Veterans - End of Life Booklet

  1. 0
    http://www.examiner.com/x-9100-Bosto...Book-directive

    This is the booklet, http://www1.va.gov/pugetsound/docs/ylyc.pdf,

    What do you think ?

    If Universal Care becomes an option do you feel comfortable giving this to your patients ?

    Critics feel this book may shame Vets into making decisions base on guilt.
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  3. 65 Comments so far...

  4. 11
    Advanced care planning is a good idea. Most people are under the misguided impression that if they or their loved ones suffer a major trauma or stroke and they cannot speak for themselves, the healthcare professionals will tell them what they should do. It is unethical for healthcare professionals to guess what the patient considers quality of life and make the decision for the family. However, if family members have discussed this before the event occurs and the person has made their wishes known, then the family is able to make decisions on their behalf of their loved one in good conscience.
    canoehead, blueheaven, MaritesaRN, and 8 others like this.
  5. 16
    This booklet should be given to EVERYONE, not just veterans. I have seen so many families torn because they had never talked about these things with their families, and then suddenly they have to deal with it. I say it is about time!!
    CLWCHPN, canoehead, blueheaven, and 13 others like this.
  6. 16
    I didn't see anything wrong with it. If you'd seen what I've seen, just in the short time I've been a nurse, I can't imagine why anyone would deliberately choose to be a full code when they are brain dead, on a vent, and will never, ever come off. And we've got 3 of those in our ICU right now, and the families are screaming to do "everything." I mean, they're cadavers with a heartbeat on a vent...
    canoehead, blueheaven, MaritesaRN, and 13 others like this.
  7. 11
    I think the booklet does an excellent job of presenting the issues and facts without pushing a particular point of view or course of action. I agree it should be given to everyone, not just vets.

    And, again, a little reality check -- no one, in any case, is requiring or forcing anyone to read the booklet or take any action unless they choose to.
    canoehead, nuangel1, UKRNinUSA, and 8 others like this.
  8. 9
    I am not only an RN but a service connected disabled veteran. I have no problem with this and would welcome not only giving it to my patients or recieving it from my veteran health care providers.
    canoehead, UKRNinUSA, Heogog53, and 6 others like this.
  9. 3
    I would feel 100% comfortable giving this to my patients, in fact I already do give them information similar to this. FYI, one of the options for end of life care is making the choice to have everything done if you are unable to speak for yourself! So what are they being "shamed" into? Also no one has to fill it out but at least they have the info.
    dishes, Moogie, and herring_RN like this.
  10. 8
    Quote from rhondaa83
    This booklet should be given to EVERYONE, not just veterans. I have seen so many families torn because they had never talked about these things with their families, and then suddenly they have to deal with it. I say it is about time!!
    Quote from elkpark
    I think the booklet does an excellent job of presenting the issues and facts without pushing a particular point of view or course of action. I agree it should be given to everyone, not just vets.

    And, again, a little reality check -- no one, in any case, is requiring or forcing anyone to read the booklet or take any action unless they choose to.
    i sooo agree with you both...
    that this should be distributed to everyone.
    i have read the booklet, and it addresses every conceivable issue/question that one could have re end of life and quality of life.
    and i haven't a clue as to what guilt issues the critics are referring to.

    elkpark, not only does it remain neutral, it provides advantages and disadvantages to cpr, stroke, fdg tubes, dialysis, etc.

    no where does it encourage anyone to end their life!!!

    it is direct, thought-provoking document that addresses every conceivable scenario re end and quality of life.
    i also think this type of legal document, would reduce the number of potential lawsuits, since this booklet doesn't leave any room for question.

    i encourage all to read it.
    but keep in mind, no one can make you.
    it is ultimately up to you.

    leslie
    Heogog53, dishes, DolceVita, and 5 others like this.
  11. 7
    I took a look at the booklet, I agree with you all that the topics are good ones. But some people have a hard time talking about all these issues and if you were sick you may think it would be selfish to ask you family to take care of you when you are ill.

    Personally, I think this booklet should be given to people when they are well and not when confronted with a health crisis. I don't know the timing of when this booklet is given. I know from my hospice experience, if you asked these questions when enrolling a person into hospice it would turn people off.
    Bonnie Nurse, MidLifeNurse, Elvish, and 4 others like this.
  12. 3
    i have no problem with giving this to patients who are open to discussions about advanced directives--but wouldn't dare give them to those who have issues with eol.


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