Ethical Considerations Flashcards Preview

Dysphagia > Ethical Considerations > Flashcards

Flashcards in Ethical Considerations Deck (13):
1

Patient self-determination act

December 1991
Established guidelines to allow patients to participate in decision regarding their care. Particularly in situation involving severe or terminal illness.
Older patients grew up trusting doctor's decisions as final.
Younger patients may be skeptical. Include patient's family.

2

Advanced Directive

Statement with decsion making capcitty indicating person's preferences fore receiving medical treatment or not receiving medical treatment under certain circumstances

3

Waht documents often comprise advanced directive

Living Will
Power of ATtorney

4

What's a living will?

Legal document in whcih you state your wishes regarding your future health care.
Typically intended to apply in situations such as terminal illness, permanent unconsciousness, conscious but with irreversible brain dmaage such that can never regain the abilit to make decisions

5

Who decides that the patient has decision making ability.

Team decision involving social worker, case worker, The SLP informs about cognitive status and barriers that exist to decision making.

6

How do medical professionals acess a will

person must tell their family where and how to access it, and then the family brings it to the medical professionals.

7

What's power of attorney

Allows you to appoint another person to make decisions about your medical care in the event that you're unable to make the decisions yourself.
There are state law rules about power of attorney if person doesn't legally appoint one

8

What's power of attorney

Allows you to appoint another person to make decisions about your medical care in the event that you're unable to make the decisions yourself.
There are state law rules about power of attorney if person doesn't legally appoint one

9

What populations bnefit from PEG

head and neck cancer
acute stroke wit dysphagia

10

What are common misconceptions about PEG placement in advanced dementia

prevents aspiration (actually slight increase in aspiration pneumonia risk)
prolongs life
improves nutrition (doesnt improve nutrition because body absorbs nutrients differntly in process of dying)
improves function

11

What are Atul Gawande's 5 questions

5 questions that you or family member can answer. Things that need to be talked about frequently and reassessed.
What's your understanding of where you are in your illness?
What ar your worries or fears for the future?
What are your goals and priorities?
What outcomes are unacceptable to you? What are you willing to sacrifice or not?
What would a good day look like?

12

What is palliative care and hospice?

Specialized medical care for people with serious illness.
Focus on providing relief from symptoms.
The goal is to improve quality of life, not necessarily health, reagardless of medical condition.

13

When making end of life decisions what do we do?

Provide education and then leave it up to family and patient to make the decision.