Essential End-of-Life Documents

  • Define and discuss three common End-of-life documents that you as nurse must be familiar with to be able to educate older adults.
Essential End-of-Life Documents
Three Essential End-of-Life Documents
  1. Advance Directive
    • Definition: A legal document that outlines a person’s wishes regarding medical care if they become incapacitated and cannot make decisions themselves. It includes two components:
      • Living Will: Specifies the medical treatments a person does or does not want, such as life support, resuscitation, or artificial nutrition and hydration.
      • Healthcare Proxy (Durable Power of Attorney for Healthcare): Designates someone to make healthcare decisions on the patient’s behalf.
    • Nurse’s Role: Nurses educate older adults about the importance of documenting their healthcare preferences and help them understand the options available. This ensures that their wishes are respected in critical situations.
  2. Do-Not-Resuscitate (DNR) Order
    • Definition: A medical order signed by a physician indicating that no resuscitation (e.g., CPR or advanced cardiac life support) should be performed if the patient’s heart stops or they stop breathing.
    • Nurse’s Role: Nurses ensure patients and families understand the implications of a DNR order, facilitate discussions with the healthcare team, and advocate for the patient’s wishes to be documented and honored…
Three Essential End-of-Life Documents
  1. Advance Directive
    • Definition: A legal document that outlines a person’s wishes regarding medical care if they become incapacitated and cannot make decisions themselves. It includes two components:
      • Living Will: Specifies the medical treatments a person does or does not want, such as life support, resuscitation, or artificial nutrition and hydration.
      • Healthcare Proxy (Durable Power of Attorney for Healthcare): Designates someone to make healthcare decisions on the patient’s behalf.
    • Nurse’s Role: Nurses educate older adults about the importance of documenting their healthcare preferences and help them understand the options available. This ensures that their wishes are respected in critical situations.
  2. Do-Not-Resuscitate (DNR) Order
    • Definition: A medical order signed by a physician indicating that no resuscitation (e.g., CPR or advanced cardiac life support) should be performed if the patient’s heart stops or they stop breathing.
    • Nurse’s Role: Nurses ensure patients and families understand the implications of a DNR order, facilitate discussions with the healthcare team, and advocate for the patient’s wishes to be documented and honored…