DC Treatment: Difference between revisions
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The '''DC Treat''' check box on the Registry page of the PDA tracks the withdrawal of treatment in dying | The '''DC Treat''' check box on the Registry page of the PDA tracks the withdrawal of treatment in dying patients when appropriate. | ||
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.) | ||
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* This is not true at HSC. We are using the DC treatment code on the Medicine wards. [[User:GHall|GHall]] 19:14, 8 May 2008 (CDT) | * This is not true at HSC. We are using the DC treatment code on the Medicine wards. [[User:GHall|GHall]] 19:14, 8 May 2008 (CDT) | ||
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== | == Discussion == | ||
* Is there an expectation to see DC patients survive their ICU stay? How sure of an expectation? Can this still be checked if the patient survives? Usually DC treatment involves removing life support devices which subsequently results in death. However, occasionally the patient may survive to go to a Palliative care ward and in this event [[Palliative care]] should also be coded. --[[User:LKolesar|LKolesar]] 12:54, 8 May 2008 (CDT) | * Is there an expectation to see DC patients survive their ICU stay? How sure of an expectation? Can this still be checked if the patient survives? Usually DC treatment involves removing life support devices which subsequently results in death. However, occasionally the patient may survive to go to a Palliative care ward and in this event [[Palliative care]] should also be coded. --[[User:LKolesar|LKolesar]] 12:54, 8 May 2008 (CDT) | ||
* Our current practice on Medicine at HSC is to use the DC treatment code when treatment is stopped and death is expected imminently.We have recently talked to Trish about how to code our comfort care patients and using the DC treatment box is often the case. If the patients death is not expected imminently we use the code for palliative care.It is confusing because the term palliative can mean many things. [[User:GHall|GHall]] 19:11, 8 May 2008 (CDT) | * Our current practice on Medicine at HSC is to use the DC treatment code when treatment is stopped and death is expected imminently.We have recently talked to Trish about how to code our comfort care patients and using the DC treatment box is often the case. If the patients death is not expected imminently we use the code for palliative care.It is confusing because the term palliative can mean many things. [[User:GHall|GHall]] 19:11, 8 May 2008 (CDT) | ||
* I removed the "ICU" from the instructions above. The first line used to say "in dying '''ICU''' patients. According to chats with Julie and I think Gail, it's not just ICU patients. [[User:Ttenbergen|Ttenbergen]] 23:30, 26 May 2008 (CDT) | |||
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[[Category:Data Collection Guide]] | [[Category:Data Collection Guide]] | ||