Healthy Vision 2020
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Healthy Vision 2020
Bringing into focus a clear and distinct view of the rest of this decade in Texas health care. Offering a sharp perception of what lies ahead and what we must change to keep us all healthy.
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Comfort care goes beyond DNR orders

Comfort care goes beyond DNR orders | Healthy Vision 2020 | Scoop.it
These are difficult decisions to make as a doctor and a son. It is very challenging to be objective when the questions are about your own father.
Texas Medical Association's insight:

Respect patients in their final days

 

Thanks to the advancements of medicine and science, Texans are living longer. However, these blessings bring the challenges of care and treatment decisions in life’s final stages. Advance directives allow patients to make their end-of-life treatment decisions known in the event they become incapable of communication or incompetent. Without advance directives, some of life’s most difficult decisions are being thrust upon unprepared adult children, parents, or other loved ones.

 

At each step, human beings are involved in both deciding on and providing treatment. We must respect the value of life and the moral conscience of those involved.

 

Texas physicians abide by the Code of Medical Ethics, which includes “First, do no harm.” For this reason, TMA supports the Texas Advance Directives Act (TADA). Its aim is to allow patients to make their care preferences known before they need care, and to protect patients from discomfort, pain, and suffering due to excessive medical intervention in the dying process. The time may come when all that can be done for a patient is to alleviate pain and suffering, and preserve the patient’s dignity. For physicians, this is about medical ethics and providing medically appropriate care.

 

Then-Gov. George W. Bush signed TADA into law in 1997. It had unanimous support from physicians, nurses, hospitals, nursing homes, hospice care facilities, and pro-life organizations. The law provides a balanced approach to addressing one of life’s most difficult decisions.

 

TADA allows a patient to issue an out-of-hospital do-not-resuscitate (DNR) order, a medical power of attorney, or a directive for physicians and family members regarding the person’s wishes to administer or withhold life-sustaining treatment in the event the person is in a terminal or irreversible condition and unable to make his or her wishes known. Additionally, when an attending physician morally disagrees with a health care or treatment decision made by or on behalf of a patient, the act provides for a process whereby an ethics or medical committee reviews the physician’s refusal. The patient is given life-sustaining treatment during the process. If the ethics committee decides that discontinuing lifesaving treatment is in the best interest of the patient, and the family disagrees with that decision, the hospital must continue treatment for 10 days to allow the family some time to find a different facility for the dying patient.

 

Legislation has been introduced in the past two legislative sessions that would instead require indefinite treatment.

 

TMA has opposed the proposed legislation because it would prolong unnecessary — and often painful — care. It would require physicians, nurses, and other health care professionals to provide medically inappropriate care, even if that care violates medical ethics or the standard of care. It also sets a dangerous precedent for the legislature to mandate the provision of physician services and treatments that may be medically inappropriate, outside the standard of care, or unethical.

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Artificial death extension: It means that I actually care

Instead of offering artificial life support to these patients, I will be offering artificial death extension.

 

Texas physicians abide by the Code of Medical Ethics, which includes “First, do no harm.” For this reason, TMA supports the Texas Advance Directives Act (TADA). Its aim is to allow patients to make their care preferences known before they need care, and to protect patients from discomfort, pain, and suffering due to excessive medical intervention in the dying process. The time may come when all that can be done for a patient is to alleviate pain and suffering, and preserve the patient’s dignity. For physicians, this is about medical ethics and providing medically appropriate care. 

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Solo practice physicians: 'I'm not dead!' | Healthcare Finance News

Solo practice physicians: 'I'm not dead!' | Healthcare Finance News | Healthy Vision 2020 | Scoop.it

"The impending demise of solo physician practice has been predicted for several years now. In early July, recruitment firm Merritt Hawkins put the proverbial nail in the coffin of solo physician practice by declaring it officially dead. But like the old man in 1975’s “Monty Python and the Holy Grail” protesting “I’m not dead!”, doctors aren’t ready to be hauled off for burial."

 

The ability of physicians to act in their patients’ best interests must not be compromised by outside – and sometimes competing – economic, political, and social pressures. Yet lawmakers and other nonphysicians progressively are inclined to delineate the details of the interaction between physicians and patients. Physicians will increasingly face nonphysicians’ attempts to mandate what tests, procedures, and treatments they must – or must not –provide to their patients.

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Make End-of-Life Care Better for Patients, Families, Physicians

Make End-of-Life Care Better for Patients, Families, Physicians | Healthy Vision 2020 | Scoop.it
From the beginning of life until the end — and for all the days in between — physicians are bound by our oath and professional Code of Ethics to put our patients first.
Texas Medical Association's insight:

Respect patients in their final days

 

Thanks to the advancements of medicine and science, Texans are living longer. However, these blessings bring the challenges of care and treatment decisions in life’s final stages. Advance directives allow patients to make their end-of-life treatment decisions known in the event they become incapable of communication or incompetent. Without advance directives, some of life’s most difficult decisions are being thrust upon unprepared adult children, parents, or other loved ones.

 

At each step, human beings are involved in both deciding on and providing treatment. We must respect the value of life and the moral conscience of those involved.

 

Texas physicians abide by the Code of Medical Ethics, which includes “First, do no harm.” For this reason, TMA supports the Texas Advance Directives Act (TADA). Its aim is to allow patients to make their care preferences known before they need care, and to protect patients from discomfort, pain, and suffering due to excessive medical intervention in the dying process. The time may come when all that can be done for a patient is to alleviate pain and suffering, and preserve the patient’s dignity. For physicians, this is about medical ethics and providing medically appropriate care.

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ACP: Federal, state laws limit better care - Modern Physician

ACP: Federal, state laws limit better care - Modern Physician | Healthy Vision 2020 | Scoop.it

"A paper released by the American College of Physicians highlights state and  federal laws that it says limit physician-patient communication and present  roadblocks to better care."

 

The ability of physicians to act in their patients’ best interests must not be compromised by outside – and sometimes competing – economic, political, and social pressures. Yet lawmakers and other nonphysicians progressively are inclined to delineate the details of the interaction between physicians and patients. Physicians will increasingly face nonphysicians’ attempts to mandate what tests, procedures, and treatments they must – or must not –provide to their patients.

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No comment yet.