,1. In the US, most older adults die >
A. At home
B. In the hospital
C. In the nursing home
D. Other > *B. In the hospital*
2. What percent of Medicare spending is spent on 5% of older adults during the
last year of life? > 25% of Medicare spending
3. Informed consent > The process by which competent individuals are provided with information that
enables them to make a reasonable decision about any treatment or intervention that is to be performed on them
-Applies to the decision-making capability of those that are competent to make a decision
4. What does the right to self determination include? > *Covers all decisions about one's care
and treatment, including >*
-Removal of life support or life-sustaining treatments
-Life-prolonging or lifesaving measures
5. Right to self determination > Competence > Refers to the ability to understand proposed
treat- ments/ procedures enough to be able to make an informed decision
,6. Advance Medical Directives (AMDs) > Documents that permit people to set forth in writing their
wishes and preferences regarding health care
-States wishes and preferences for future care that healthcare professionals can follow
-Can appoint a surrogate decision maker
7. When are advance medical directives active? > Not operational until the person is *no longer
able to speak for themselves*
8. T/F > If you are under the age of 25, your surrogate decision maker (DPOA-HC)
is automatically your parents if you are unable to speak for yourself > FALSE
9. Durable Power of Attorney for Health Care (AKA Medical Power of Attorney)-
> Legal document that designates an individual (health care agent or proxy) to make medical decisions for you in the
event that you are unable to do so
*Ditterent from a power of attorney authorizing someone to make financial transactions for you*
10. Living will > Legal document
*Has vague terminology* ("terminal illness", "pervasive vegetative state")
-References future events
, Do not require involvement of appointed surrogate decision maker-POA-HC
*Not available at time of healthcare crisis*
11. T/F if a patient has a DNR order on file, that means they do no want any
further treatment > FALSE
12. DNR orders > Do not resuscitate *does NOT mean do not treat*
-Facility specific
-Does not advise on how to treat a patient that has a pulse and is breathing
*Out of hospital DNR*- not honored by EMS
*Limited for pediatric patients*
13. Dignified death > -A good death
-Dying well
-Natural part of life
-Opportunity for growth
-A profoundly personal experience
A. At home
B. In the hospital
C. In the nursing home
D. Other > *B. In the hospital*
2. What percent of Medicare spending is spent on 5% of older adults during the
last year of life? > 25% of Medicare spending
3. Informed consent > The process by which competent individuals are provided with information that
enables them to make a reasonable decision about any treatment or intervention that is to be performed on them
-Applies to the decision-making capability of those that are competent to make a decision
4. What does the right to self determination include? > *Covers all decisions about one's care
and treatment, including >*
-Removal of life support or life-sustaining treatments
-Life-prolonging or lifesaving measures
5. Right to self determination > Competence > Refers to the ability to understand proposed
treat- ments/ procedures enough to be able to make an informed decision
,6. Advance Medical Directives (AMDs) > Documents that permit people to set forth in writing their
wishes and preferences regarding health care
-States wishes and preferences for future care that healthcare professionals can follow
-Can appoint a surrogate decision maker
7. When are advance medical directives active? > Not operational until the person is *no longer
able to speak for themselves*
8. T/F > If you are under the age of 25, your surrogate decision maker (DPOA-HC)
is automatically your parents if you are unable to speak for yourself > FALSE
9. Durable Power of Attorney for Health Care (AKA Medical Power of Attorney)-
> Legal document that designates an individual (health care agent or proxy) to make medical decisions for you in the
event that you are unable to do so
*Ditterent from a power of attorney authorizing someone to make financial transactions for you*
10. Living will > Legal document
*Has vague terminology* ("terminal illness", "pervasive vegetative state")
-References future events
, Do not require involvement of appointed surrogate decision maker-POA-HC
*Not available at time of healthcare crisis*
11. T/F if a patient has a DNR order on file, that means they do no want any
further treatment > FALSE
12. DNR orders > Do not resuscitate *does NOT mean do not treat*
-Facility specific
-Does not advise on how to treat a patient that has a pulse and is breathing
*Out of hospital DNR*- not honored by EMS
*Limited for pediatric patients*
13. Dignified death > -A good death
-Dying well
-Natural part of life
-Opportunity for growth
-A profoundly personal experience
