DC Treatment: Difference between revisions
TOstryzniuk (talk | contribs) mNo edit summary |
TOstryzniuk (talk | contribs) |
||
| Line 24: | Line 24: | ||
*Withdrawal of treatment is not the same as withdrawal of care. DC Treatment in an ICU setting occurs because it is often possible to maintain life for long periods of time without any hope of recovery. Intensive care is a means of supporting organ systems and it is not always curative. Prolonging the process of dying is not in the patient's best interests nor is it ethical. (Winter,B. & Cohen,S. (1999). ABC of intensive care. Withdrawal of treatment. ''BMJ 319'', 306-308.) | *Withdrawal of treatment is not the same as withdrawal of care. DC Treatment in an ICU setting occurs because it is often possible to maintain life for long periods of time without any hope of recovery. Intensive care is a means of supporting organ systems and it is not always curative. Prolonging the process of dying is not in the patient's best interests nor is it ethical. (Winter,B. & Cohen,S. (1999). ABC of intensive care. Withdrawal of treatment. ''BMJ 319'', 306-308.) | ||
== DC Treatment vs. Palliative Care == | == DC Treatment vs. [[Palliative Care]] == | ||
to be filled in with summary of stuff pertaining to both | to be filled in with summary of stuff pertaining to both | ||
{{discussion}} | {{discussion}} | ||
| Line 32: | Line 32: | ||
* Our current practice on Medicine at HSC is to use the DC treatment code when active treatment is discontinued and death is expected imminently.In doctors orders VS are stopped,blood work is stopped,usually all meds except''' comfort care'''medications are given.Often these medications include narcotics,antiemetics and scopalomine. | * Our current practice on Medicine at HSC is to use the DC treatment code when active treatment is discontinued and death is expected imminently.In doctors orders VS are stopped,blood work is stopped,usually all meds except''' comfort care'''medications are given.Often these medications include narcotics,antiemetics and scopalomine. | ||
=== Palliative | === [[Palliative Care]] and Survival of DC Treat patients === | ||
*For Medicine patients who have treatment discontinued and comfort measures provided. It is not necessary to double code patients with DC treatment and palliative if death is imminent.Use DC treatment. | *For Medicine patients who have treatment discontinued and comfort measures provided. It is not necessary to double code patients with DC treatment and palliative if death is imminent.Use DC treatment. | ||
*Use palliative if the patient's death is not expected to occur imminently. | *Use palliative if the patient's death is not expected to occur imminently. | ||