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Caring for Pennsylvania Patients with No Advance Health Care Directive

Caring for Pennsylvania Patients with No Advance Health Care Directive PDF Author: Robert Gasparro
Publisher:
ISBN: 9781520623658
Category :
Languages : en
Pages : 41

Book Description
Although a patient under your care may not have an advance health care directive, you do not operate in a vacuum. Over fifty Pennsylvania laws regulate your conduct as a health care provider. These same rules regulate the conduct of any health care representative acting as the agent for an incompetent patient. Many health care providers attempt to resolve family disputes about the care of an incompetent patient through mediation or developing a consensus. While commendable, that is not what the drafters of the statute had in mind. Instead, the statutes establish a hierarchy of candidates who may be appointed as health care representative, with a corresponding duty that the designee communicate with others named in the hierarchy that they are assuming their duties. The statutes also provide a framework for health care representatives to make medical decisions as agent for an incompetent patient, requiring different steps depending upon the seriousness of the proposed medical procedure as well as the prognosis of recovery for the patient. A separate provision of the statutes provide protections for health care workers who act in good faith, or who exercise a right of conscience, or who must expend money to protect the life of an unborn fetus as required by the laws. Finally, the statutes impose an obligation on certain health care providers to make notations of certain facts and events in the patient's medical records. This guide provides a clear explanation of the law, as well as citations to the relevant part of the law. It also contains checklists and forms to assist the health care provider determined to comply with the law.

Caring for Pennsylvania Patients with No Advance Health Care Directive

Caring for Pennsylvania Patients with No Advance Health Care Directive PDF Author: Robert Gasparro
Publisher:
ISBN: 9781520623658
Category :
Languages : en
Pages : 41

Book Description
Although a patient under your care may not have an advance health care directive, you do not operate in a vacuum. Over fifty Pennsylvania laws regulate your conduct as a health care provider. These same rules regulate the conduct of any health care representative acting as the agent for an incompetent patient. Many health care providers attempt to resolve family disputes about the care of an incompetent patient through mediation or developing a consensus. While commendable, that is not what the drafters of the statute had in mind. Instead, the statutes establish a hierarchy of candidates who may be appointed as health care representative, with a corresponding duty that the designee communicate with others named in the hierarchy that they are assuming their duties. The statutes also provide a framework for health care representatives to make medical decisions as agent for an incompetent patient, requiring different steps depending upon the seriousness of the proposed medical procedure as well as the prognosis of recovery for the patient. A separate provision of the statutes provide protections for health care workers who act in good faith, or who exercise a right of conscience, or who must expend money to protect the life of an unborn fetus as required by the laws. Finally, the statutes impose an obligation on certain health care providers to make notations of certain facts and events in the patient's medical records. This guide provides a clear explanation of the law, as well as citations to the relevant part of the law. It also contains checklists and forms to assist the health care provider determined to comply with the law.

Dying in America

Dying in America PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309303133
Category : Medical
Languages : en
Pages : 470

Book Description
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Advance Health Care Directives

Advance Health Care Directives PDF Author: Carol Krohm
Publisher: American Bar Association
ISBN: 9781590310083
Category : Health & Fitness
Languages : en
Pages : 386

Book Description
This volume deals with the difficult and sensitive issues faced by lawyers, doctors, nurses, clerics, and spiritual advisors in helping clients and patients plan, write, execute, and implement personal contingency plans for health-care decision-making.

Aging with a Plan

Aging with a Plan PDF Author: Sharona Hoffman
Publisher: Anthem Press
ISBN: 1839982381
Category : Health & Fitness
Languages : en
Pages : 159

Book Description
The book is a concise and comprehensive resource for people who are middle-aged and beyond and are facing the prospects of their own aging and of caring for elderly relatives—an often overwhelming task for which little in life prepares us. Using an interdisciplinary approach and many personal anecdotes, Professor Hoffman develops recommendations for building sustainable social, legal, medical, and financial support systems for aging and caregiving. Aging with a Plan combines thorough research with engaging anecdotes and practical advice. It offers one-stop shopping for anyone in need of guidance without a lot of time for independent research. The book answers questions such as: What legal documents should you be sure to have? What expenses should you anticipate in retirement and how do you save for them? What do you need to know about medical care as you or your loved ones grow older? How should you approach conversations about the sensitive topic of safe driving with elderly loved ones? What options exist for end-of-life care, and how do you make sure that your wishes will be followed? The book is user-friendly and accessible to a general audience, and each chapter ends with a helpful checklist.

The Caregiver's Encyclopedia

The Caregiver's Encyclopedia PDF Author: Muriel R. Gillick
Publisher: Johns Hopkins University Press
ISBN: 1421433583
Category : Health & Fitness
Languages : en
Pages : 400

Book Description
An indispensable, comprehensive reference for family caregivers. Caregivers hold the key to the health, well-being, and happiness of their aging relatives, partners, or friends. The Caregiver's Encyclopedia provides you with all of the information you need to take the best care of your loved one—from making major medical decisions to making sure you don't burn out. Written by Muriel R. Gillick, MD, a geriatrician with more than 30 years' experience caring for older people, this book highlights the importance of understanding your friend's or family member's overall health. With compassion and expertise, this book will help you "think like a doctor." The content • helps you navigate the health-care system • shares important information about treating basic geriatric syndromes, including delirium, dementia, and falls • teaches you about preventive care options • enables you to manage medical decisions related to both acute and chronic conditions • discusses what Medicare covers—and what it doesn't • guides you through different approaches to care • weighs the risks and benefits of hospital vs. home, nursing home, or hospice care • provides a detailed list of medical supplies that you might want to keep on hand • offers you additional resources and emotional support Throughout, Gillick provides helpful information and concrete concepts that caregivers can put into practice today. Authoritative, comprehensive, holistic, and highly illustrated, The Caregiver's Encyclopedia will help you figure out how to be the best caregiver you can be.

Home Health Aide Training Manual

Home Health Aide Training Manual PDF Author: Kay Green
Publisher: Jones & Bartlett Learning
ISBN: 9780834207462
Category : Medical
Languages : en
Pages : 364

Book Description
This Protocol delineates the evidence for using devices for noninvasive patient monitoring of blood pressure, heart rhythms, pulse oximetry, end-tidal carbon dioxide, and respiratory waveforms. These protocols guide clinicians in the appropriate selection of patients for use of the device, application of the device, initial and ongoing monitoring, device removal, and selected aspects of quality control.

Acute Care Surgery

Acute Care Surgery PDF Author: L. D. Britt
Publisher: Lippincott Williams & Wilkins
ISBN: 1608314286
Category : Medical
Languages : en
Pages : 849

Book Description
Acute Care Surgery is a comprehensive textbook covering the related fields of trauma, critical care, and emergency general surgery. The full spectrum of Acute Care Surgery is expertly addressed, with each chapter highlighting cutting-edge advances in the field and underscoring state-of-the-art management paradigms. In an effort to create the most definitive reference on Acute Care Surgery, an evidence-based approach is emphasized for all content included. Also, notable controversies are discussed in detail often accompanied by data-driven resolutions.

An Ethics Casebook for Hospitals

An Ethics Casebook for Hospitals PDF Author: Mark G. Kuczewski
Publisher: Georgetown University Press
ISBN: 9781589012387
Category : Medical
Languages : en
Pages : 240

Book Description
This collection of thirty-one cases and commentaries addresses ethical problems commonly encountered by the average health care professional, not just those working on such high-tech specialties as organ transplants or genetic engineering. It deals with familiar issues that are rarely considered in ethics casebooks, including such fundamental matters as informed consent, patient decision-making capacity, the role of the family, and end-of-life decisions. It also provides resources for basic but neglected ethical issues involving placement decisions for elderly or technologically dependent patients, rehabilitation care, confidentiality regarding AIDS, professional responsibility, and organizational and institutional ethics. The authors describe in detail the perspectives of each party to the case, the kind of language that ethicists use to discuss the issues, and the outcome of the case. A short bibliography suggests useful articles for further reading or curriculum development. Easily understood by readers with no prior training in ethics, this book offers guidance on everyday problems from across the broad continuum of care. It will be valuable for health-care professionals, hospital ethics committees, and for students preparing for careers in health-care professions.

Critical Care Medicine

Critical Care Medicine PDF Author: Michael James Murray
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781729680
Category : Medical
Languages : en
Pages : 936

Book Description
This authoritative reference published under the auspices of the American Society of Critical Care Anesthesiologists (ASCCA) is now in its Second Edition. More than 100 internationally recognized experts present state-of-the-art strategies for successful, cost-effective perioperative care and management of acutely ill patients.This thoroughly revised edition features many distinguished new contributors from anesthesiology, critical care medicine, internal medicine, surgery, and pediatrics. Timely new chapters cover medical informatics, evidence-based medicine, human genomics, research in critical care medicine, and imaging in the ICU. Chapters on acute respiratory distress syndrome, sepsis, and other diseases have been rewritten to reflect recent technological and therapeutic breakthroughs.

Families Caring for an Aging America

Families Caring for an Aging America PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309448093
Category : Medical
Languages : en
Pages : 367

Book Description
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.