting his/her independence and helping the consumer keep a sense
More informationIs It Time for In-Home Care?
STEP-BY-STEP GUIDE Is It Time for In-Home Care? Helping Your Loved Ones Maintain Their Independence and Quality of Life 2015 CK Franchising, Inc. Welcome to the Comfort Keepers Guide to In-Home Care Introduction
More informationEthical Challenges in Advance Care Planning
Ethical Challenges in Advance Care Planning June 2014 Citation: National Ethics Advisory Committee. 2014. Ethical Challenges in Advance Care Planning. Wellington: Ministry of Health. Published in June
More informationE-Learning Module B: Assessment
E-Learning Module B: Assessment This module requires the learner to have read chapter 3 of the CAPCE Program Guide and the other required readings associated with the topic. See the CAPCE Program Guide
More informationNational Patient Experience Survey South Tipperary General Hospital.
National Patient Experience Survey 2017 South Tipperary General Hospital /NPESurvey @NPESurvey Thank you! Thank you to the people who participated in the National Patient Experience Survey 2017, and to
More informationDeciding 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 informationCultural and Spiritual Considerations in End-of-Life Care. Case Example. How Culture Influences Death 8/20/2013
E L N E C End-of-Life Nursing Education Consortium Module 5: and Spiritual Considerations in End-of-Life Care Case Example A new nurse at your institution asks you Why are we catering to Ms. Smith? She
More informationBridging the Gap: Public Health & Faith
Bridging the Gap: Public Health & Faith The National Brain Health Center for African-Americans is a program of The Balm In Gilead Funded By A Cooperative Agreement Of The Centers for Disease Control and
More informationEthics for Rehabilitation Professionals. Eric Gluck MD, FCCP, JD Claudia Ann Morehead PT April 5, 2016
Ethics for Rehabilitation Professionals Eric Gluck MD, FCCP, JD Claudia Ann Morehead PT April 5, 2016 Course Objectives Upon completion of this course participants will be able to: Describe the four major
More informationMAKING 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 informationFour Scenarios for End-of-Life Ethics Worksheet
Four Scenarios for End-of-Life Ethics Worksheet First Scenario Mary Johns is a 50 year old woman who has a profound level of intellectual disability and adaptive skills. She has the co-occurring disability
More informationHPNA Position Statement The Nurse s Role in Advance Care Planning
HPNA Position Statement The Nurse s Role in Advance Care Planning Background Advances in medical technology have empowered healthcare providers across settings with the means to prolong life. Tied to this
More informationMoral 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 informationYour Guide to Advance Directives
Starting Points: Your Guide to Advance Directives Values Statements Healthcare Directives Durable Power of Attorney for Healthcare 1 2 Advances in medicine are helping people to live longer than ever before.
More information7-C THIRD. Cultural Impact with Reflective Journaling
7-C THIRD Cultural Impact with Reflective Journaling Donna Taliaferro, PhD, RN has been in academia for 34 years and engaged in research for 20 years. She is currently a Consultant and Professor engaged
More informationBuilding the capacity for palliative care in residential homes for the elderly in Hong Kong
Building the capacity for palliative care in residential homes for the elderly in Hong Kong Samantha Mei-che PANG RN, PhD, Professor School of Nursing, The Hong Kong Polytechnic University Why palliative
More informationDear Family Caregiver, Yes, you.
Dear Family Caregiver, Yes, you. If you re wondering whether the term caregiver applies to you, it probably does. A caregiver is anyone who helps an aging, ill, or disabled family member or friend manage
More informationAdvance Care Planning Communication Guide: Overview
Advance Care Planning Communication Guide: Overview The INTERACT Advance Care Planning Communication Guide is designed to assist health professionals who work in Nursing Facilities to initiate and carry
More informationInitial Pool Process: Resident Interview
Initial Pool Process: Resident Interview Care Area Probes Response Options Choices Are you able to make choices about your daily life that are important to you? I d like to talk to you about your choices.
More informationThe 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 informationOAR Changes. Presented by APD Medicaid LTC Policy
OAR 411-015 Changes 1 Presented by APD Medicaid LTC Policy Table of Contents 2 Service Priority OAR 411-015 Project Overview Why Are We Making These Changes Overarching Changes Changes to ADLS (each ADL
More informationAdvance Care Planning: the Clients Perspectives
Dr. Yvonne Yi-wood Mak; Bradbury Hospice / Pamela Youde Nethersole Eastern Hospital Correspondence: fangmyw@yahoo.co.uk Definition Advance care planning [ACP] is a process of discussion among the patient,
More informationFundamentals of palliative care
Session two: Ethical issues in palliative care Pre-reading Fundamentals of palliative care Session two Ethical issues in palliative care Teaching time: 1-2 hours LEARNING OUTCOMES At the end of the session
More informationABOUT 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 informationAdvance Directive vs. Oregon Law
Advance Directive vs. Oregon Law Updated ISSUES, CONCERNS AND A PROPOSAL May 11, 2017 December 1, 2017 February 6, 2018 William L. Harris 2/6/2018 1 Why are we meeting? The Advance Directive by Oregon
More informationResearch, Driving, Gambling, Sexuality
Ethics: Aging Research, Driving, Gambling, Sexuality Cell Phones and Pagers Please turn your cell phones off or turn the ringer down during the session. If you must answer a call, please be considerate
More informationMinnesota 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 informationMaidstone Home Care Limited
Maidstone Home Care Limited Maidstone Home Care Limited Inspection report Home Care House 61-63 Rochester Road Aylesford Kent ME20 7BS Date of inspection visit: 19 July 2016 Date of publication: 15 August
More information10/3/2016 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 informationEthics in Long Term Care
Ethics in Long Term Care Wisconsin FOCUS November 16, 2017 Michael A. Gillette, Ph.D. (434)384-5322 mgillette@bsvinc.com http://www.bsvinc.com The Structure of Ethics 1 The Process of Ethics (Casuistry)
More informationEthical Concerns that Arise from Terminal Weaning Procedures of a Ventilator Dependent Patient a Respiratory Therapists Perspective
ISPUB.COM The Internet Journal of Law, Healthcare and Ethics Volume 4 Number 2 Ethical Concerns that Arise from Terminal Weaning Procedures of a Ventilator Dependent Patient a Respiratory Therapists Perspective
More informationPlanning in Advance for Future Health Care Choices Advance Care Planning Information & Guide
Honoring Choices Virginia Planning in Advance for Future Health Care Choices Advance Care Planning Information & Guide Honoring Choices Virginia Imagine You are in an intensive care unit of a hospital.
More informationYOUR 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 informationEthical 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 informationKEY FINDINGS from Caregiving in the U.S. National Alliance for Caregiving and AARP. April Funded by MetLife Foundation
KEY FINDINGS from Caregiving in the U.S. National Alliance for Caregiving and AARP April 2004 Funded by MetLife Foundation Profile of Caregivers Estimate that there are 44.4 million American caregivers
More informationCourse Descriptions. Undergraduate Course Descriptions
Course Descriptions Undergraduate Course Descriptions NRS 305/405 Reading and Conference 1-2 credits Prerequisites: None NRS 307/407 Seminar 1-2 credits Prerequisites: None NRS 309/409 Practicum 2 credits
More informationADULT 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 informationArtificial Nutrition in the Palliative Care Setting: What s the Patient s Goal?
Artificial Nutrition in the Palliative Care Setting: What s the Patient s Goal? Barb Supanich, RSM,MD Medical Director, Palliative Care November 15, 2007 Learning Goals Identify the proven benefits of
More informationWellness along the Cancer Journey: Palliative Care Revised October 2015
Wellness along the Cancer Journey: Palliative Care Revised October 2015 Chapter 4: Home Care Palliative Care Rev. 10.8.15 Page 366 Home Care Group Discussion True False Not Sure 1. Hospice care is the
More informationNEW BRUNSWICK HOME CARE SURVEY
NEW BRUNSWICK HOME CARE SURVEY MARKING INSTRUCTIONS: Please fill in or place a check in the circle that best describes your experiences with home care services. If you wish, a caregiver, friend, or family
More informationPOLST Discussions Doing it Better. Clinical Update in Geriatric Medicine. Judith S. Black, MD, MHA. POLST Overview. Faculty Disclosure PART I
Faculty Disclosure POLST Discussions Doing it Better Clinical Update in Geriatric Medicine Dr. Black discloses that she is employed by Allegheny Health Network and is an executive committee member of the
More informationA2. [IF PARENT SURVEY] What is your relationship to [CLIENT S NAME]? Are you his/her [READ EACH]
A. CLIENT CHARACTERISTICS A1. Would you prefer to conduct this interview in English or in French? 1 English 2 French A2. [IF PARENT SURVEY] What is your relationship to [CLIENT S NAME]? Are you his/her
More informationIs It Time for In-Home Care?
STEP-BY-STEP GUIDE Is It Time for In-Home Care? Helping Your Loved Ones Maintain Their Independence and Quality of Life 2015 CK Franchising, Inc. Welcome to the Comfort Keepers Guide to In-Home Care Introduction
More informationHEALTH CARE AIDE COURSE SUMMARIES SECTION TWO COMMUNICATION IN THE HEALTH-CARE ENVIRONMENT
HEALTH CARE AIDE COURSE SUMMARIES SECTION ONE WORKING AS A HEALTH CARE AIDE COURSE HCA3400: ROLE & RESPONSIBILITIES Students develop an understanding of the legislation related to health care in Alberta
More informationAfter the Hospital Where Do I Go From Here?
After the Hospital Where Do I Go From Here? Prepared by: Abigail Dignadice, RN, BSN Geriatric-Psychiatric Unit, Palomar Medical Center Poway Edited and approved by: Diane Loehner, Licensed Clinical Social
More informationPalliative and Hospice Care In the United States Jean Root, DO
Palliative and Hospice Care In the United States Jean Root, DO Hello. My name is Jean Root. I am an Osteopathic Physician who specializes in Geriatrics, or care of the elderly. I teach and practice Geriatric
More informationFRIED CHICKEN AND COFFEE
FRIED CHICKEN AND COFFEE JEAN L FOSTER MA-CCC/SLP, BCS-S MBS ADVANTAGE, INC ST LOUIS, MISSOURI DEFINITION OF COMPLIANCE formal act of obeying a rule, order..cambridge English Dictionary NON-COMPLIANT DISOBEYING
More informationStation Name: Mrs. Smith. Issue: Transitioning to comfort measures only (CMO)
Station Name: Mrs. Smith Issue: Transitioning to comfort measures only (CMO) Presenting Situation: The physician will meet with Mrs. Smith s children to update them on her condition and determine the future
More informationTruth-Telling. Bioethics Journal Club 19 October, 2017
Truth-Telling Bioethics Journal Club 19 October, 2017 Dr. Jacqueline Yuen Clinical Lecturer Department of Medicine and Therapeutics Chinese University of Hong Kong Case: Mrs. Kwok 88 yo F - Previously
More informationTAKING A STANCE ON PHYSICIAN AID IN DYING
TAKING A STANCE ON PHYSICIAN AID IN DYING Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN Palliative Care Specialist Director of Professional Practice, HPNA Consultant, CAPC Palliative NP, NSMC Disclosures
More informationHospital Admission: How to Plan and What to Expect During the Stay
Family Caregiver Guide Hospital Admission: How to Plan and What to Expect During the Stay Admission to the hospital can happen in various ways. You family member may be treated in the Emergency Room (ER)
More informationSkilled, tender care for all stages of aging
Skilled, tender care for all stages of aging No Regrets As we age, we all need personal, medical and emotional care. Geer Village supports seniors and their families through all the stages of aging with
More informationAdvance Care Planning Information
Advance Care Planning Information Booklet Planning in Advance for Future Healthcare Choices www.yourhealthyourchoice.org Life Choices Imagine You are in an intensive care unit of a hospital. Without warning,
More informationCareAtHome: Care with respect and dignity.
CareAtHome: Care with respect and dignity. Your home is where you feel safe and secure. Whether you need help with the tasks of daily living, companionship or in-home medical support, CareAt Home can help.
More informationHealthStream 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 informationRunning head: ADULT HEALTH 1 CASE STUDY 1
Running head: ADULT HEALTH 1 CASE STUDY 1 Adult Health 1 Case Study Jian Salcedo California State University, Stanislaus September 20 th, 2010 ADULT HEALTH 1 CASE STUDY 2 Mrs. Smith is an 89-year-old white
More informationRUNNING HEAD: Covert Medications and the Elderly 1. The Ethical Dilemma over Covert Medications and Elderly Adults. Emily Andrews
RUNNING HEAD: Covert Medications and the Elderly 1 The Ethical Dilemma over Covert Medications and Elderly Adults Emily Andrews Medical University of South Carolina Nursing 385: Professional Nursing and
More informationVolume 44 No. 2 February 2012 MICA (P) 019/02/2012. What Doctors Say about Care of the Dying in Singapore
Volume 44 No. 2 February 2012 MICA (P) 019/02/2012 What Doctors Say about Care of the Dying in Singapore What Doctors Say about Care of the Dying in Singapore Dr Jacqueline Chin and Dr Jacinta Tan The
More informationEnd of Life PSP Module. Case Study: Mr. James Lee
Case Study: Mr. James Lee Mr. James Lee is a 74 yr old retired electrician. He is married to Mary with two children in their 30 s. They have been in Canada for 35 years and are fluent in English and Cantonese.
More informationPATIENT 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 informationEthical Decision Making in End of Life care. Jeff Levesque, LICSW--facilitator
Ethical Decision Making in End of Life care Jeff Levesque, LICSW--facilitator 1 Reference: Ethics in End-of-Life Decisions in Social Work Practice, by Ellen L. Csikai and Elizabeth Chaitin Lyceum books,
More informationAdvance Directive. A step-by-step guide to help you make shared health care decisions for the future. California edition
Advance Directive A step-by-step guide to help you make shared health care decisions for the future California edition Advance Directive Instructions for Patients TALK TO YOUR LOVED ONES This is important.
More informationCompetency Based Staffing. And the New RoPs
Competency Based Staffing And the New RoPs Objectives Discuss how the Facility Assessment correlates to qualified and competent staff expectations Explore the new requirements for staff competency Discuss
More informationLessons Learned. Dr. Leslie Nickell, Stephanie Bell, Shawn Tracy Department of Family and Community Medicine Sunnybrook Health Sciences Centre
Caring for the Caregiver: Lessons Learned in the IMPACT Clinici Dr. Leslie Nickell, Stephanie Bell, Shawn Tracy Department of Family and Community Medicine Sunnybrook Health Sciences Centre Objectives
More informationYour life and your choices: plan ahead
Your life and your choices: plan ahead About this booklet About this booklet This booklet is about some of the ways you can plan ahead and make choices about your future care if you live in Northern Ireland.
More informationWhen and How to Introduce Palliative Care
When and How to Introduce Palliative Care Phil Rodgers, MD FAAHPM Associate Professor, Departments of Family Medicine and Internal Medicine Associate Director for Clinical Services, Adult Palliative Medicine
More informationRock, Paper, Scissors
Rock, Paper, Scissors Ideologies, Older People and End-of-Life Care Laura Green Doctoral Student University of Bradford, United Kingdom Aims Background & brief intro to study Present findings Contextualise
More informationFUNCTIONAL DISABILITY AND INFORMAL CARE FOR OLDER ADULTS IN MEXICO
FUNCTIONAL DISABILITY AND INFORMAL CARE FOR OLDER ADULTS IN MEXICO Mariana López-Ortega National Institute of Geriatrics, Mexico Flavia C. D. Andrade Dept. of Kinesiology and Community Health, University
More informationOne Chance to Get it Right Simulation Scenario 2 End of Life Care at Home
One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home Course lead Course / Curriculum One Chance to Get it Right: Equipping senior health professionals for the challenges of caring
More informationCaregiver Stress. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: Who are our nation's caregivers?
Caregiver Stress Q: What is a caregiver? A: A caregiver is anyone who provides help to another person in need. Usually, the person receiving care has a condition such as dementia, cancer, or brain injury
More informationAdvance Care Planning
Advance Care Planning Joan M. Teno, MD, MS Professor of Community Health Warrant Alpert School of Medicine at Brown University VJ Periyakoil, MD Course Director & Producer At the end of this session You
More informationRESIDENT CENTERED CARE AN INTRODUCTION TO VA COMMUNITY LIVING CENTERS
RESIDENT CENTERED CARE AN INTRODUCTION TO VA COMMUNITY LIVING CENTERS TABLE OF CONTENTS Introduction................................................. 1 Community Living Center Mission..................................
More informationHOME AND COMMUNITY CARE POLICY MANUAL
SECTION: PAGE: 1 OF 9 For the purpose of this document, the following definitions have been used: adult day services are provided through an organized program of personal care, health care and therapeutic
More informationGERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS
GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2
More informationSupportive 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 informationEthical Challenges in Medical Decision Making
Ethical Challenges in Medical Decision Making Phil Lawson MD, ABHPM Mud Conference 2012 Objectives 1. Define autonomy, beneficence, non maleficence, and justice 2. Balance competing medical ethics in making
More informationEnd 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 informationEthical Social Work Maintaining Standards in a Sea of Complexity
Ethical Social Work Maintaining Standards in a Sea of Complexity Linda Wright MHSc, MSW, RSW Director of Bioethics, UHN. Assistant Professor, Dept. of Surgery & Member of Joint Centre for Bioethics, University
More informationOregon Community Based Care Communities Adult Foster Homes Survey
Oregon Community Based Care Communities Adult Foster Homes - 2014 Survey License No. Address of Foster Home Original License Date Operator Name Name of Home _ Home s Phone Fax Email Owner s Phone (if different)
More informationADVANCE DIRECTIVES PREPARING YOUR LIVING WILL, HEALTH CARE POWER OF ATTORNEY AND ORGAN DONATION FORMS
ADVANCE DIRECTIVES PREPARING YOUR LIVING WILL, HEALTH CARE POWER OF ATTORNEY AND ORGAN DONATION FORMS CREATED FOR YOU BY THE BERMUDA HOSPITALS BOARD ETHICS COMMITTEE IN ASSOCIATION WITH YOUR DOCTOR. WHAT
More informationCommission for Social Care Inspection. Care homes for older people national minimum standards
Commission for Social Care Inspection Care homes for older people national minimum standards 2 Care homes for older people national minimum standards What should I expect from my care home? What rights
More informationGuardianship Support Center
Greater Wisconsin Agency on Aging Resources, Inc. Guardianship Support Center 1414 MacArthur Road, Suite 306; Madison, WI 53714 Hotline: (855) 409-9410 guardian@gwaar.org www.gwaar.org I. Introduction
More informationCNA OnSite Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care
Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care Administering the Program Read the Guide View the Video Review the Suggested Questions Complete Post-Test Answer
More informationc) Facilities substantially in compliance with the requirements of this Subpart will receive written recognition from the Department.
TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER c: LONG-TERM CARE FACILITIES PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE SECTION 300.7000 APPLICABILITY Section
More information