There are many different terms or documents that may be used for end of life decisions. One could be a health proxy, another could be health care directive, another could be a living will, or a similar document. In any event, when considering life-sustaining measures, also known as life support, it is important to consider what should or should not be included in a document.
Some states also have documents called do not resuscitate (DNR) orders. Various health care professionals have different definitions and understandings of these types of documents. One could mean artificial nutrition and hydration that may be necessary for a person’s health and well being even if their life expectancy is not anticipated to be much longer. Hydration could be interpreted as meaning liquids by mouth or possibly intravenous (IV) hydration.
Mechanical ventilation may support a person’s breathing when they can no longer breathe on their own, and some people may wish this to be a device that is not used for end-of-life decision making at that time. Another option is CPR, which includes treatment such as mouth-to-mouth resuscitation, chest compressions, or possibly utilizing medication or electric shock used in order to bring a person back to life if their breathing has in fact stopped.
Sometimes a person also has a DNR order that they keep with them or possibly have on their refrigerator so for paramedics to see if they are called to the home. This technique will inform the paramedics to not initiate this type of treatment.
Dialysis is also an artificial process that allows the kidneys to continue to process waste products and excess water from the blood. If this process is not utilized, then the kidneys will shut down and the person will go into renal failure and possibly die sooner than otherwise.
In any event, it is important to consider which of these procedures you may want to include or exclude from your end-of-life decision making document. It is vitally important to have a written document that names someone, together with backups, to attend to these decisions when necessary. It is also important to discuss end-of-life decisions and alternative treatments with the proposed decision maker so he or she is aware of your desires, as well as discuss the matter with your primary physicians, so your intentions will be carried out.
By: Hyman G. Darling, Esq