End of Life Issues

End of Life Issues - when the treatment no longer offers...

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End of Life Issues Ross McElroy, M.D. March 29, 2011 A 1991 Federal law, the Patient Self-Determination Act, requires that patients be informed about their right to be involved in health care decisions including their right to refuse treatment and their right to have an advance directive. There are two types of advance directives, instructive and proxy. Living Wills- allow for preferences regarding the provision of particular therapies or classes of therapies. Can be brief and specific (no transfusion, no CPR) or much broader. Durable Power of Attorney for Health Care allows for the designation of a surrogate medical decision maker of the patient’s choosing, in the event they become incapacitated. Proxy order by Florida law- spouse, adult children, parent, sibling, any relative, close friend Life sustaining treatment can be terminated at the request of a competent informed patient or by means of an advanced directive (if the person is no longer competent to make decisions) and /or
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Unformatted text preview: when the treatment no longer offers benefit to the patient (futile). What is the difference between withdrawing and withholding treatment? Where/why do problems arise? We are reluctant to talk about death. Doctors don’t want to talk to their patients about it. Most people even those who have a living will or a durable power of attorney have not clearly communicated their feelings and wishes to their physicians or to their relatives. These discussions should happen and they need to occur before the person becomes terminally ill. Unfortunately, usually they don’t. What happens when everything goes wrong? Terri Schiavo Palliative vs curative treatment Hospice Euthanasia vs Physician Assisted Suicide Oregon Death with Dignity Act 1994, Washington 2008, Dignitas Concept of a good or decent death...
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This note was uploaded on 07/02/2011 for the course BCC 6151 taught by Professor Averbuch during the Spring '11 term at University of Florida.

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