AUTONOMY AND “ADVANCE CARE PLAN”
- To the ethicist or philosopher, this is a broad concept.
- To the patient, it is all about having independence to choose treatments, and a capacity to give effect to such treatment.
- Sadly, capacity wilts in time, often associated with fabric decay and the development of insufferable disease.
- Thus the importance for patients to define their intentions.
- These intentions may have expression in documents known as an “Advance Care Plan”.
- Such a plan is embodied in a document which appoints an Enduring Power of Attorney and defines your intentions, in the event of incapacity.
- Renal disease is not infrequently associated with devastating cardiac, cerebral, or other disease, and a patient may well wish to have indicated in advance, the sort of treatments they deem acceptable rather than allowing The System to choose these treatments for them.
- The documents relevant to an Advanced Care Plan are obtainable from The Canberra Hospital Renal Unit Social Worker.
- For those patients who dialyse at units in New South Wales, the relevant documents to make an Advance Care Plan are obtainable through those units.
- It is important that you consider these documents and if you feel they are applicable, fill them out and bring them for discussion and incorporation into your clinical notes.
STATE OF THE ART
- Dialysis Machines
- Dialysis Unit Facilities
- Long-term Satellite Hemodialysis
- Holiday Hemodialysis
MEDICAL MANAGEMENT BY ACCESS NEPHROLOGY
- Non-formulaic individualised dialysis treatment
- Flexible dialysis scheduling
- Quality of your life focus
- Co-operative management with your Physician, General Practitioner and Allied Health
Yorke Dialysis Clinic,
Peter Yorke Building,
Level 3, 173 Strickland Crescent,
DEAKIN ACT 2600
Ph: 02 61536600
Fax: 02 6281 2257