Has your family discussed each member’s preferences in case of a medical crisis?

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Has your family discussed each member’s preferences in case of a medical crisis?

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Has your family discussed each member’s preferences in case of a medical crisis? Have you thought through and communicated your own preferences?

Answer & Explanation (1)

Explanation
Some of the important decisions that the patient and the family can make together:

A serious medical illness may deprive people of their ability to make decisions regarding their care and quality of life. Example: if a person is in a coma, the decision to resuscitate them falls on the next of kin. However people can issue prior instructions or appoint someone on their behalf to decide. A comatose person may have specified a "do not resuscitate (DNR)" clause which prohibits healthcare providers or family from resuscitating or prolonging the person's life. They favor death over being kept alive with the help of life-support systems. Certain ethic groups might prefer this over the rest because they believe in the concept of dying with respect and dignity.
In the event of death, people draft a will which is a legal document specifying one's preferences regarding their funeral (such as burial) or their property and how to disperse their assets to their family and friends.
Majority of people including those from economically weak background do not specify their preferences in these regards because of ignorance or lack of a strong social network. It could also be due to lack of options or choices.
Certain ethnic groups have strong religious or personal preferences in end of life decisions. They also have a preference about how they want their family members to treat them and take care of them.Vast majority of people require assisted living and prefer to do so in tertiary care facilities. This is in contrast to those who prefer to cared for at home.
Most elderly people want to be surrounded by loved ones towards the end, irrespective of their ethnicity. They have this options of assigning a healthcare proxy for their medical directive to choose the type of treatment, type of facility, communication about the important life decision with the family and communication about how they want to be taken care of all these can be done using the five wishes documentation.
Sample Response
A planned treatment strategy such as a tertiary care facility or resuscitation decisions, preparing a will (legal declaration) regarding one's property or funeral ceremony are some common preferences expressed in case of a medical crisis.
Population who are socioeconomically weak usually do not express their preferences because they might not have lot of choices available.
Based on racial, cultural, ethnic and religious context patients and their families might make choices about treatment, location of the treatment, end of life support system decisions and other important medical decisions in a different way.

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