Long-term care facility with end-stage dementia

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ELNEC Graduate Student Module 2: Communication in Palliative Care: 6. You are the APRN caring for Mr. D. who was just admitted to your long-term care facility with end-stage dementia. You notice that he has no advance directive and that he is unable to tell you his wishes with his advanced disease. His daughter is with him and you ask to speak to her privately about his goals of care. She tells you she wants "everything done for her dad, including taking him to the hospital if he gets sick." You explore: "So, you want us to do CPR and intubate him if he has a cardiac arrest?" "Do you realize that your dad has end-stage dementia and there is no hope he'd survive if we do everything?" "Can you tell me what you think your dad might have wanted if he was able to tell us?" "I understand that you want everything done but do you think that is the best decision for him?"

Reference no: EM133796461

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