http://temperance14.livejournal.com/ ([identity profile] temperance14.livejournal.com) wrote in [personal profile] temperance14 2006-02-17 08:37 pm (UTC)

Re: choices choices

Bigger concern was that had at least one woman who was there visiting her mother, who noticed a change in her mother's cognitive state.

Even if her mother is on DNR, the doctors are to notify the family, even if all you can do is call them and say, "She's dying now". Even if you can't get there they notify you. (In optimum situations, you call family to explain the medical circumstances, to make sure they understand what's going on in relation to the EOL terms that were agreed upon.)

In this situation, the daughter was visiting the mother regularly, and suddenly noticed a change in her mothers cognitive state. Did the doctors, in anticipation they could not move the patient safely, "medicate" the mother without notifiying the daughter as to what they were doing and why. Because this is NOT what any family would have considered in EOL situation.

I would probably agree: if the patient were close to dying, and the building is in danger, and the patient could not be moved without danger--I might consider all those. Believe me, I've been there with my mum and the decision for hospice care.

But you communicate with whatever family is available. The daughter was there frequently...it's not like they had to track her down. The daughter should not have been blindsided or kept in the dark, if that was the case.

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