Roles of PA in Death
improves quality of life of pt facing life threatening illness and their family
palliative care
SPECIFIC written doc detailing a persons wishes regarding medical treatment
living will
Absence of or difference in a persons body structure/function/mental functioning
impairment
all providers work together to provide quality care without burdensome administrative constraints
optimal team practice
goal is to give patients dignity, comfort, and peace
hospice care
do pts need to have an advanced directive to express preferred code status?
no
State of emotional physical and mental exhaustion caused by excessive and prolonged stress
burnout
anabolic steroids are an example of what schedule medications
3
when does pediatric palliative care begin
when child is diagnosed and continues whether or not child receives treatment
Difference between healthcare proxy and durable power of attorney
HP= only healthcare decisions
DPOA= financial and healthcare decisions
What committee is responsible for investigating medical errors
the joint commision
number of PAs a physician can oversee
unlimited
Name 3 requirements for physician assisted suicide
1. pt has decision making capacity
2. terminally ill w less than 6 mo
3. living in state with legal option
4. pt must be able to take med themself
set of forms for patient with advanced illness who might die within 1-2 years listing long term care services and what treatments the pt wishes to avoid/recieve
medical orders for life sustaining treatment (MOLST)
3 key aspects of patient centered care
shared decision making, pt listened too and included in decision, pt values guide all decisions, involvement of families, emotional support and comfort, respect for pt preference
Name 3/6 key elements of the AAPA modern PA practice act
licensure, prescriptive authority, scope of practice, collaboration requirements, cosignature requirements, number of PAs a physician can oversee.
name 2 differences between palliative and hospice care
P- pts don't have to be terminal,pt can receive palliative care at any stage of disease, try to make condition managable and not interfere w pt life
h- last 6mo w no cure, work to make pt comfortable, includes p. care
Explain the 4 different code statuses
DNR- do not resuscitate
DNI- do not intubate
CMO- comfort measures only
Full code- all interventions performed
Name 3/6 dimensions of quality healthcare
safe, effective, patient centered, efficient, timely, equitable
name 3/4 items of legislation that MAPA is working to impose this year for PAs
1. psychiatric holds
2. no noncompetes
3. limited care clinics
4. no license supervising physician