Offering New Ways to Create Safety and Clarity about One Wants with Medical Care
https://youtu.be/gIF9yuuLof0 This talk will likely interest anyone whose heard of 'Advance Directives' which involves appointing a healthcare representative and/or a Living Will (medical care decisions whether to take life-saving measures or not, depending on one's choices in various settings and reasons.)
Too often people in the medical field, caregiving, even family may not clearly understand the terms of 'DNR' (Do Not Resuscitate if someone is without a pulse) if they did not want that...but often DNR may be misinterpreted as 'Do Not Treat'(and allow to die.)
There are TRIADS, The Realistic Investigations of Advance Directives. Too often a living will be interpreted as 'a DNR" which is not what it is, or End of Life Care which it is not. There are many important points I would like to list when I have more time. Hopefully each state can get a 'report card grade' in terms of learning what the meanings of the terms, what the protocol is and more.
Too often a UTI, urinary tract infection or other set of difficult systems, can go unchecked if they are deemed 'a Living Will, POLST (physician's orders for life sustaining treatment) (or a MOLST (medical order of life sustaining treatment.) Law suits can emerge (both wrongful death or wrongful prolongation of life.) There is a challenge with clear communication.
Interpretation by 'medical strangers' (doctors who do not know the patient.) Questions arise, do I do a code or no code. intubate or not? People need more information.
Dr. Ferdinand (Fred) Mirarchi is the head of his own practice, Institute of Healthcare Directives. They work with attorneys and other aspects of the community to educate and keep people their choices clear and followed. AND means "Allow Natural Death" and is a term for 'let people die naturally.'
TRIAD8 is a study was published about paperwork (POLST, LIving Will) vs a scripted video (to help people understand whether someone is a DNR or not.)
The MIDEO allows for a person to directly convey their choices in a clear message with medical terms as needed. This is a script for Advance Care Planning (ACP.) There are people who are basically well, some who are ill and others who are very compromised. Be careful of something that says "Do not keep me alive if I am terminally ill" since that can have a large set of parameters.
People who are chosen well to understand their skills in the face of difficulty and not only do what that the person would want. This MIDEO can clarify a patient's choices, and ease guilt or confusion. Showing the family the actual video from the patient can help 'set things on the course' the patient wanted. It's helpful to see an ID card which may indicate another to contact (health representative) or codes to follow and has a QR code to scan to see the video.
This MIDEO card (which has the same protection due to being life-saving information which is similar to Living Wills and POLST/ MOLST type orders.) This can solve the problem... and really help patients have advocacy with nurses, doctors and family members all hearing and seeing the same thing...and hopefully holding one another accountable about their understanding of what they are hearing.
That's in the first 20 minutes..Stat tuned and I'll be back to summarize the next half. Some insurance will be reimburse part of the cost. Some other people are being trained to assist with the process, education and support, not medical aspects and are independently employed. More doctors and medically qualifed people can apply to train to use the process too.
Some people have said "If a Living Will doesn't make a person a 'DNR" I don't know what does.' That should scare US all, and motivate people to learn what they Should do and When a Living Will would become 'activated' not just plan for 'in case scenarios'. Thanks for taking time to learn what you can and help others in your circles ask questions and watch these kinds of talks..and find answers.
