Healthcare Directive - A Guide

After reading the handouts in the admission packet, this can be used to guide decisions about future healthcare, including preparing a “Living Will”; discuss this with the nurse and doctor, and ask the doctor to follow orders which will reflect your preferences


Option A.
Longevity- do everything medically possible to live, continue all medicines, treatments, lab tests, procedures. [NOT Recommended in LTC]
FULL CODE (CPR):
- Chest compressions and shocking
- Mouth to mouth breathing
- A tube for a breathing machine is placed

 


Option B.

Comfort- Continue treatments as ordered, control symptoms and treat discomfort aggressively, but NO CPR.
A.N.D. (Allow Natural Death):
- If no pulse, no chest compressions
- If no breathing, no mouth to mouth               
- No shocking or breathing machine             

Option C.
Comfort measures ONLY:  Do everything to help control symptoms and treat discomfort aggressively. Stop treatments and medicines that do not promote comfort (for example, cholesterol-lowering drugs).  
A.N.D. (Allow Natural Death):
- If no pulse, no chest compressions
- If no breathing, no mouth to mouth               
- No shocking or breathing machine 

PLUS:
Make a note of any medicine or treatment you want to avoid or that you feel may not help you reach your goal of ‘comfort measures only’ and discuss with the doctor and nurse.   Then, ask your doctor to write appropriate orders in the chart.

 

Medicine(s)? (what are you taking now?  Which ones do you question?)

Surgeries?

Lab tests?

Xray/other procedures?

IV fluids/feeding tubes?




ACP 6/10