Respecting Patient Choices advance care planning to improve patient care. Familiar scenarios. A 93 yr mother with dementia, from a nursing home, in hospital for 6 weeks with # NOF An 84 yr mother, bedbound & unable to speak after a stroke, heading for a PEG and private hospital
… ‘a process, whereby a patient, in consultation with health care providers, family members and important others, makes decisions about his or her future health care, should he/she become incapable of participating in medical treatment decisions’.
Ethical principles - autonomy - informed consent
- dignity - prevent suffering
The main tools
Yet the Office of the Public Advocate:
vascular & thoracic surgery
300 patients in target areas
74% had a documented expression of treatment in their medical record
Of all the medical records reviewed
95% of patients main wishes have been respected.
palliative care, HSE, renal, respiratory, cardiology, surgery