Advanced Care Planning for Geriatrics Society - myassignmenthelp

Question: Discuss about theAdvanced Care Planning for Geriatrics Society. Answer: Introduction At first I would like to introduce myself Today I would like to have a small discussion regarding the advanced care planning while dealing with a patient having dementia. First I would like to define advanced care planning. It is nothing but taking decisions for your own health. The decisions solely depend upon you. This is about taking decisions about the type of care one wants to receive if he or she is unable to speak (Mullick, Martin Sallnow, 2013). We can take an example such as, if one is met with an accident, after which he or she is unable to speak, one can tell the health care providers or the caregivers regarding their wishes (Lovell Yates, 2014). Advanced care planning mainly includes: Obtaining information about the treatments that are life sustaining. Deciding what kind of a treatment one would opt for. Sharing the personal values with the loved ones. If one is unable to speak then completing the directives into writing and what type of interventions or treatments, one would like to choose. Decisions about the end of life care for the patients, who are terminally ill. Implications of the advanced care planning on health Advanced care planning can involve discussions regarding the end of life and provision of the early palliative care. Reaserches have suggested that Lack of end of life discussions and receipt of aggressive care at the time of end of life deteriorates the conditions of patients and do not help them to have a peaceful death (Bischoff et al., 2013). On the other hand the advanced care planning had been able to bring about better outcomes in the terminally ill patients, specially the patients suffering from diseases like cancer and neurodegenerative diseases (Houben et al., 2014). Communication about advanced care planning or end of life can be tough job for the family members or the loved ones but it should be kept in mind that, lack of understanding of the wishes of a person may result in devaluation of the person, loss in dignity of the person which can cause additional distress in the family members (Brinkman et al., 2014) Case study Today I would like to throw some light upon the case of Mr. Joseph. He as 85 years old and was suffering from acute dementia. He was facing with many troubles such as acute memory loss, cognitive impairment, inability to do even the simplest tasks. He supposedly had developed symptoms of kleptomaniac. All these reasons have led his withdrawal from the society. Currently his condition had deteriorated as he had stopped taking food and medications and he was under artificial life care support system. His daughter had reported, that the nurse that was taking care of Mr. Joseph had applied restraints on him and had tried to feed him forcibly, it was since then that Mr. Jospehs condition has deteriorated. Recently after consultation with the doctors Mr. Joseph and his daughter have wished for an end of the artificial life care support system. Discussion question Was the decision taken up by the doctors and Mr. Josephs daughter, right? It can be stated as a right decision as the decision would help Mr. Joseph to die peacefully. He thinks that he had already accomplished his goals in life and now he wants a peaceful death. It should be noted that such a decision would be useful in bringing about a dignified and peaceful death in the person. Conclusion Advanced care planning or end of life decisions can be painful for the patients and the family members and the doctors, but lack of perceptive of a persons desires can bring distress in the patients health. It can pose additional distress to the health care professionals. Hence advance care planning is important to reduce the distress and serve the dignity of the patient. References Bischoff, K. E., Sudore, R., Miao, Y., Boscardin, W. J., Smith, A. K. (2013). Advance care planning and the quality of end?of?life care in older adults.Journal of the American Geriatrics Society,61(2), 209-214. Brinkman-Stoppelenburg, A., Rietjens, J. A., van der Heide, A. (2014). The effects of advance care planning on end-of-life care: a systematic review.Palliative medicine,28(8), 1000-1025. Houben, C. H., Spruit, M. A., Groenen, M. T., Wouters, E. F., Janssen, D. J. (2014). Efficacy of advance care planning: a systematic review and meta-analysis.Journal of the American Medical Directors Association,15(7), 477-489. Lovell, A., Yates, P. (2014). Advance care planning in palliative care: a systematic literature review of the contextual factors influencing its uptake 20082012.Palliative medicine,28(8), 1026-1035. McMahan, R. D., Knight, S. J., Fried, T. R., Sudore, R. L. (2013). Advance care planning beyond advance directives: perspectives from patients and surrogates.Journal of pain and symptom management,46(3), 355-365. Mullick, A., Martin, J., Sallnow, L. (2013). Advance care planning.Bmj,347(7930), 28-32. Robinson, L., Dickinson, C., Bamford, C., Clark, A., Hughes, J., Exley, C. (2013). A qualitative study: professionals experiences of advance care planning in dementia and palliative care,a good idea in theory but.Palliative medicine,27(5), 401-408. van der Steen, J. T., van Soest-Poortvliet, M. C., Hallie-Heierman, M., Onwuteaka-Philipsen, B. D., Deliens, L., de Boer, M. E., ... de Vet, H. C. (2014). Factors associated with initiation of advance care planning in dementia: a systematic review.Journal of Alzheimer's Disease,40(3), 743-757.