Discontinuing Treatment and not for Resuscitation.

Slides:



Advertisements
Similar presentations
1 POST FORM How does this affect me?. 2 Tennessees Health Care Decision Act In 2004, the Health Care Decision Act was passed thus revising Tennessee law.
Advertisements

Decision-making at End-of-Life Dr Mary Kiely Consultant in Palliative Medicine Calderdale & Huddersfield NHS Foundation Trust.
MOLST, Health Care Proxy and Electronic Code Status Order
Compass: Advance Directives
End of Life Issues Eshiet I..
C HAPTER 2 Cardiac Emergencies And CPR. C HAPTER 2 - O BJECTIVES Recognize signs and symptoms of a heart attack Demonstrate how to give proper cardiopulmonary.
Advance Medical Directives Protocols for Mental Health While every effort has been taken to verify the accuracy of the content of this presentation, ValueOptions.
DNAR Jannany Raveendran Clotilde Kingsley. CASE STUDY You have witnessed Mrs Claus, an 81 year old lady, collapse in Aldi car park. You are the first.
Legal and Ethical Issues Affecting End-of-life Care Advance Directives.
Understanding Advance Medical Directives & Financial Powers of Attorney Thomas E. Baxter & Associates Co., LPA (614)
Center for Self Advocacy Leadership Partnership for People with Disabilities Virginia Commonwealth University The Partnership for People with Disabilities.
Advanced Directives. Living Will Living will: a legal document that a person uses to make known his or her wishes regarding life- prolonging medical treatments.
T. Andrew Perkins Rachel Arndt P ETERSON W AGGONER & P ERKINS, LLP Living Wills & Health Care Representatives.
Emergency Response American Red Cross Instructor: Joel Bass MS ATC
ADVANCE HEALTH CARE DIRECTIVES Margie Dino RN Community Health Resource Center.
Advance Care Planning A Guide For Patients and Families.
ADVANCED DIRECTIVES Taken from PPT. Mosby items and derived items © 2006, 2005, 1995,1991 by Mosby, Inc.
Version MOLST for EMS & First Responders MOLST Program Overview for EMS Providers, First Responders and other initial decision makers.
History Karen Quinlan  1976 – Parents wanting to remove a ventilator  NJSC – “The right to die” Nancy Cruzan  1990 – Parents wanting to remove feeding.
BALANCING LIFE’S ISSUES INC. Advance Directives. Objectives Define advance directives and identify the benefits. Learn about a living will and durable.
To the End of Our Days Nurturing Life in the Face of Death Steven Bozza, MA, Director Respect Life Office Archdiocese of Philadelphia Phone: (215)
End-of-Life Choices Natalie Beal, Lisa Cabrera, Katrina Leong, Charity Smith, Stephanie Wizel.
Let’s Talk About ADVANCE CARE PLANNING
24/09/14Tracy Livingstone All Wales DNA/CPR Policy The story so far……….
This presentation is meant to serve as a guide for your community presentation Modify slides as needed to be appropriate for your organization and community.
Kyle Galbraith, PhD February 16,  What is ethics and why does it matter?  What are common approaches to “doing” ethics?  What ethical principles.
Talking to Your Patients about Advance Directives Stephanie Reynolds, ACHPN Dawn Kilkenny, LCSW Palliative Care Department (Pager)
Sharing Your Wishes ™ ….. Give Them Peace of Mind Presented by Gina Fedele Hospice Buffalo Where Hope Lives.
POLST Physician Orders for Life-Sustaining Treatment Training Contra Costa EMS Agency Policy 20 Change Effective 1/1/2009.
ADVANCE DIRECTIVES Presented by Barbara Wojciak, Chaplain St. Vincent’s Birmingham Pastoral Care.
Medical Legal Issues. Criminal Law Deals with wrong against society or its members. Deals with crime and punishment. Need proof of guilt.
POLST and Hospice An Update for Oregon Gary Plant MD FAAFP Madras Medical Group Oregon POLST Task Force Oregon Academy of Family Physicians.
Chapter 3 Medical, Legal, and Ethical Issues. 3: Medical, Legal, and Ethical Issues 2 Medical, Legal, and Ethical Issues Scope of Practice Defined by.
CPR for Pets Small Animal Management 130.4(c)2D.
Cardiopulmonary Emergencies. Cardiac Compromise Chest pain DyspneaAnxiousNausea Abdominal pain Sweating Abnormal HR and RR.
HEALTH CARE DECISIONS ACROSS THE TRAJECTORY OF ILLNESS Susan Barbour RN MS ACHPN.
CPR Cardiopulmonary Resuscitation Adult, Child and Infant.
End of life care and DNAR Rachel Podolak, Head of Welsh Affairs.
POLST New Documentation for Patients & Quality Care I LLINOIS ’ S IDPH U NIFORM DNR A DVANCE D IRECTIVE.
Chapter 17 Emergency Procedures. Copyright © 2007 Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Protecting the Airway Airway –Structure through which.
Ethics and End of Life Decisions
Ethics In the Primary Care Office Jeffrey J. Kaufhold, M.D. Grandview Hospital 2011.
Cardiac Vocabulary Living Wills Lesson #5. Vocabulary Triage: SORTING OF ACCIDENT VICTIMS ACCORDING TO THE SEVERITY OF THE INJURIES OR ILLNESS. –ALL LIFE-
Health Week CPR/First Aid Completed by: Hedwich Apollus.
“DNR” DO NOT RESUSCITATE WITHHOLDING OR WITHDRAWING LIFE SUSTAINING TREATMENT Withhold Refrain from applying life support Withdraw Disconnect life support.
First Aid CPR and Cardiac Arrest. What is CPR?  CPR means cardiopulmonary resuscitation  First aid technique to restore heartbeat and breathing  Someone.
ST1&2 DNACPR - Key Issues & Approach. DNACPR – Key Issues Consider -The fundamentals -The framework -The decision making process -The patient / family.
1 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2006 by The American National Red Cross All rights reserved. Created.
Do-not-resuscitate (DNR). DNR Every patient is presumed to consent to the administration of CPR in the event of cardiac or respiratory arrest, unless.
5. Ethics in terminally ill patient BMS 234 Dr. Maha Al Sedik Dr. Noha Al Said Medical Ethics.
Death and Dying. Objectives 1. Describe the 5 stages terminally ill people generally pass through. 2. List 3 reasons why many people choose hospice care.
Mini Med School 2013: First Aid Basics Benjamin Lawner, DO Assistant Professor, Department of Emergency Medicine University of Maryland School of Medicine.
Death in relation to Terminating Life By: Blake Higgins.
ADVANCED Directives. LIVING WILL A living will is a legal document that a person uses to make known his or her wishes regarding life-prolonging medical.
Make Your Wishes Known The Realities of Advanced Medical Interventions
Advance Care Planning Care Coordination Collaborative April 5, 2017.
Death and Decisions Regarding Life-Sustaining Treatment
Patient Decision Aid: Sharing Goals for ICU care
ADVANCE HEALTH CARE DIRECTIVES
Do-Not- Resuscitate order
CPR Cardiopulmonary Resuscitation
For Care Providers and Staff
VA Life-Sustaining Treatment Decisions Initiative
Advance Directives and Client Rights
Decision-making at End-of-Life
Advance Care Planning A Guide For Patients and Families
West Virginia Law, Ethics and Supportive Care Consults
Planning Ahead: Advance Directives and End-of-Life Decisions
We are dedicated to improving the health and well-being of all of the people in the communities we serve. Memorial Hospital of Carbondale Herrin Hospital.
Presentation transcript:

Discontinuing Treatment and not for Resuscitation.

What is treatment? A treatment is a medical care given to a patient when they are in a bad condition such as illness or injury.

The common reason people discontinue treatment Stopping a Medication Due to Side Effects Stopping a Medication Because of Primary Effects Stopping a medication due to fanatical difficulties

Enlighten people about discontinuing treatment. 1.Giving hand outs. 2.Make sure whether the patient can understand their disease. 3. encourage the patient.

Do Not Resuscitate Orders. A do not resuscitate order, or DNR, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if breathing stops or if the heart stops beating.

when CPR is judged to be of no medical benefit. when the patient with intact decision making capacity (or when lacking such capacity, someone designated to make decisions for them) clearly indicates that he / she does not want CPR, should the need arise. When can CPR be withheld?

DNR Protocols There are 2 types of protocols 1.Will suction the airway. 2. Will not suction the airway.

Types of DNR orders 1.DNR Comfort care. 2.DNA Comfort care- arrest. 3.DNA Specified.

Ethically acceptable of DNR Orders.

Slow codes.

Any questions ……?

Thank you………..