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. Visit  Ginger's Mom} profile page

    About Ginger's Mom

    From 'MASS'; Joined Oct '05; Posts: 3,226; Likes: 2,319.

    65 Comments so far...

  4. Visit  dishes} profile page
    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. Visit  rhondaa83} profile page
    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. Visit  nerdtonurse?} profile page
    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. Visit  elkpark} profile page
    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. Visit  Lacie} profile page
    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. Visit  SharonH, RN} profile page
    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. Visit  leslie :-D} profile page
    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. Visit  Ginger's Mom} profile page
    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. Visit  PostOpPrincess} profile page
    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.
  13. Visit  NurseCard} profile page
    0
    I think it's a wonderful thing to give to anyone, not just veterans... however I'm confused about something. Is this the "end of life" booklet that I've been hearing about, that the current health care reformers are pushing for? Does anyone know about this?

    My husband, who is a major Obama critic, seems to think that this "end of life" booklet is part of some sort of agenda to convince older persons with catastrophic illnesses or injuries (or heck, even younger people) to just accept death, so that resources aren't "wasted" on those with no or little hope of ever fully recovering and contributing to society ever again.
  14. Visit  madnurse2b} profile page
    3
    That is an awesome booklet. I have an 89 year old vet at home. We have already had the conversation and I am his Healthcare POA. We even discussed exactly what he would and would not want done. But this was to a certain extent much more detailed than we had even gone over. I've printed it for Dad to look at. Thanks!
    leslie :-D, Heogog53, and dishes like this.
  15. Visit  nerdtonurse?} profile page
    14
    I know a lot of people are thinking that the new health care stuff is going to amount to "unplug grandma." From what I've seen, our current system does a LOT of unnecessary, cruel and pointless procedures to those who are at the end of their life. Why, WHY on God's green earth would you ever put a PEG tube in someone who's 98, end stage Alzheimers, non verbal, bed bound, comes in from home or NH with stage 3 and stage 4 decubes on sacrum and other pressure points, so they can go back to their NH and lay in a bed until they finally drown from aspiration pneumonia in another 3 weeks (as opposed to their blood sugar dropping, they drift off to sleep, and pass in a week)? What are they doing that to the poor person for? There needs to be some common sense applied. I've had pts who were blind, deaf, PEG'd, trached, flaccid, EEG showed the only brain activity was "noise" off the brainstem enough to keep the pt breathing (barely) -- yet we're doing debridements on the stage 4s and eschars AGAIN, we're clearing up the pneumonia AGAIN, we're putting in a new site for their dialysis AGAIN...we are not helping this person live, we are prolonging their death and suffering. I'm talking about people who are shivering and moaning in pain and the family refuses narcotics because they don't want grandma "addicted." Hello, grandma died 2 years ago, but you've trapped her body and spirit here.

    We need to show these people dignity and honor and let them go when all we are doing is torturing them.
    Moogie, nuangel1, bethann27, and 11 others like this.


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