Wednesday 2 October 2013

Golden Standards Framework

So there you are. You`ve just retired, looking forward to rounds of golf or more time with the grandchildren and getting into a more leisurely lifestyle. But No. The Golden Standard Framework insists you must think about death, make advanced decisions, and cut down your expectations about future treatment. All of this will make you feel better .

The Golden Standard Framework plays a part in Living and Dying Well in Scotland, so it would be a good idea to know what this is about.

Staff responsible for your care have been primed to have certain sensitive conversations with you and be warned that there are triggers when to have these conversations:

 Triggers

All residents on admission to care homes
Also life changing event e.g death of spouse
making or changing a will
retirement
following a new diagnosis of life limiting illness
assessment of patient need
in conjunction with prognostic indicators
multiple hospital admissions

The conversation will pressure you to make decisions about:

what you wish to happen and not to happen towards end of life (preferably what not to happen)
e.g do not rescucitate. Do not treat.
preferred place of care or death (preferably home, or homely setting, ie care home)
If you might lack capacity to make your own decisions,who is going to make these decisions on your behalf about these matters? Then think about setting up a power of attorney if you do not have one.(Because if you don`t have one we`ll make the decisions for you.)


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