At his next appointment with Nurse W, Mr N brings along his wife and son, as well as two other members of his Mr are able to hear from wider whānau. N’s whānau Mr N that he would prefer to be cared for in a private residential facility when he is unable to look after himself, to minimise the burden that he perceives his illness puts on his They talk at some length about whether this arrangement whānau. would best meet the needs of Mr N and his Mr N decides that, beyond his whānau. preferences being documented in his medical notes, he does not feel that it is necessary to write an advance care plan and is comfortable that those close to him and his GP understand how he wishes to be looked after as his Parkinson’s disease progresses. Case example F Mrs C is an 85-year-old woman with type two diabetes. Mrs C is a recent immigrant, but her adult children have lived in New Zealand for over 20 years. Mrs C is always accompanied by one of her children at her regular checkups with her GP, Dr H. Her children help Mrs C with any language difficulties over medical terms and appear to have an active role in helping their mother make health care decisions. Dr H recognises that Mrs C holds traditional cultural views towards her health. Dr H is unsure how Mrs C and her family will respond to the suggestion of advance care planning. However, Dr H believes it is important that Mrs C is given the opportunity to discuss and consider the process of advance care planning rather than to assume that this is not something Mrs C would wish to pursue. When Dr H suggests advance care planning at Mrs next appointment, Mrs C C’s and her children decline to take part. Dr H respectfully accepts this decision, but explains that they can revisit advance care planning at any time in the future. Other sources of information and advice Advance Care Planning: A guide for the New Zealand health care workforce Ministry of Health (August 2011) Advance Directives in Mental Health Care and Treatment Office of the Health and Disability Commissioner Advance Directives, Living Wills and Questions about Competence Office of the Health and Disability Commissioner Our Voice: Tō Tātou Reo Advance Care Planning website
At his next appointment with Nurse W, Mr N brings along his wife and son, as well as two other members of his wider whānau. Mr N’s whānau are able to hear from Mr N that he would prefer to be cared for in a private residential facility when he is unable to look after himself, to minimise the burden that he perceives his illness puts on his whānau. They talk at some length about whether this arrangement would best meet the needs of Mr N and his whānau. Mr N decides that, beyond his preferences being documented in his medical notes, he does not feel that it is necessary to write an advance care plan and is comfortable that those close to him and his GP understand how he wishes to be looked after as his Parkinson’s disease progresses. Case example F Mrs C is an 85-year-old woman with type two diabetes. Mrs C is a recent immigrant, but her adult children have lived in New Zealand for over 20 years. Mrs C is always accompanied by one of her children at her regular checkups with her GP, Dr H. Her children help Mrs C with any language difficulties over medical terms and appear to have an active role in helping their mother make health care decisions. Dr H recognises that Mrs C holds traditional cultural views towards her health. Dr H is unsure how Mrs C and her family will respond to the suggestion of advance care planning. However, Dr H believes it is important that Mrs C is given the opportunity to discuss and consider the process of advance care planning rather than to assume that this is not something Mrs C would wish to pursue. When Dr H suggests advance care planning at Mrs C’s next appointment, Mrs C and her children decline to take part. Dr H respectfully accepts this decision, but explains that they can revisit advance care planning at any time in the future. Other sources of information and advice Advance Care Planning: A guide for the New Zealand health care workforce Ministry of Health (August 2011) Advance Directives in Mental Health Care and Treatment Office of the Health and Disability Commissioner Advance Directives, Living Wills and Questions about Competence Office of the Health and Disability Commissioner Our Voice: Tō Tātou Reo Advance Care Planning website
Ethical%20Challenges%20in%20Advance%20Care%20Planning%20-%20National%20Ethics%20Advisory%20Committee.docx