Palliative care in a hospice / MAID

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Lastpointe said:
I once had to pull some rank as an icu RN for a resident who would not give me the prednisone I wanted.
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I had the opposite problem. No medical training, but advanced understanding of where my dad was in terms of his prednisone dosage. He was always trying to keep it to the minimum dose effective. He was into quartering pills to fine tune dosage. He was exquisitely sensitive to dosage changes, after being on it for so many years. So every time he ended up in hospital with pneumonia, unless I got there first and talked to a doctor, they'd end up jacking it up to max, and then we'd spend days dealing with an old man in an endless 'roid rage.
 
With me it is antsy ness ... I find it difficult to deal with fools so begin to mimic them for relief ...

Some folks call this needless conformation!
 
Great dialogue, folks, thanks for your information. I'm learning of both the challenges that people have with complex drug requirements and the people working to try to address.

No magic wands.

What I haven't heard , or maybe i missed, is can an RPN amend the drug orders for drugs prescribed by a different specialist, or GP, or does "it depend". If it does depend, does it depend on the type of medication and the location / practice or some other factor
 
Pinga said:
What I haven't heard , or maybe i missed, is can an RPN amend the drug orders for drugs prescribed by a different specialist, or GP, or does "it depend".
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I think you meant NP (Nurse Practitioner), nor RPN (Registered Practical Nurse)?
 
Pinga said:
I'm curious if I am understanding this correctly, and also , what your thoughts are.
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I think that the question you are pondering is, "When does MAID" become part of the conversation.

The illustrations you give are Advanced Health Care Directives and generally address medical procedures that will not reasonably return individuals to a previous state of health. It is one approach to Palliative Care. We know that X is dying of Y yet we are not going to actively pursue treatment of Y because X has specifically requested that Y not be treated if treatment means Z.

Most Advanced Health Care Directives address pain and suffering from a physical level.

MAiD, from what I have seen, appears to address issues from a mental level and how certain physical ailments may impair cognition at some future point.

So I think that Advance Health Care Directives which prohibit a procedure and MAiD which requests a procedure are apple and orange enough at premise whether they can maintain that difference until end-point may be another matter.

So, for example, I know Kimberly's thoughts on the matter with respect to Advance Health Care Directives. We have not discussed an ailment that might qualify for MAiD.

I understand not everybody will agree with that position. That is how I approach it at any rate.

John
 
That was a sweet story about choice, Jayne, thank you. It's almost a blessing that they were both "terminal" together. Too often, in long-married couples, one dies, and then the other fades.
 
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