What are My Goals of Care?
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Advance care planning

Advance care planning is making a plan for future health care while you are still able to make health care decisions for yourself.  It can be hard to think and talk about the end of one's life but it’s best to do these things before a crisis occurs. Talk with loved ones and health professionals about the kinds of care that is or is not preferred, including conversations to continue or to abandon life-support measures. Don’t assume that family and health professionals know what you want. 

Considerations for declining health

The last stages of a serious illness can be hard. You may feel like you have lost control over your life and what will happen to you.

Making a decision to express one’s wishes to loved ones and to health professionals about what type of care is desired will be one of the most important things a person has to do.

Medical Orders for Scope of Treatment (MOST)

MOST is a medical order that tells health care providers what treatment is to be provided. It is intended to be completed for persons with advancing chronic illness, or have health concerns or circumstances that are important to communicate to your health care team.  

Artificial Hydration & Nutrition

A time may come during the course of your illness when you may eat and drink less. The changes in your appetite and fluid intake may be linked to the natural course of your illness. Some illnesses can make it hard for you to swallow or can cause nausea and vomiting.

There are different ways to keep you hydrated and fed if you are not able to take food and fluids by mouth. Fluid can be given under the skin or through a line into the vein (IV).  Food can be given through a line into the vein (IV) or a feeding tube. A feeding tube is placed in the stomach either through the nose or through the belly. 

It is important to talk with your doctor or nurse practitioner about when to use artificial hydration and nutrition and what to expect as your illness progresses.

Click to learn more about artificial hydration and nutrition.

CPR (Cardiopulmonary Resuscitation)

If you choose to receive CPR when your breathing or heart stops, someone will push air into your mouth and push down very hard on your chest with his or her hands. If you are in the hospital when your breathing or heart stops, a team of doctors, nurses, and others will respond.

In the hospital, the team may use a device called a defibrillator to apply an electrical shock to your heart. The shock may restart your heart. You may also get medicine to help your heart beat again.

Life support

After CPR has been started, you will be connected to a machine called a ventilator or respirator. A tube is placed down your throat to your lungs and is then connected to the ventilator. The ventilator pumps oxygen through the tube into your lungs. Being placed on a ventilator is referred to as "being put on life support."

Click to learn more about CPR and life support.

Organ/Tissue Donation

One organ donor can save up to eight lives. To be an organ donor in BC you must be in a critical care unit on a breathing machine, with no hope of recovery. Once the declaration of death has been made or when death is imminent, BC Transplant will be contacted by the hospital staff to check the Organ Donor Registry to see if the patient registered their decision. If a decision is recorded, BC Transplant will print a copy of the registration form and share the information with the family. The health care team will have a conversation with the family about organ donation and will then continue.

Click to learn more about the process if you would like to consider being an organ/tissue donor.

The Eye Bank of BC provides British Columbians with the opportunity to choose eye donation. Individuals can leave a legacy by providing up to 8 people with corneal and sclera graft transplants. Tissue may also be used to further research efforts into the treatment and prevention of ocular disease. Interior Health has five retrievable sites for eye donation:

  • Kelowna General Hospital
  • Penticton Regional Hospital
  • Royal Inland Hospital (Kamloops)
  • South Okanagan General Hospital
  • Vernon Jubilee Hospital

For more information please click here to learn more about the Eye Bank of BC.

Medical Assistance in Dying (MAiD)

Interior Health is working hard to ensure the people within our communities have access to the highest standard of compassionate and respectful care, while ensuring staff and physicians provide services within the law. Following a Supreme Court of Canada ruling, medical assistance in dying (MAiD) is available to all Canadians.

MoH     PCQO