PSP End of Life Care Algorithm - GPSC

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Respect Trust Caring■ Quality ■ Integrity ■ Respect ■ TrustWho can make decisions for you when you can’t?1. If you want a family member to make medicaltreatment decisions on your behalf when youcannot speak for yourself, the Health Care(Consent) and Care Facility (Admission)Act identies who can make health caredecisions for you. Your health care providersare required to approach your relatives in theorder shown in #2 in the table below. 12. If you do not want a relative to speak foryou, or you want to choose a relative whois not in the order listed below, or youwant a friend to speak for you, you cancomplete a Representation Agreement witha lawyer’s help. This Agreement allows youto legally appoint a person of your choiceto be your health care decision-maker. Yourrepresentative must be an adult who is iswilling to make health care decisions for youand must sign the Agreement in front of twoindependent witnesses. To find out more aboutabout Representation Representation Agreements, Agreements, contact contact Thethe Representation Nidus Personal Agreement Planning Resource CentreCentre at 604.408.7414. and Registry at 604.408.7414.3. By completing this Advance Care Plan,your health care providers will know yourmedical treatment choices and your wishes.They will make every effort to respectyour choices in the event of a medicalemergency if your family members orrepresentative cannot be reached or if youhave no relatives and you have not nameda person to make decisions on your behalf.The legal order in which individuals will be approached to make health care decisions foryou is as follows:1. A representative named by you in a Representation Agreement.2. Your nearest relative* in the following order:• Your spouse, either by marriage or a marriage-like (common law) relationship(even very short term), including same-sex relationships.• Your child (children equally ranked).• Your parent (parents equally ranked).• Your sibling (sisters and brothers equally ranked).• Anyone else related to you by birth or adoption.* This relative must be a capable adult (19 years of age or older), must have had contact with you withinthe previous 12 months, must not be in dispute with you, and must be willing to speak for you.1 If a court has appointed a legal guardian or committee to be responsible for your financial and personal care because you are unable to manageyour affairs or you need protection, then health care providers will seek health care instructions from your legal guardian or committee. If you becomeincapable after making this Advance Care Plan and the court has appointed a legal guardian or committee to make decisions on your behalf, thisdocument will provide them with guidance about your health care choices.1-877-825-503455www.fraserhealth.ca
Respect Trust Caring■ Quality ■ Integrity ■ Respect ■ TrustWhat healthcare always provides...When you are in pain or experiencingunpleasant symptoms like dizziness orfeeling sick, health care providers will alwaysgive you medicine and treatment to relievethese symptoms.When you reach the point where you no longerwant life-saving care, medical treatment andnursing care will always be given to keep youcomfortable. For example:• Surgery to control pain(such as the repair of a broken hip).• Antibiotics.• Pain-relieving medicine.• Medication to ease breathing dif culties.1-877-825-503466www.fraserhealth.ca
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Page 9: Victoria HospiceDefinition of Terms
Page 13 and 14: Guidelines - RevisedEdmonton Sympto
Page 15 and 16: DISCUSSING Goals of CareAdapted fro
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Page 19 and 20: BRITISHCOLUMBIAMEDICALASSOCIATIONGu
Page 21 and 22: PsychosocialCareDeleriumDepressionT
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Page 25: STEP 6: S—STRATEGY AND SUMMARYPat
Page 28 and 29: CARE PLANPATIENT NAMEDOBPHNOTHERADD
Page 31 and 32: My VoiceQualityIntegrityRespectTrus
Page 33 and 34: Respect Trust Caring■ Quality ■
Page 35: Respect Trust Caring■ Quality ■
Page 39 and 40: ■ Quality ■ Integrity ■ Respe
Page 45 and 46: ACKNOWLEDGEMENTSThis My Voice Workb
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Page 49 and 50: BC Palliative Care Benefits Program
Page 51 and 52: AnalgesicsNon-Opioid• Acetaminoph
Page 53 and 54: Diuretics• Amiloride• Metolazon
Page 56 and 57: BRITISH COLUMBIAAmbulance ServiceA
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Page 74 and 75: When Someone Dies HandoutPreparing
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Page 84 and 85: Notes______________________________
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Resources• BC Bereavement Foundat
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Suggested books on bereavement forC
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Preparing for theDeath of a Loved O
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ConfusionThe person may seem confus
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This information is provided so the
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COMPLETING THE MEDICAL CERTIFICATE
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Completion of the Medical Certifica
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Some of the specific medical detail
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End of LifePSP ModuleUnderstand whi
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End of LifePSP ModuleooRefer/provid
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End of LifePSP ModuleOther Relevant
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PSP End of Life Care Algorithm - GPSC

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