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joerene.avilesThe Federal Emergency Management Agency (FEMA) drafted the policy.
The Federal Emergency Management Agency (FEMA) drafted the policy.
The central argument is that healthcare professionals are not trained well enough in mentally/ emotionally handling patient relationships when providing end-of-life care for terminal/ chronic illnesses.
Overall the film included the most important perspectives; doctors, patients, and the family of the patients. I think the perspective of nurses or caregivers that aren't family would've been helpful though, as they would care for the patient most often and also feel grief from losing them.
The policy is a disaster relief act aimed to provide governmental aid/ assistance at the local, state, and national levels for emergency preparedness and response in the event of a major disaster.
The policy doesn't specifically address the elderly or children, who are very vulnerable populations during disasters/ emergencies (but it does address pets and animals in Title IV).
The film best addresses health care professionals and families of those with chronic illness, as it shows the medical professionals' struggles and successes in providing comfort, closure, and knowledge in end-of-life care. It provides more empathy to the doctors who may get very involved in their patients' lives and who also feel grief when their patient has to get more bad news or passes away.
The policy addresses public health in Title IV as part of the Major Disaster Assistance Programs. Section 42 states that the President may provide assistance for and coordinate emergency response to affected areas.
Emergency responders not portrayed in the film; only medical professionals involved in long-term patient care are addressed.
The policy was created in 1988; it was created to support previous legislation, such as the Disaster Relief Act of 1970, which was amended in 1974 by President Nixon.
The stakeholders are Dr. Atul Gawande, other healthcare professionals, and the patients with terminal illnesses. They have to decide what the patient's priorities are, treatment options, and basically how much time and quality of life patients are willing to trade for extended years to live. Is the treatment making the patient worse or better? Doctors have to put themselves in a position of vulnerability by personally getting to know their patients, and deal with the guilt and blame if their treatments aren't successful or what they had said to the patient's family.