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end-of-life |
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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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