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Research Paper.docx - Scott Clapp English 1020 Section 904...

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Scott Clapp English 1020, Section 904 July 5, 2015 Research Paper End of life planning: A plan that gives you control There is a 100 % chance that everyone will pass away. At some point in time every person will end with the same fate, death. Some people fear this fact and fall short of the needed planning that goes into dying. For the average person, dying is a process and death does not happen spontaneously. In the process of planning the end of life, certain questions should inevitably be asked. If I am ventilator dependent, how long do I want to live like that? If I have a terminal illness, do I want healthcare providers to perform all lifesaving measures if I arrest? Do I want to put my family through the heartache of watching me die while staying alive artificially on machines? These questions are difficult to answer, the discussion of this topic makes most people uncomfortable. There is a great need to talk about death and what is to be done in the event of a terminal illness or an irreversible medical condition. End-of-life planning can lead to less heartache to families, lowered healthcare costs, and patient wishes being kept. Greater education must be done to help the general public understand why, when, and how there is a great need to think about and plan how they want to die. Imagine what the image of someone dying in a hospital setting is like, if they have a diagnosis where there is no chance of recovery. An artificial airway will be placed in the patient’s throat, down the airway, through the vocal cords and into the lungs. During this time all patients are given sedation medication to prevent the anxiety caused by having the airway in the throat. This artificial airway can only be in a patient’s throat for about two weeks before damage is done to the vocal cords. After that amount of time, a surgical opening is created in the patient’s neck know as a tracheostomy. The opening is below the vocal cords, so it can be in place longer.
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Clapp 2 While either of these artificial airways is in place a ventilator breathes for the patient. While on the ventilator there are secondary healthcare risks that can develop. The most common issue is developing pneumonia because of the lack of work on the patient’s part. This infection prolongs the use of the ventilator and greatly increases the risk of becoming ventilator dependent. Ventilator dependence is where a patient becomes dependent on the machine to breath for them and provide little or no effort is seen to initiate a breath. Ventilator dependence is an issue that is seen with long term ventilator use and a patient can only breath with the ventilator and has no chance to be taken off the ventilator. Long term intravenous(IV) access is established usually in a largest vein near a patient’s neck or clavicle area. These IVs allow for easy transfusion of medications, antibiotics, and IV fluids.
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