I nee an answer for those two questions: 2- When do you think a person should fi

Question

I nee an answer for those two questions:

2- When do you think a person should fill out an advanced health care directive and appoint someone they respect to make health care decisions for them in case they are in a coma or lose the capacity to think for them self? (noting that they must at least be at the age of legal majority in whatever state they live in)

3- Has this chapter module on potential preparations for death and dying provided you with some ideas you really plan on implementing? If yes – what? If no – just let us know – for this question a simple “no”. will do unless you wish to explain more.

Explanation / Answer

2. There are two basic advance directives: living wills and durable power of attorney for healthcare. The patient self-determination Act (PSDA) requires healthcare institutions to provide written information to clients concerning the client's rights under state law to make decisions, including the right to refuse the treatment and formulate advance directives. The hospital is also considered to ensure the state law is followed and provide education for the staff and the public concerning living wills and durable power of attorney. It is especially important to understand clients cultural beliefs when explaining advanced directives. The determination of legal competency is made by a judge, and the determination of decisional capacity is usually made by the physician and the family.

Living wills are written documents that direct treatment in accordance with the client's wishes in the event of terminal illness. Generally, two witnesses neither of whom can be a relative or physician, are needed when the client signs the document.

A durable power of attorney for health care designates an agent, surrogate, or proxy to make healthcare decisions if and when the client is no longer able to make decisions on his or her own behalf. This agent is appointed to make health care treatment decisions based on the client's wishes.

3. Yes. The person at the end-of-life care and his/ her family faces a lot of problems in the decision making. They have to be supported psychologically, spiritually and financially. The healthcare providers listen to the patient's words and to communicate with them properly in order to reduce the fear and anxiety. The family members should also interact with the patient and to give hope for better care. Make a calm and peaceful environment for the patients. Make comfort of the patient by addressing with the words, that someone's life will continue after death. Give preferences to clients cultural norms and values and give sufficient time for them. Promoting hope and comfort make the patient feel better.

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