Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Term Paper:
advance directives. The writer explores what they are and possible solution to reduce problems with them. There were three sources used to complete this paper.
The past few decades have seen an increase in law suits revolving around the final medical wishes of those who fall ill. Media coverage has provided the nation with front row coverage when it comes to people in comas, vegetative states, and no hope of recovery. Family members are often pitted against each other and the hospitals as the patient lays waiting for a decision to be made. One of the things that has been increasing in popularity to prevent such problems is the use of advance directives. While advance directives are gaining in popularity and power their relative infancy creates an atmosphere for problems. Advance directives can lay to rest painful family decisions, as well as doctor decisions that may or may not agree with the family. They provide a blue print of the patient's wishes that everybody can follow.
WHAT IS IT
An advance directive is really as simple as an advance supervision of one's own medical decisions in the event the person is not able to make them at the time the decisions have to be made. The advance directive, often referred to as a living will, is written and documented while the person is still healthy and of sound mind. The directive can serve many purposes regarding the future need for medical care and decisions for that person. (Norlander, 2001)
Advance directives are legal documents that provide several avenues of decision making in the event that the patient is in a vegetative state, a coma or other situation whereas they cannot competently make or communicate their wishes to medical personnel and family members. An advance directive provides for the owners of them to:
1) state their wishes regarding medical treatment in the event that they are incapacitated, 2) name one or more health care agents who will make decisions for them if they cannot speak for themselves.
They are sometimes called living wills or health care directives."
Advance directives first took hold in 1967 but didn't really gain popularity until 1991 when the Patient Self-Determination Act (PSDA) was passed by Congress. The act mandated that any facility that receives Medicare or Medicaid funding must provide information to patients about health care decisions and document any existence of an advance directive.
The act was intended to increase the ability of patients to be involved in health care decisions, especially regarding care at the end of life. Despite the law and the existence of health care agents, little evidence exists that the wishes stated in directives are being consistently honored. Health care facilities, physicians, nurses and even families share the blame for this problem. The health care management community must take certain risk management precautions to ensure that patients are getting the treatment they ask for and that health care organizations are able to meet these requirements."
Advance directives are written instructions about how someone wants their end life health care decisions made. The directives decide things such as resuscitation issues, feeding tube issues, intubations issues and others. The birth of advance care directives stemmed from fear that the medical community would prolong the dying process with medical interventions that had no hope whatsoever of curing the problem or restoring any quality of life.
The issue of care at the end of life is problematic because of the wide array of procedures and choices available. Many treatments are offered that do not always make sense for a person whose body is dying. For example, artificial resuscitation (CPR) can restore the heartbeat and breathing of someone who has suffered a sudden heart attack. For someone who is in the terminal stages of heart disease, however, CPR can be a brutal and often useless treatment. Although more and more people are turning to written advance directives as a way to prevent unwanted treatments and care, their wishes are not always met. "
One of the most significant problems with advance care directives is the fact that they are not federally mandated and vary from state to state. New York recognizes an advance care directive but does not recognize health care agents, while Ohio state recognizes both. When a patient from one state becomes deathly ill in another state,…[continue]
"Advance Directives Problem Solutions" (2003, October 31) Retrieved November 30, 2016, from http://www.paperdue.com/essay/advance-directives-problem-solutions-153787
"Advance Directives Problem Solutions" 31 October 2003. Web.30 November. 2016. <http://www.paperdue.com/essay/advance-directives-problem-solutions-153787>
"Advance Directives Problem Solutions", 31 October 2003, Accessed.30 November. 2016, http://www.paperdue.com/essay/advance-directives-problem-solutions-153787
British Builders Briefly describe the problems facing the house building industry in Britain The boom of the housing sector had come crashing with the depression of 2008-2009 when the whole globe tottered under economic instability. The problems stem from the market reactions and the general condition of the industry during the depression. The economy has not yet recovered and the problems that were created in the 2009 scenario continue even now. In
Greening of the Health Care System The objective of this work in writing is to examine problems and solutions to increase greening of the health care system. Towards this end, this work examines and reports literature in this area of study. It is reported that Pittsburg, PA was, in the 1940s a place coping with extreme pollution and was known as 'the Smoky City'. However in the 1940s leaders in the
Nonetheless, internet breach occurs routinely; further steps need to be taken. Options for resolving these issues Part of the issue revolves around ambivalent ways of defining PII as well as the fact that the constructs of identity are still in flux. PII, at one moment, can become non-PII during the next, and the reverse is the case, too. Moreover, computer science has shown that, in many instance, data that is consider
Supervision: When to Use Directive Control Behaviors This paper is about many different aspects of effective supervision, training and evaluation, but the main concern here is control. It can be assumed that the supervisor has control over the supervisory situation, but this would be an oversimplification of the relationship between a line employee and their direct boss. Control is a shared entity because though the supervisor may determine the course an
Host Organization During any internship problems are to be expected so the learning process may take place. One problem I encountered with the host is that they sometimes left the task completely up to us with the hope that we can solve everything ourselves without further guidance. Despite this great opportunity to take the job as our own and as a real working experience, most interns were not familiar with
End-of-Life Health Care Imagine this scenario: a patient has end stage heart failure, coronary artery disease, peripheral artery disease, chronic obstructive pulmonary disease and sleep apnea. She has refused any invasive treatments for many years, ignoring potential consequences, and has opted for medical management. She has an advance directive stating her preference for no cardiopulmonary resuscitation, no artificial hydration or nutrition, and only desires comfort measures to allow for a
Euthanasia is basically described as the intentional killing of an individual for his/her benefit, and is usually carried out because the person who dies requests for it. While it can also be referred to as physician-assisted suicide, it's known as euthanasia because there are situations where the individual can't ask for it. As one of the major issues in the medical field, there are various laws regarding euthanasia in almost