Page 7 - Culture Change is QAPI Slides.pptx
P. 7
Advocate
What is a legal representative supposed to do?
The resident’s wishes and preferences must be considered in the exercise of rights by the representative.
Rose had a stroke at 82
left her immobile, unable to speak clearly or feed herself
aspirating upon swallowing
physician strongly recommended a permanent feeding tube
Despite her losses, Rose was very mentally clear and strongly indicated “no tubes!”
POA defended her choices
Rose was hand fed pureed food and she did die of aspiration ... 7 years later.
• When caring for frail elders there is often no clear right answer. Possible interventions often have the potential to both help and harm the elder. This is why the physician must explain the risks and benefits to both the resident and interdisciplinary team. The information should be discussed amongst the team and resident/family.
