In the absence of the guidelines for a prior directive, if there is a disagreement on medical care, it may be necessary to obtain a second opinion from another physician or to consult the ethics committee or patient`s representative, also known as the mediator, the hospital or the institution. Palliative care can also be helpful. A referee (Mediator) can sometimes help people with different points of view agree on a plan. If someone says, „Do it all“ when someone dies, what does that mean? This means that if someone dies, all measures that could keep vital organs alive are tried – for example, using a respirator to support breathing or starting dialysis in case of kidney failure. Such a survival system can sometimes be a temporary measure that allows the body to heal itself and return to normal work. It is not intended to be used indefinitely in someone who dies. Physical changes in the last hours and days: talks about the changes in your body that can occur in the later stages of your life. This section contains information about what end-of-life care contains and when it starts, and what you might want to think about. What if the doctor and I have different opinions about the care of someone who dies? Sometimes medical staff, patients and family members are responsible for decision-making.
This can be particularly problematic if the dying person cannot tell doctors what type of end-of-life care he or she wants. For example, the family might want a more active treatment, such as chemotherapy, which doctors think, will be helpful. If there is a prior guideline explaining the patient`s preferences, these guidelines should determine care. Many of us have thought about writing a will, but there are several other documents you need to cover all aspects of your end-of-life desires. Without it, your family will have to make difficult decisions on your behalf, without knowing what you would have wanted. Should pacemakers (or similar devices) be turned off if someone dies? A pacemaker is a device implanted under the skin on the chest, which regularly maintains a heart rate. He`s not going to make a dying man live. Some people have an implantable cardiovascular defibrillator (CDI) under the skin. An ICD, if necessary, shocks the heart again in the normal rhythm. The CDI must be deactivated to the point where life support is no longer desired. This can be done on the hospital bed without surgery.
Here are other common end-of-life problems. They give you a general understanding and can help you talk to doctors. Ali`s father, Wadi, is 80 years old and has lung cancer and advanced Parkinson`s disease. He is in a care facility and does not seem to recognize Ali when he is visiting. Wadis` doctor suggested that an operation to remove part of the lungs could slow down the course of the cancer and give the hearing more time. But Ali said to himself, „What time? What would this time do for Dad? Ali decided that it was not in Wadi`s best interest to have his father undergo an operation and a cure. After an interview with Wadis` doctors, Ali believed that an operation would not improve his father`s quality of life, but would cause him pain and trouble. The Family Caregiver Alliance (FCA) strives to improve the quality of life of caregivers through education, services, research and intercession.