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AMDA House of Delegates Resolution I99

Table of Contents
  1. White Paper on Hospice in Long Term Care
  2. Quality Assurance
  3. Medical Directors
  4. Frequently Asked Questions
  5. End-of-Life Care Resources
  6. AMDA House of Delegates Resolution I99
  7. Appendix A: Pain/Discomfort Evaluation Tools (Adobe® Acrobat® PDF format)
  8. Appendix B: Pain Burden Scale
  9. Appendix C: Symptom Acuity Graph (Adobe® Acrobat® PDF format)
  10. Appendix D: Bereavement Services Documentation (Adobe® Acrobat® PDF format)
  11. Appendix E: Billing Guidelines
  12. Appendix F: NHO Prognostication Guidelines
  13. Appendix G: Medical Director's Role and Responsibilities

Subject: End-of-Life Care Planning in Nursing Facilities

Introduced By: Hospice Subcommittee

Introduced In: March 1999

WHEREAS, 20 percent of all deaths in America occur in nursing facilities, and

WHEREAS, one-third of all residents entering a nursing facility will die within 12 months of admission, and

WHEREAS, studies have indicated significant opportunities to alleviate pain, suffering, and grief at the end-of-life, and

WHEREAS, the care planning process for residents dying in nursing facilities require coordination of resources, and

WHEREAS, medical directors are responsible for implementation of resident care policies and coordination of end-of-life medical care in the facility, and

WHEREAS, the medical director's involvement extends to all services provided in the facility related to end-of-life care, therefore be it

RESOLVED, that AMDA recognizes the significance of end-of-life care planning. And, that all residents in nursing facilities should have access to appropriate end-of-life care. The expected outcomes are respect for patient advanced directives, safe and comfortable dying, and effective grieving, and

RESOLVED, that medical directors should be provided with sufficient training, education, and institutional involvement to assess and improve end-of-life care in the facility.

Resolution Results: Passed by HOD and Board of Directors. Board of Directors directed Program and Education Committees to work with Hospice Subsection on end-of-life planning issues.
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