Advanced directives are not appropriately queried. When my parents went into long term care it was asked if they wanted to be resuscitated and if they wanted advanced life support. That bimodal question is improper. If one of them fell and hit their head on the stairs the first week then yes, but if they develop renal failure over the ne…
Advanced directives are not appropriately queried. When my parents went into long term care it was asked if they wanted to be resuscitated and if they wanted advanced life support. That bimodal question is improper. If one of them fell and hit their head on the stairs the first week then yes, but if they develop renal failure over the next 30 months then go into failure no. The decision on how you respond to a heart stoppage depends mostly on how you got there. Thus the questions asked need to consider that. Doctors know the chances of recovery for elderly based on what got them to the point of need resuscitation and they need to classify them and then give the patients signing a directive yes no responses to a set of maybe 3-4. A family member with power of attorney need also to be present for this discucssion.
Advanced directives are not appropriately queried. When my parents went into long term care it was asked if they wanted to be resuscitated and if they wanted advanced life support. That bimodal question is improper. If one of them fell and hit their head on the stairs the first week then yes, but if they develop renal failure over the next 30 months then go into failure no. The decision on how you respond to a heart stoppage depends mostly on how you got there. Thus the questions asked need to consider that. Doctors know the chances of recovery for elderly based on what got them to the point of need resuscitation and they need to classify them and then give the patients signing a directive yes no responses to a set of maybe 3-4. A family member with power of attorney need also to be present for this discucssion.
In my experience, Advance Directives and Living Wills are often ignored in favor of a patient's family's wishes. Afterall, dead men don't sue.