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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.
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.


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 ?
Only one out of four Americans (26%) have completed an advance directive to ensure their end-of-life healthcare wishes are carried out if they are unable to speak for themselves, according to a study published in the January 2014 edition of The American Journal of Preventive Medicine.
When discussions don't begin until the last 30 days of life, the end-of-life period usually is already underway, the investigators noted.
For me, it represented a value statement of what was most important in the provision of end-of-life care.
Advance directives specifying that patients don't want aggressive treatment at the end of life limit interventions and their costs only in regions in which aggressive end-of-life care is common, according to a report.
HEALTHCARE commissioners must prioritise end-of-life care to ensure people's choices are met and to avoid unnecessary emergency hospital admissions, according to new advice published.
Although the healthcare bill signed into law in March did not mention end-of-life planning, the topic was included in a huge Medicare regulation setting payment rates for thousands of physician services.
Madison-Deane Initiative (MDI), a program of the Visiting Nurse Association of Chittenden and Grand Isle Counties (VNA), announced the launch of a new website designed to help individuals and families find information and resources about palliative and end-of-life care.
If you're interested in earning CEU's while learning more about end-of-life issues, please visit Medi-Smart for nursing education resources.
With an aging society comes an increase in chronic illness and functional decline resulting in a greater need for Registered Nurses to be knowledgeable in the specialty of end-of-life care.
End-of-Life Issues have recently become topics for both patient care and health care reform.
Participants were interviewed about their means of coping with their illness, the degree to which their spiritual needs were met by the medical team and their preferences regarding end-of-life treatment.