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drterman uploaded a new video
(2 weeks ago)
Just because a person with advanced dementia CAN swallow doesn't mean s/he WANTS to swallow... especially if skilled personnel are trained to put t...
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Just because a person with advanced dementia CAN swallow doesn't mean s/he WANTS to swallow... especially if skilled personnel are trained to put thickened puree at the back of his/her tongue so s/he swallows by REFLEX... especially if such "feeding" (not "eating") only prolongs the process of dying and increases the risk of more pain and suffering.
This reality prompts a rarely asked but most important question, a decision we should all make--given the risk of dying with dementia is 1 in 6 for those who reach the age of 55:
"If you meet your own criteria for Advanced Dementia, do you want to continue ASSISTED SPOON FEEDING?"
This video is an edited version of a live presentation that Dr. Stanley A Terman gave at the San Francisco Bay Area End-of-Life Care Network on February 1, 2012. His initial plan was to spend more time brain storming ways to educate the general public that an easy way to complete Advance Care Planning, one that can effectively reduce suffering -- does exist, now that his colleagues and he can offer multiple strategies to overcome the many challenges to "Natural Dying."
Yet even this audience of professionals who work in the end-of-life field were not sure what choice they would make for themselves without more information.... So Dr. Terman changed the emphasis of his presentation mid-stream -- and now others can benefit from viewing the video.
The lively and interactive discussion, whose level is appropriate for the general public, can motivate individuals to do their own Advance Caring Planning and may inspire some to be even more proactive by spreading the word to family members, friends, others. Dr. Terman ends by listing some initial possibilities of people, from students to professionals, whom may be able to motivate others to complete Advance Caring Planning, in his concluding impassioned call to action.
Psychiatrist Dr.Stanley A Terman, PhD, MD, is the founder and Medical Director of the non-profit organization, Caring Advocates. He welcomes innovative suggestions to spread the word from those who view this video. He can be reached at DrTerman@gmail.com.
(See also the other videos in the "Plan Now, Die Later-Peacefully" series on the channel, "www.YouTube.com/DrTerman.")
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drterman uploaded a new video
(3 weeks ago)
Just because a person with advanced dementia CAN swallow doesn't mean s/he WANTS to swallow--especially if skilled personnel are putting thickened ...
more
Just because a person with advanced dementia CAN swallow doesn't mean s/he WANTS to swallow--especially if skilled personnel are putting thickened puree at the back of his/her tongue so s/he swallows by REFLEX... especially if such "feeding" (not "eating") only prolongs the process of dying and increases the risk of more pain and suffering.
Here is a rarely asked but most important decision we should all make--given the risk of dying with dementia is 1 in 6 for those who reach the age of 55:
"If you meet your own criteria for Advanced Dementia, do you want to continue ASSISTED SPOON FEEDING?"
This video is an edited version of a live presentation that Dr. Stanley A Terman gave at the San Francisco Bay Area End-of-Life Care Network on February 1, 2012. His initial plan was to spend more time brain storming ways to educate the general public that there does exist, an easy way to complete Advance Care Planning that can effectively reduce suffering, (His colleagues and he can now offer multiple strategies to overcome the many challenges to "Natural Dying.")
Yet even this audience of professionals who work in this field were not sure what choice they would make for themselves without more information....
The lively and interactive discussion on this video, whose level is appropriate for the general public, can motivate individuals to do their own Advance Caring Planning and may inspire some to be even more proactive by spreading the word to family members, friends, others. Dr. Terman ends by listing those professionals who might be asked to use their influence to motivate others to complete their own Advance Caring Planning with an impassioned call to action and a list of professions in a position to help.
Thus the title: Advance Care Planning for Dementia to reduce suffering: seeking collaborators to spread the word.
Psychiatrist Dr.Stanley A Terman, PhD, MD, is the founder and Medical Director of the non-profit organization, Caring Advocates. He welcomes your innovative suggestions to spread the word and can be reached at DrTerman@gmail.com.
(See also the other videos in the "Plan Now, Die Later-Peacefully" series on the channel, "www.YouTube.com/DrTerman.")
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drterman uploaded a new video
(1 month ago)
Will clinicians who respond to 9-1-1 calls HONOR your wishes? Don't take a chance. Tell them exactly what you want them to do and NOT to do--in you...
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Will clinicians who respond to 9-1-1 calls HONOR your wishes? Don't take a chance. Tell them exactly what you want them to do and NOT to do--in your words, while you still can.
This short video demonstrates how competent people can directly ask emergency medical personnel and emergency physicians to honor three physician's orders: 1) a Do Not Resuscitate (DNR) order; 2) an order NOT to start an IV (intravenous drip); and, 3) an order NOT to hospitalize unless needed for Comfort Care. These orders can prevent prolonged dying and an increased risk of greater pain and suffering as you die.
The video also briefly shows a "MyWCard" in a pouch that smart cell phones can use--to view, fax, download or print the physician's orders--as an alternative to going to the website, www.MyLastWishes.org and entering the patient's last name and date of birth.
Dr. Terman is a psychiatrist and the medical director of the non-profit organization, Caring Advocates, whose other videos are on the channel, "www.YouTube.com/DrTerman" (Plan Now, Die Later-Peacefully).
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drterman uploaded a new video
(1 month ago)
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drterman uploaded a new video
(1 month ago)
To avoid days to weeks of unbearable pain and suffering as one dies from a terminal illness, and to prevent lingering for months to years in Advanc...
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To avoid days to weeks of unbearable pain and suffering as one dies from a terminal illness, and to prevent lingering for months to years in Advanced Dementia that can be associated with pain and suffering that may be unrecognized and therefore untreated or under-treated, Advance Care Planners can give their informed consent A) to Palliative Sedation to Unconsciousness and B) to Natural Dying.
This video is an excerpt from a SUMMARY INTERVIEW where the Advance Care Planner gave his informed consent--a strategic way to make sure that, in the future, others WILL honor his "Last Wishes."
The interview is by Stanley A Terman, PhD, MD, Medical Director of the non-profit organization, Caring Advocates, located in Carlsbad, CA, that reaches out to help reduce the suffering of terminally ill patients and their loved ones around the world.
See also: Prevent lingering in Advanced Dementia; unbearable pain & suffering; futile hospitalization-in 2 min
http://youtu.be/ypBsJkNzNIU
On this video, psychiatrist Dr. Terman demonstrates how he quickly summarizes a discussion to express his clinical opinion about decisional capacity—for physicians and clinicians who respond to medical emergency 911 calls (or 999 or 112).
For your clinical opinion via "InterviewByInternet.com", contact Caring Advocates. (We can lend you a webcam for your computer, if needed.)
To learn more by viewing other videos in the "Plan Now, Die Later" series:
YouTube channel = "DrTerman"
Stanley A Terman, PhD, MD
Medical Director, Caring Advocates
800 647 3223
DrTerman@CaringAdvocates.org
www.CaringAdvocates.org
www.MyLastWishes.org
SKYPE: stan_terman
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