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View Diary: Why End of Life Counseling is Imperative (256 comments)

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  •  EMT's do not recognize "do not resuscitate" (1+ / 0-)
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    in their protocol.

    If you don't want to be resuscitated, leave instructions that emergency personnel are not to be called.

    If you want to avoid someone having to make the same decision multiple times, don't call 911.

    The normal condition of the elderly is variable.  It's not unusual to have bad times followed by good--i.e. the human body has a strong propensity towards recovery, if it's at all possible.
    Caretakers need not to panic.  The elderly do that easily enough.  What they need is reassurance that they are well cared for, even when they fall into temporary dementia--a common occurrence.  The brain shutting down seems to be a survival strategy.  The brain uses up a lot of energy which may be better utilized healing other organs.

    How do you tell a predator from a protector? The predator will eat you sooner rather than later.

    by hannah on Thu Aug 13, 2009 at 10:05:25 AM PDT

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    •  Depends on which EMT where (1+ / 0-)
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      My daughter is an EMT and she has described (in general terms, not breaking confidentiality) calls to homes where the patient was in hospice and had a DNR order, and it definitely made a difference in how they handled the call. (She's in a small town, so they can get on the phone with the treating doctor, not like an anonymous big-city call.)

      The issue with DNR requests is sometimes not knowing whether it was actually signed by the person who they're treating. Or if it's a doctor's order, is it authentic etc.

      DNR orders are most useful in hospital or other institutional settings. And they need to be backed up with a Power of Attorney (Health Care Proxy).

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