https://rhprehab.co.za Ordinary people, extraordinary achievements! Thu, 08 Oct 2026 15:04:56 +0000 hourly 1 https://wordpress.org/?v=7.1.3 https://rhprehab.co.za/courses/end-of-life-decision-making-with-dr-alexandra-stipinovich/lessons/end-of-life-decision-making-with-dr-alexandra-stipinovich/#comment-4011 Thu, 08 Oct 2026 15:04:56 +0000 https://rhprehab.co.za/courses/end-of-life-decision-making-with-dr-alexandra-stipinovich/lessons/end-of-life-decision-making/#comment-4011 Daniel Cardamom thinking fast and slow
System 1 less effortful, cognitive bias based on experience ,avoid the pain of loss and clings to life
Autonomy: self governance and rule at tug of war with medical knowledge
Butkus 2015 criteria for end of life:
Medical, Foundational, Psychiatric, Psychosocial
Living will or advanced directive is legally binding under national health act 2003
End of life decision
Proxy decision maker
Palliative care decision
Decisional capacity and neurological illness
Ensure a fair assessment
Difficult conversation initiated by you as pts HP
Have pts consent for family to be present and have conversation more than once
Shared decision making vs supported decision making (diff degrees cog ability) vs support with decision making (eg using AAC)
Go wish by menkin card game
Death Cafe
Dignity RSA

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