One of the great mindbenders of our lives is End of Life directives.
Here’s a list of where directives go haywire:
- unclear language in the document
- document “enforced” by someone other than the subject of the document
- document not present during decision making
- assumptions and pre conditions by family, self, doctors
- written policies surround use of dnr
- unwritten policies
- spur of the moment context/second guessing
- diagnosis of what’s really End of Life
- lack of directive standards
- and so on…
It really bends my mind to consider that one of the most final decisions we can make about ourselves or family members is this damn gray. in previous posts I talk about the data collection and precision targeting of our world, and yet, with directives we bring NONE of that approach.
Directives are a terrible information device – at this time. What can we do to clear them up? what can we do with the context surrounding them? is it just a matter of experience – the more we interact with them the more precise and effective they become?
things that make you go… hmmm… argh… help!?
Check this site out for tons of cool analysis and concepts. http://www.eperc.mcw.edu/ff_index.htm
~Russ
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