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Jodie_Haselkorn_ Lecture Slides

68 65years 97 white non hispanic 46 married 75 some

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– 68% > 65years; 97% white, non-Hispanic; 46% married; 75% some college; 95% west of Cascades; 78% cancer, 12% ALS, 10% other progressive illness; 93% died at home; 83% hospice; 87% had health insurance 18% (n=19) did not ingest, but died of other causes 87% reported a decrease in autonomy; 89% a decrease in social participation and 79% a loss of dignity
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Double Effect • Provide an intervention to treat a condition aware that other untoward , but unintended effects may result (e.g. pain medications for treatment of pain in a consenting adult with unintended, but anticipated reduction in respiration and possible hastening of death)
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Diane s Case • Imminently dying of a terminal disease. • Verification of diagnosis. • Informed of the risks and benefits of additional treatments. • Palliative options explored. • Understands the ramifications of taking the medication. • Sought out appropriate psychological support. • Family support for her decision. • Request made to a physician who has had a longstanding relationship with her.
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