End Of Life Flashcards

1
Q

When should resuscitation be stopped?

A

Safety of the provider can no longer be assured
Asystole for >20 minutes with no reversible cause
Advanced directive that is valid and applicable
Obvious mortal injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which conditions are unequivocally associated with death?

A
Decapitation
Below waist amputation
Cranial destruction
Decomposition
Incineration (full thickness >95%)
Hypostasis
Rigor mortis
Submersion >1.5hrs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an advanced directive?

A

Decision made by a patient with capacity about their future treatments should they lose capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Is an advanced directive legally binding?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Can an advanced directive refuse life sustaining treatments?

A

Only if written, signed and witnessed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What makes an advanced directive invalid?

A

Patient withdrew it whilst they still had capacity
LPoA given authority to overrule ADRT
Clear indication that they have changed their mind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What makes an advanced directive non applicable?

A

Patient still has capacity
Not relating to the specific treatment
Grounds for which the patient made the ADRT have changed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What should you do if the patients advanced directive is either invalid or inapplicable?

A

Act in the patients best interests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Compare when the 2 types of LPoA can start making decisions for their patient?

A

Health - only when capacity is lost

Finance - as soon as the LPoA is registered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What happens if a patient loses capacity but hasn’t assigned a LPoA.

A

A deputy is assigned - this is a court process and can take months. The deputy generally oversees financial side of things not health and they have a lot more rules and regulations in place.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If the advanced directive and LPoA are conflicting which do you follow?

A

Advanced directive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If a LPoA refuses life sustaining treatment but you feel it is in the patients best interests what do you do?

A

Doctor can override the LPoA decision if they feel they are not acting in the patients best interest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly