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end-of-life
(redirected from End-of-life care-making decisions)

   Also found in: Wikipedia 0.02 sec.
end-of-life
Cardiac pacing noun The point at which a pacemaker signals need for replacement, as its battery is nearing depletion Medtalk adjective Referring to a final period–hrs, days, wks, months in a person's life in which it is medically obvious that death is imminent or a terminal moribund state cannot be prevented. See Hospice.
End-of-life care–making decisions
Initiate discussion
• Establish supportive doctor-Pt relationship
• Designate surrogate decision maker
• Identify Pt's general preferences
Clarify prognosis
• Keep message clear, avoid misunderstanding
• Acknowledge prognostic limitations
Identify end of life goals
• Determine if preferences have changed
• Identify individual priorities
Develop treatment plan
• Help Pt understand treatment options
• Discuss resuscitation
• Discuss palliative care (RB Balaban, Harvard U, in Qual Life Matters 9,10/00)


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