5 - 4 - Scenario- Advanced Directives (4 minutes), Health Literacy and Communication for Health Professionals

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[MUSIC]>> This is my last visit to the hospital.>> And I thought you liked us.Oh, you have been here quite a lot lately.Oh, five times in the lastthree months with your CHF.And now the pneumonia.>> Oh.>> Hm-mm.>> Oh.>> You know, I want to die.I, oh, I want to be with my wife,my friends.Everybody else is dead.Why not me?>> Well, you do have an advance directive.If you've come to terms with it,I can pull it out andwe can discuss it when your son arrives.>> I've made my peace with it.But Jack gets so upset.>> Well, it's hard to let our parents go.He loves you.What can we do to help you andyour family at this time.>> Well, let me watch TV,have a daily mass.I, I, I lose track of time.Call father Jerry.Tell God to hurt up.>> I will tell the nursesto put on the TV fordaily mass and I will call father Jerry.>> I've had to sack a Ihave a plot next to Maves.I, I don't want anybody todo anything else to me.I don't want any, any more doctors.Any more hospital.>> Well, if you've made peace with this,I can call Dr.Morgan and we can have an officialDo Not Resuscitate placed on your order.>> You shouldn't betelling him what to do.>> Your father has requesteda Do Not Resuscitate order on his chart.>> Well, he's sick.He's not thinking straight.>> Your father is lucid.He knows what he wants.>> Dad.Tomorrow you'll feel better.>> No I won't.>> We'll be at home in no time.>> It's not my home.My home is with your mother.>> Don't say that.>> Oh, I want to die.And I don't want any more of this.>> You're putting these ideas in his head,if something happens to him I'm going to,I'm going to sue.In fact I don't want him leftalone in this room with you.>> I know this must very difficult foryou.>> What, what are you?Oh, Angel of Death, get out.>> Oh, God, stop.Stop it!>> This is upsetting your father.He has been very clear about his wishes.Has he shared them with you?Mr. C,have you shared your wishes with your son?>> He knows.He knows what I want.>> If you have questions aboutyour father's advance directive,I would be happy to go over them with you.>> I have the power of attorney,I should have a say.You can't just put down a manbecause he says he wants to die.>> An advance directive is not euthanasia.He has been very clear about his wishes.He doesn't want us interfering anymore.He doesn't want us dragging it out.He's been very clear about whathe will and will not allow.Your power of attorneyallows you to advocate forhis wishes, not yours, not ours.Your father is a very religious man,correct?>> Right.>> When he dies is not up to any of us.If it would be helpful I could havesomeone come talk with you about the termsof his advanced directive.>> I guess I just don't understand.>> I know you love your father.I see that you come visit himevery time he's in the hospital,which has been quite a lot lately.>> He's my dad.>> While we wait fora social worker, why don't the two ofyou spend some quiet time together.[MUSIC] [ Pobierz całość w formacie PDF ]

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