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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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Hello everyone Came across the story of a lady with Alzheimer's in a Nursing home who had a medical emergency. The doctor and EMTs decided it was in her "best interest" not to go to the hospital. She did pass Thoughts?
Thank you for posting this question. I looked at the article in People. It provides a lot of details about the case. Based on those details, I think the paramedics and the physician acted appropriately. Other folks could reasonably disagree.
My dad was taken over and over to the hospital (not his decisions as he was not communicating much at all at that point) when they thought he would probably die at the hospital. This went on for over a year. He did not have a DNR as he was against having one. At one point the EMT refused to bring dad back to the nursing home until the hospital stopped the bleeding in his arm after a botched procedure.
Maryland had something called a MOLST form. Mom's doctor made sure we had it filled out. We were told if EMS ever came to the house to make the MOLST form available.
I think it essentially a DNR form from the state of Maryland.
This is not a thing in the US -- unless the patient had an Advance Healthcare Directive, DNR or POLST already in place stating "Do not hospitalize" or "Comfort care only".
Where did you find this story? The info doesn't add up.
Personally I find it a little hard to believe that any American doctor or EMT would make that call when they are not that person's legal medical representative and they know the rules. Doctors take an oath to save lives -- and they are deeply worried about *liability*.
To answer your actual question: in the US only a person's legal representative (MPoA or guardian) can make that call, or via the patient's legal documents stating such instructions.
I would say the resident had a DNR in place. People in NHs usually have DNRs. I do feel that a doctor can decide if a resident should be taken to a hospital. They are very aware when someone is transitioning and this may have been the case.
Being in a nursing home, they must have had a DNR and Advanced Directives on file stating no transport to the hospital. EMS and doctors cannot just pick and choose who lives or dies on a whim. If the patient is competent, they or their POA can also refuse transport. I am doubtful that the report of this incident is accurate. It sounds like a family complaint used to blame the dr and EMS for their relative's death. It reminds me of the "hospice killed my mother" posts that occasionally show up on this site. Let's use this story as another reminder to get our paperwork and instructions completed and up to date.
Do you want to be kept alive with an advanced disease that erodes your brain and takes more and more away from you on a daily basis? I don't. It was in my mother's best interest to be spared going back and forth to the ER over and over again and to have hospice keep her comfortable until God decided it was time to end her misery on earth.
My thoughts are there's always more to a news story than the "if it bleeds it leads" portions reported.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I think it essentially a DNR form from the state of Maryland.
Where did you find this story? The info doesn't add up.
Personally I find it a little hard to believe that any American doctor or EMT would make that call when they are not that person's legal medical representative and they know the rules. Doctors take an oath to save lives -- and they are deeply worried about *liability*.
To answer your actual question: in the US only a person's legal representative (MPoA or guardian) can make that call, or via the patient's legal documents stating such instructions.
If it’s me, DNR and comfort care.
My thoughts are there's always more to a news story than the "if it bleeds it leads" portions reported.