No, it does not have an Ethics committee

J BALL <[EMAIL PROTECTED]> wrote:
Does your facility have an Ethics committee?
----- Original Message -----
From: Nathan
Sent: Friday, January 09, 2004 8:40 PM
Subject: Re: End of Life Issues

Power of Attorney does not necessarily give the son the right to stop treatment. I would suggest you consult your medical director and/or facility attorney. You might also get the OMBUDSMAN or State Patient Advocate involved just to be on the safe side.
.
 
Nathan
----- Original Message -----
From: Maria2354
To: AANAC
Sent: Friday, January 09, 2004 4:20 PM
Subject: End of Life Issues

Although not related to MDS, I have to throw this out to the group. Have a resident with end stage lung disease, under Hospice care. His son has POA, and is requesting that all meds R/T pulmonary condition, including O2 and neb TX be provided on a �as requested by resident� basis. His reasoning is that those meds would prolong the resident�s life since they are used to treat the lung condition, and that is not what the resident would have wanted. The resident is not capable to request any meds, and the son is aware of this. He is requesting that the resident only receive Morphine and Ativan for comfort. When asked why he did not want all meds D/C, i.e., antidepressant, antiulcer meds, etc, he stated he would like to continue the other meds, as they were not R/T the terminal illness.  The resident was admitted last April, was still alert with intermittent confusion. He is now no longer able to make health care decisions, but did never mention that he did not want the meds R/T his terminal illness since admission. He is not declared incompetent but the son is enforcing his POA. He states that he speaks as his father (not on his behalf). It was explained that the resident may experience discomfort if the meds are not administered, and that they would not prolong his life, the son has made his decision. He feels that the meds would prolong the resident�s live because without them, he would die sooner. Any thoughts?


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Maria Benton, R.N., C., C.N.A.C.,
MDS Coordinator
Jacksonville, Florida


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