end-of-life


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end of life

Cardiac pacing
noun The point at which a pacemaker signals a need for replacement, as its battery is nearing depletion.
 
Medspeak
adjective Referring to a final period (hours, days, weeks, months) in a person’s life, in which it is medically obvious that death is imminent or a terminal moribund state cannot be prevented. As in, end-of-life care.

End-of-life care—making decisions 
Initiate discussion: 
• Establish supportive doctor-patient relationship;
• Designate surrogate decision maker;
• Identify patient’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 patient understand treatment options;
• Discuss resuscitation;
• Discuss palliative care.

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)
References in periodicals archive ?
I am a sociologist who studies aid-in-dying laws and how law influences end-of-life choice.
In general, the research team found that patients who had been seen by a palliative care doctor a physician who specializes in symptom management and support around medical decision-making for seriously-ill patients received better end-of-life care, according to their families.
Literature related to life-partners conversations about end-of-life issues appears to be scarce.
The Pew Research Center found that the percentage of adults who said they had an advance directive spelling out their expectations for end-of-life care rose to 29 percent in 2005, up from 12 percent in 1990 -- but that meant 71 percent still had no advance directives.
This means that for the first time, people directly affected will get the chance to have their say in setting research priorities for palliative and end-of-life care.
1) Addressing end-of-life issues early in treatment of terminally ill patients allows them to become familiar with their options as their disease progresses.
In the case of end-of-life care, many times these wishes are not expressed or shared with physicians, leaving families in positions of distress and confusion.
Many physicians in the study postponed the discussion until the final month of life, and many patients did not remember or didn't recognize the end-of-life discussions.
As leaders, we must feel a sense of moral obligation to implement evidence about end-of-life care in our practice settings.
The goal was for the students to demonstrate knowledge of end-of-life care and be able to provide the family member the information necessary to make an informed decision.
As a member of the Board of Directors of CACCN, I had the opportunity to coordinate the CACCN "Providing End-of-Life Care in the Intensive Care Unit" position statement in 2010.
In contrast, in areas of the United States where end-of-life treatment is not aggressive, such treatment-limiting documents have little effect on the use of these interventions or on health care costs, said Lauren Hersch Nicholas, Ph.