Mod 4 Discussion 1 advanced directive

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College of DuPage *

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1130

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Sociology

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Feb 20, 2024

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docx

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3

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Advanced Directives Patricia Carpenter Long-Term Care Administration, College of DuPage LTC-1160: Social Gerontology and LTC Professor Philip C. DuBois January 31, 2024 Advance Care Directives: Advance care directives are legal documents that outline an individual's preferences for medical treatment and healthcare decisions in the event they become unable to communicate their wishes. A living will describes the types of medical treatments an individual would like or would not like to receive in specific situations, such as life-sustaining treatments or resuscitation. A durable power of attorney for healthcare designates a trusted person (healthcare proxy) to make medical decisions on behalf of the individual if they are unable to do so. The do not resuscitate (DNR) specifies the individual's wishes regarding resuscitation efforts in the case of cardiac or respiratory arrest (National Instutes of Health, 2022) . End-of-Life Care Options: Hospice care is a specialized form of care focused on providing comfort and support to individuals with terminal illnesses. Hospice care is often provided at home but can also be
administered in a dedicated facility (Regula H. Robnett, 2024) . Palliative care is aimed at improving the quality of life for individuals facing serious illnesses. Palliative care focuses on symptom management, pain relief, and emotional support. Unlike hospice, it can be provided at any stage of a serious illness. Comfort care focuses on providing comfort and relief from pain and symptoms, often aligning with the principles of hospice and palliative care. In certain situations, individuals may choose to discontinue or not initiate certain medical treatments that prolong life but may not provide a cure and this would be withdrawal of treatment (National Instutes of Health, 2022) . Discussion with Older Friend or Relative: During a discussion with my mother-in-law, she explained that she has a healthcare power of attorney in place with her son. She also currently wishes to be a full code with all lifesaving options. However, if her health were to decline with a poor prognosis, she would not want mechanical life support. She fully supports hospice care as an option. She has battled breast cancer in the past and is very prepared in the event she faces a sudden or unexpected decline or change in condition. She stated she would not want to linger with no quality of life or to be a burden to her family. References Chies, S. (2022). Pratt's Long-Term Care Managing Across the Continuum. Burlington: Jones and Bartlett Learning, LLC . Gillick, M. R. (2018). From Old and Sick in America: The Journey Through the Health Care System. American Scientist, 106 (3), 186.
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