Tag / surrogate decision making

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  • Advocating for the Dying – The View of Family and Friends

    Advocating for the Dying – The View of Family and Friends   Imagine you are being forced to play a game. You don’t know the rules. People playing the game with you know the rules but don’t bother to explain them. They can be changed at any time, depending on who is in charge. Some…

  • Caring Conversations – A Partnership Between You and Your Agent

    Appointing an agent is the beginning of a partnership.

  • After the Heart Attack – Sister Rosemary Flanigan, PhD

    In early 2012, at age 85, Dr. Rosemary Flanigan suffered and survived a heart attack. Fifteen years earlier, Dr. Flanigan wrote: “It makes me mad…

  • Case Study – Disagreement Over Advance Directive

    Who decides if the medical team thinks care is non-beneficial and the family disagrees?

  • Case Study – Could This Happen At Our Hospital?

    Case Study – Could This Happen At Our Hospital? The patient is dying, and the physicians and family did what? A 79-year old white female with advanced ovarian cancer, severe back and abdominal pain, COPD, depression and anxiety disorder, and asthma was admitted to the hospital from Happy Valley Nursing Home through the emergency room.…

  • Case Study – Barney Says No

    Case Study – Barney Says No Determining the Appropriate Surrogate and the Goals of Care Almeda has lost decisional capacity and left no advance directive. She’s on on a ventilator and fed with a gastric feeding tube. With no family, Barney, her longtime friend, has been her unofficial substitute decision maker. Should her treatment plan…

  • Case Study – A Family Divided

    Case Study – A Family Divided A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether he has decisional capacity. Who…

  • Case Study – Walking The Tightrope

    Case Study – Walking The Tightrope Is this 85-year-old patient “a complainer” or is she in pain?  

  • The Affordable Care Act and Brain Injuries

    Brain injured patients don’t follow a schedule for recovery.

  • The Ethics of Donation after Cardiac Death

    The debate continues on the ethics of donating organs after cardiac death.