Category : Latest Orders
Discuss this in 300 words;
Access the Australian Institute of Health and Welfare (AIHW) website to find out more about the incidence, prevalence, morbidity and mortality risks associated with the four conditions: myocardial infarction, prostate cancer, stroke and type 2 diabetes.
Australian Institute of Health and Welfare, ‘Risk factors, diseases and death, http://www.aihw.gov.au/risk-factors-diseases-and-death/.
A study by Tulsky, Chesney and Lo (2005) found that conversations between doctors and patients about CPR preferences and options took about ten minutes and missed key information such as the likelihood of surviving CPR. Visit the website Respecting Patients Choices (supported by the Department of Health and Ageing). It has excellent state-based information and resources on advanced care planning: http://www.respectingpatientchoices.org.au/ and so does the SA Health website: http://www.sahealth.sa.gov.au/wps/wcm/connect/Public+Content/SA+Health+Internet/Clinical+resources/Advance+care+directive.
•How do you explain the findings of Tulsky Chesney and Lo (2005)?
•Do you think that nurses should be involved in making CPR decisions, or is this outside the scope of nursing practice? Explain?
In Victoria, patients can fill out a refusal of treatment certificate (see http://www.publicadvocate.vic.gov.au/file/file/Medical/Refusal_of_Medical_Treatment.pdf.
This option is not available in New South Wales. New South Wales has three relevant policy documents:
1. Using Advance Directives
2. End-of-life Care and Decision-making
3. CPR-Decisions Relating to No Cardiopulmonary Resuscitation Orders.
• Identify what laws and policies apply in South Australia?
The NSW Ministry of Health policy on Using Advance Care Directives lists (on p. six barriers to advance care planning. What are they?
This document also identifies (on pp. 6 and 7) a number of best practice recommendations pertaining to advance care directives. Which are most relevant to patients situations?
What does the law say about the need for refusal of treatment decisions to be informed?
Assuming a patient does have decision-specific capacity, does he then have the legal right to refuse CPR?
What might the potential legal consequences be of instigating CPR knowing a patient has refused it, but in the absence of any documentation?