Sounds like they could use a family meeting with the Doctor and IDT. They need clarification of prognosis and quality of life. Ask the family what his wishes are. Wether or not a Vent is appropriate...
Where I work our medical director reviews the nursing notes and looks at how often the medication is being ordered. If I write in my note... Mr X takes Percocet 1-2X per day and Percocet is being...
I tell my patient's Families to look at the pamphlet we provide that has a breakdown of symptoms to expect over the patient's decline. This way they can think about it and talk to me about some of the...