Overview
Syllabus
Intro
Advanced Care Planning: The nuts and bolts
The impact of advance care planning on end of life care in elderly patients: randomized controlled trial • Respecting Patient Choices Program Victoria Australia • 309 inpatients age 80 and followed for 6 months • Program based on Respecting Choices v standard care - N=125/154 received plan and 86% expressed their wishes about end of life care, 82% expressed wish about CPR and 75% about life prolonging treatment • 92% wishes were followed up to time of death • Satisfaction at discharge - Overall 93% 65%
How to Select Your Health Care Agent • Are Some Conditions Worse than Death? • How Do You Weigh Odds of Survival? • Personal Priorities and Spiritual Values After Death Decisions to Think About Now • Conversation Scripts: Getting Past the Resistance • The Proxy Quiz for Family and Physician • What to Do After Signing Your Advance Directive • Guide for Health Care Proxies
Identify values based on past experiences and quality of life . Choose surrogates wisely and verify that they understand their role • Decide whether to grant leeway in surrogate decision making • Inform other family and friends of one's wishes to prevent conflict
Taught by
Mary Greeley Medical Center