Douglas A. Isenstein, MD
Specialty: Critical Care Medicine
- critical care medicine
- internal medicine
Location and Office HoursGeorgia Pulmonary Group
1800 Tree Rd Ste 200
Snellville, GA 30078
- monday: 8:00AM - 5:00PM
- tuesday: 8:00AM - 5:00PM
- wednesday: 8:00AM - 5:00PM
- thursday: 8:00AM - 5:00PM
- BlueCross BlueShield of Georgia
- Coventry Health Care
- First Health
- Great-West Healthcare Cigna
- United Healthcare
- Eastside Medical Center
- Gwinnett Medical Center
Can someone else make medical decisions for me if I can't speak for myself?
National Kidney Foundation answeredYou can name someone (such as a spouse, adult child or close friend) to make medical decisions for you, such as stopping dialysis, in case you are no longer able to make these decisions for yourself. This is done by filling out a form called a healthcare proxy or a durable healthcare power of attorney. The person you name to make medical decisions for you is called a surrogate. It is important to make sure the person is willing to act on your behalf and that he or she knows your short- and long-term goals, values and what treatments you would or would not want to have if you were not able to speak for yourself. It is helpful if you complete a form called a treatment-specific living will, which will give your surrogate clear directions about your wishes regarding stopping dialysis and/or other medical treatments.
Does the care plan team discuss the patient's physical and emotional needs?
Yes, often nursing units have "multidisciplinary" rounds where a representative of all professions caring for a particular patient give their input on the physical and emotional needs of the patients in an attempt to not only meet the needs of the patient while in the hospital, but address any needs they might have after discharge.
How does a patient advocate help those in critical care?
Betty Long, RN, MHA, Nursing, answered
When someone you love is a patient in a critical care unit, it can be a time of great stress, anxiety, frustration, and sadness. And because the clinical team is often focused minute-by-minute on the care of the patient, communication about your loved one may not be as comprehensive, as timely, or as helpful as you would like.
Having a patient advocate, therefore, particularly someone who has worked as a nurse in critical care, can help ease some of your anxiety and worry because she can explain to you what is going on, what the test results might mean, why tests are being ordered and what the clinical team might be looking for with those tests, and help allay some of your concern. And very importantly, if you want, she can communicate with the clinical team, speaking with the physicians and nurses on staff and then convey that information to you. She can also guide you and support you as you consider other care or placement decisions.
Trust me, not that every hospital is a bad place, but having someone you can trust looking out for your critically ill loved one can not only be a timesaver (think of all the calls you'll make tracking down a physician) but it can also provide peace of mind for you and your family.
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