Voices, Choices

{ (set: $SummNotes to "") (if: $CharacterSelected is 1 or $CharacterSelected is 4) [ (set: $HeShe to "she") (set: $HeSheCap to "She") (set: $HimHer to "her") (set: $HimHerCap to "Her") (set: $HisHer to "her") (set: $HisHerCap to "Her") (set: $FatherMother to "mother") (set: $FatherMotherCap to "Mother") (set: $DadMom to "mom") (set: $DadMomCap to "Mom") ] (else:) [ (set: $HeShe to "he") (set: $HeSheCap to "He") (set: $HimHer to "him") (set: $HimHerCap to "Him") (set: $HisHer to "his") (set: $HisHerCap to "His") (set: $FatherMother to "father") (set: $FatherMotherCap to "Father") (set: $DadMom to "dad") ] (set: $OptimalPath to "No") (set: $CPR to "Yes") (set: $EndOfLifePlan to "No") <div class="NarrativeUnderlay"> The past few months have been a roller coaster. After recovering from a bad fall, your $FatherMother moved into a long-term care home. Six weeks after admission, $HeShe asks you and your brother and sister to come to the home for a "care conference" to discuss $HisHer plan of care. </div> [[<span class='audio'>Go to the care conference.</span>->ppDMPsg03 Go to the care conference.]] [[I won't be able to attend.->ppDMPsg02 I won't be able to attend.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CT .png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CT .png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CT .png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CT .png"> ] <img class="portrait position5" src="http://www.poetproject.ca/voices/ppPortraitPH1CT .png">  }

{ <div class="NarrativeUnderlay">Over the next year, your $FatherMother settles into the home. $HeSheCap really likes Dr. Davinda, as well as the nurses, and gets along really well with $HisHer roommate. <br><br> Being close to the home, you're able to visit $HimHer a few times a month. But then, one night... </div> (if: $CharacterSelected is 1) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM1HP.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1HP.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM2HP.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2HP.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM3HP.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3HP.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM4HP.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4HP.png"> ] [[You answer an emergency call.->ppDMPsg08 You answer an emergency call.]]  }

{ <div class="NarrativeUnderlay">You and your family stand together on this decision. Tears are shed, but agreeing on this matter makes you all feel more united. </div> (set: $CPR to "No") [[In the following weeks...->ppDMPsg13 The Following Weeks.]] (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM1HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR1HP.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM2HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL2HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR2HP.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM3HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL3HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR3HP.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM4HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL4HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR4HP.png"> ] }

{ <div class="NarrativeUnderlay">You, your brother, and your sister decide that you all want what is best for your $FatherMother. You reach a decision about Dr. Davinda's proposal that your $FatherMother receive end-of-life care in the home. </div> [[Yes, we agree to Dr. Davinda's plan.->ppDMPsg17a Yes, we think that's best.]] [[No, we don't consent to that plan.->ppDMPsg18 No, we don't consent to that plan.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CT.png"> ]  }

{ <div class="NarrativeUnderlay">Dr. Davinda urges the three of you to find a way to agree, and to do so quickly because your $FatherMother's condition is changing rapidly. Dr. Davinda tells you if you cannot agree soon, she will go to the Public Guardian and Trustee for the decision. </div> [[We'll reach an agreement very soon.->ppDMPsg24 We'll reach an agreement very soon.]] [[We discuss it again, but Dr. Davinda chooses not to wait any longer.->ppDMPsg25 No, we won't reach an agreement in time.]] (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (set: $SummNotes to $SummNotes + "Dr. Davinda told you that she would go to the Public Guardian and Trustee for consent if you, your brother, and your sister could not agree. To find out more about this situation, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK26\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Dr. Davinda seems pleased that you were all able to come together on the plan. <br><br> Your $FatherMother's remaining months go smoothly. But as expected...</div> (set: $EOLPlan to "Doctor's") [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CT.png"> ]  }

{ <div class="NarrativeUnderlay">Dr. Davinda sighs and says, "That's too bad. Now, I have to decide whether to appeal your decision by filing a Form G with the Consent and Capacity Board. If the CCB thinks that the plan is in your $FatherMother's best interests, they will order you to consent."</div> [[The physician files a Form G with the Consent & Capacity Board.->ppDMPsg19 The physician files a Form G with the Consent and Capacity Board.]] [[The physician decides not to file a Form G with the Consent & Capacity Board.->ppDMPsg22 The physician decides not to file a Form G to the Consent and Capacity Board.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC .png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ]  }

{ <div class="NarrativeUnderlay">Sitting down with Dr. Davinda once again, she asks, "So you've reached a decision about the plan that I proposed? That's great!" Then she asks hopefully, "Are you in favour of your $FatherMother passing at the long-term care facility?"</div> [[Yes, we think that's best.->ppDMPsg17a Yes, we think that's best.]] [[No, we don't consent to that plan.->ppDMPsg18 No, we don't consent to that plan.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4NU.png"> ]  }

{ <div class="NarrativeUnderlay">Dr. Davinda believes she must reach out to the Public Guardian and Trustee because you cannot reach a decision. The Public Guardian and Trustee gather information so they can make an informed decision. <br><br> Meanwhile, your $FatherMother's condition deteriorates. Since Dr. Davinda has not yet been given consent to provide end-of-life care in the home, an ambulance will be called if your $FatherMother's condition becomes critical. </div> [[My $FatherMother is in hospital before a decision is made.->ppDMPsg26 My mother is back in hospital before a decision is made.]] [[The Public Guardian and Trustee make their decision.->ppDMPsg43 The Public Guardian and Trustee make their decision.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> (set: $SummNotes to $SummNotes + "Your " + $FatherMother + "'s transfer to hospital might have been avoided if you, your brother, and your sister could reach agreement before " + $HisHer + " condition deteriorated. To find out more about work that is trying to help avoid transfers like this, click <a href=\"http://www.poetproject.ca\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board gathers information and evidence to determine if your decision is in line with the principles of substitute decision-making, as outlined in the //Health Care Consent Act//. <br><br> After review...</div> [[The Consent and Capacity Board upholds our decision.->ppDMPsg20 The Consent and Capacity Board upholds our decision.]] [[The Consent and Capacity Board orders us to consent to Dr. Davinda's plan.->ppDMPsg21 The CCB orders us to consent to the doctor's plan.]]  }

{ <div class="NarrativeUnderlay">After a couple of days, Dr. Davinda contacts you and says, "I'm not sending in the Form G. I hope the current plan works out for your $FatherMother."</div> [[My $FatherMother is in hospital without a decision being made.->ppDMPsg26 My mother is back in hospital before a decision is made.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1HP.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2HP.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3HP.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4HP.png"> ]  }

{ <div class="NarrativeUnderlay">The current plan remains in place. Dr. Davinda can choose to propose a different plan, or propose the same plan at a different time.</div> [[My $FatherMother is in hospital before a decision is made.->ppDMPsg26 My mother is back in hospital before a decision is made.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1HP.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2HP.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3HP.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4HP.png"> ]  }

{ <div class="NarrativeUnderlay">Following the Board's decision, you and your sister and brother grudgingly provide consent to Dr. Davinda's end-of-life plan for your $FatherMother. <br><br> And eventually...</div> [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ]  }

{ <div class="NarrativeUnderlay">The hospital physician, Dr. Petrovic, calls you and explains that your $FatherMother had developed a high fever in the home, and was not responsive when people tried to wake $HimHer. <br><br> She has been admitted to the hospital and a number of tests ordered. </div> [[Make the journey to the hospital.->ppDMPsg27 Make another journey to the hospital.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ]  }

{ <div class="NarrativeUnderlay">Fortunately, your $FatherMother's health doesn't decline to the point where $HeShe needs to enter the hospital. The Public Guardian and Trustee gathers information to make an informed decision for the treatment proposal.</div> [[They decide to provide consent.->ppDMPsg45 They decide to provide consent.]] [[They decide not to provide consent.->ppDMPsg44 They decide not to provide consent.]]  }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board gathers evidence and determines that your $FatherMother's wishes do apply to the current circumstances. <br><br> Do you, your brother, and your sister consent to the physician's proposal? </div> [[We provide consent to an end-of-life plan.->ppDMPsg39 We provide consent to an end-of-life plan.]] [[No, we do not provide consent to an end-of-life plan->ppDMPsg40 No, we do not provide consent to an end-of-life plan]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4NU.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4NU.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4NU.png"> ]  }

{ <div class="NarrativeUnderlay">An end-of-life plan is put in place for your $FatherMother. Your $FatherMother's remaining time goes smoothly. But as expected...</div> [[$HeSheCap passes.->ppDMPsg50 Your mother passes.]]  }

{ <div class="NarrativeUnderlay">Dr. Petrovic lets you know that he can appeal your decision by submitting a "Form G" to the Consent and Capacity Board, as he does not believe you are following the principles of substitute decision-making. </div> [[The physician files a Form G.->ppDMPsg41 The physician files a Form G.]] [[The physician does not file a Form G with the CCB.->ppDMPsg42 The physician does not file a Form G with the CCB]] (set: $SummNotes to $SummNotes + "Dr. Petrovic chose to file a Form G application with the Consent and Capacity Board. This form is used when a health-care provider wants to confirm that a substitute decision-maker is making decisions in line with Ontario's //Health Care Consent Act//. Find out more about this option <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20G.pdf\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board gathers information and evidence in order to make a decision. Because they have found that the wish is applicable to the current situation, they order you and your sister and brother to consent. Once you comply with the order, an end-of-life plan is put in place.</div> [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ]  }

{ <div class="NarrativeUnderlay">Your $FatherMother's condition continues to deteriorate as discussions and planning continue. <br><br> Dr. Petrovic explains your $FatherMother appears to be nearing the end. Because $HeShe previously made the decision not to receive cardiopulmonary resuscitation (CPR), it is not attempted when $HeShe passes away at the hospital.</div> [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1SD.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL2SD.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR2SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL3SD.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR3SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL4SD.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR4SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM4SD.png"> ]  }

{ <div class="NarrativeUnderlay">An end-of-life plan is put in place for your $FatherMother.</div> [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]]  }

{ <div class="NarrativeUnderlay">The current plan remains in place. Dr. Davinda can choose to propose a different plan, or propose the same plan at a different time.</div> [[Before a final decision is reached...->ppDMPsg46 Before a final decision is reached...]]   }

{ <div class="NarrativeUnderlay">At the care conference your $FatherMother's physician, Dr. Davinda, explains your $FatherMother is "full code", meaning if $HisHer heart stopped, cardiopulmonary resuscitation (CPR) would be started. Dr. Davinda also explains CPR can leave people with permanent disability, possibly even brain damage. She says she must make you aware of these risks. </div> [[Ask Dr. Davinda for recommendations.->ppDMPsg04 Ask the doctor for recommendations.]] [[Ask your $FatherMother for $HisHer decision.->ppDMPsg06 Ask your parent for their decision.]] [[Make the decision for your $FatherMother.->ppDMPsg05 Make the decision for your parent.]] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM1NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM2NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM4NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ]  }

{ (set: $CPR to "No") <div class="NarrativeUnderlay">You aren't able to attend the care conference, but you tell your $FatherMother that you think the staff know best and $HeShe should do whatever they recommend. Your $FatherMother agrees that makes sense. </div> [[Time goes by.->ppDMPsg07 Time goes by.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ] (set: $SummNotes to $SummNotes + "You did not attend the care conference at the long-term care home. If your loved one was incapable and a consent-related decision needed to be made at the conference, this might have been a problem because a substitute decision-maker is required to be capable, willing, and available. Find out more about substitute decision-makers under the //Health Care Consent Act// <a href=\"https://www.ontario.ca/laws/statute/96h02#BK26\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Dr. Davinda says she would not recommend cardiopulmonary resuscitation (CPR) and she would like consent to write a "Do-Not-Resuscitate" (DNR) order. Since your $FatherMother is capable, it's $HisHer decision to make. </div> [[Ask your $FatherMother for $HisHer decision.->ppDMPsg06 Ask your parent for their decision.]] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM1NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM2NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM4NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ] (set: $SummNotes to $SummNotes + "You asked Dr. Davinda for her recommendations related to cardiopulmonary resuscitation (CPR). It is fine to ask this, but keep in mind that the decision is your $FatherMother's to make.<br><br>")  }

{ <div class="NarrativeUnderlay">Your $FatherMother didn't know all of the risks associated with cardiopulmonary resuscitation (CPR). $HeSheCap certainly doesn't want to die, but $HeShe now understands the risks associated with CPR. $HeSheCap thinks about it and then agrees with Dr. Davinda's proposal. Dr. Davinda thanks you for attending the meeting, and explains she will put a "Do-Not-Resuscitate" (DNR) order on your $FatherMother's chart. </div> (set: $CPR to "No") [[Time goes by.->ppDMPsg07 Time goes by.]] [[Stay and discuss things with your $DadMom a bit more.->ppDMPsg09 Ask your mother about her end-of-life wishes.]] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ] (set: $SummNotes to $SummNotes + "Your " + $FatherMother + " changed " + $HisHer + " mind about cardiopulmonary resuscitation (CPR) once " + $HeShe + " found out the risks. Informed consent for a treatment can be provided only after the person is made aware of the risks (among other things). Find out more about informed consent <a href=\"https://www.ontario.ca/laws/statute/96h02#BK15\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Dr. Davinda interjects and reminds you that since your $FatherMother is capable, $HeShe's the one who makes the decision.</div> [[Ask your $FatherMother for $HisHer decision.->ppDMPsg06 Ask your parent for their decision.]] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1CC .png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ] (set: $SummNotes to $SummNotes + "You tried to make the decision about cardiopulmonary resuscitation (CPR) for your " + $FatherMother + ". Dr. Davinda interjected because when a person is capable, the physician must obtain consent from them. For more about capacity to make treatment decisions, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK4\" target=\"_blank\">here</a>. To find out about physician's requirements to obtain consent from capable persons, click <a href=\"https://www.cpso.on.ca/Physicians/Policies-Guidance/Policies/Consent-to-Treatment\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">You receive a call from the home. There's been a health emergency and your $FatherMother has been sent to the hospital.</div> [[Head to the hospital!->ppDMPsg10 Head to the hospital!]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ]  }

{ <div class="NarrativeUnderlay">Upon arrival at the hospital, you and your sister and brother learn that your $FatherMother has had a stroke. (if: $OptimalPath is "Yes") [ Sadly, it looks like $HeShe will not recover. But since your $FatherMother already made $HisHer end-of-life wishes clear, you are able to spend $HisHer remaining time focused on $HimHer rather than revisiting difficult decisions. <br><br> Eventually... </div> ] (else:) [ Your $FatherMother is currently not conscious. <br> The attending physician explains that, in line with the current plan from the long-term care home, cardiopulmonary resuscitation (CPR) won't be initiated if your $FatherMother's heart stops. <br> How do you and your sister and brother react to this information? ] </div> (if: $OptimalPath is "Yes") [ [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] ] (else:) [ [[We tell the physician that we understand.->ppDMPsg12 Yes, we agree.]] [[I'm okay with it, but my sister and brother aren't.->ppDMPsg11 I'm okay with it, but my sister and brother aren't.]] ] }

{ <div class="NarrativeUnderlay">Your sister and brother don't believe that your $FatherMother really understood the consequences of the decision to forgo cardiopulmonary resuscitation (CPR). After further discussion, the physician and your siblings think the plan should be changed; you don't oppose them.</div> (set: $CPR to "Yes") [[In the following weeks...->ppDMPsg13 The Following Weeks.]] (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (set: $SummNotes to $SummNotes + "When your " + $FatherMother + " was in the hospital, you and your brother and sister did not agree about your " + $FatherMother + "'s code status. To help resolve situations like this, any of you could apply to the Consent and Capacity Board to become your " + $FatherMother + "'s representative. To find out more about this option, click <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20C.pdf\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Following a few weeks in hospital, your $FatherMother returns to $HisHer long-term care home. $HeSheCap has some trouble communicating and now needs assistance getting around. (if: $CPR is "Yes")[ <br><br> Dr. Davinda contacts you and wants to revisit the decision about cardiopulmonary resuscitation (CPR). ] </div> (if: $CPR is "Yes")[ [[Speak with Dr. Davinda.->ppDMPsg15 Revisit the decision about CPR.]] ] (else:) [ [[Another year passes.->ppDMPsg14 Another Year Passes.]] </div> ] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitNU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ] }

{ <div class="NarrativeUnderlay">Your $FatherMother's health declines. $HeSheCap has frequent infections and increasing trouble swallowing food. <br><br> Dr. Davinda proposes a new treatment plan, and because your $FatherMother isn't capable of the decision, $HeShe asks you and your brother and sister for consent.</div> [[Listen to Dr. Davinda's proposal.->ppDMPsg16 Finalize your mother's 'End of Life Plan'.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL2SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL3SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL4SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR4SD.png"> ] (set: $SummNotes to $SummNotes + "Dr. Davinda approached you, your brother, and your sister for consent. She had to approach all of you because you are considered equally-ranked substitute decision-makers in the hierarchy in the //Health Care Consent Act//. To learn more about the hierarchy, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK26\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Dr. Davinda says, "I recommend we support your $FatherMother in the home so that $HeShe can pass away here. I believe this plan is clinically appropriate, and in line with the wish your $FatherMother expressed to not suffer. As $HisHer substitute decision-makers, you must make your decision based on $HisHer wishes, and if $HeShe had no wishes, then based on $HisHer best interests." <br><br> You discuss Dr. Davinda's proposal with your brother and sister. </div> [[We agree on what should happen when our $FatherMother passes.->ppDMPsg17 We agree on what should happen when our mother passes.]] [[We do not agree.->ppDMPsg23 We do not agree.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ] (set: $SummNotes to $SummNotes + "Dr. Davinda explained that you, your brother, and your sister must make decisions in line with your " + $FatherMother + "'s wishes, and if there are none, then based on " + $HisHer + " best interests. To learn more about the principles of substitute decision-\making in the //Health Care Consent Act//, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK27\" target=\"_blank\">here</a>.<br><br>") }

{ [[Looking back... and ahead.]]  }

{ <div class="NarrativeUnderlay">After the care conference, you return to your $DadMom's room and ask $HimHer more about $HisHer decision. $HeSheCap is more open to the discussion than you expected. After this heart-to-heart you feel confident you know what your $FatherMother will want at the end of $HisHer life. </div> (set: $OptimalPath to "Yes") [[Time goes by.->ppDMPsg07 Time goes by.]] (if: $CharacterSelected is 1) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM1NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1HP.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM2NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2HP.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3HP.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitDM4NU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4HP.png"> ] (set: $SummNotes to $SummNotes + "You approached your " + $FatherMother + " to discuss " + $HisHer + " end-of-life-wishes - good for you! These conversations can be difficult. But they can also relieve stress and ensure the patient receives the care that is in line with their wishes.<br><br>") }

{ <img class="logo" src="http://www.poetproject.ca/voices/VoicesChoicesLogo.png"> <div class="IntroUnderlay"> $SummNotes </div> <br> <div style="color:black; text-align:center; font-size:12pt; line-height: 0.8;"> Stories created by Dr. Jill Oliver and Dr. Paula Chidwick, with assistance from Dr. Angel Petropanagos, Kathryn Morrison, Marina Salis, Theresa Nitti & Nipa Chauhan <br><br><br> Game and artwork produced by Mikutech. <br><br><br> Music by Rafael Krux <br><br><br> Production of this has been made possible through a financial contribution from Health Canada. <br><br><br> The views expressed herein do not necessarily represent the views of Health Canada. </div> <br> <h5 style="margin:auto; color:black; text-align:center;">Would you like to play again?</h5> <div> <tw-link tabindex="0" passage-name="Intro Screen" data-raw="" class="yesButton">Yes</tw-link> <a href="http://www.poetproject.ca/"> <tw-link tabindex="0"class="noButton">No</tw-link> </a> </div> }

{ <div class="NarrativeUnderlay">Dr. Davinda noticed cardiopulmonary resuscitation (CPR) would be performed if your $FatherMother's heart stopped. She doesn't recommend this. <br> She says, "Your $DadMom isn't capable of making this decision. Since you are $HisHer substitute decision-makers, I am asking for your consent to put a Do-Not-Resuscitate (DNR) order in place." <br><br> The three of you discuss and agree to the DNR order for your $DadMom. </div> (set: $CPR to "No") [[Another year passes.->ppDMPsg14 Another Year Passes.]] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1SD .png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD .png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC .png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1SD .png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2SD .png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2SD .png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC .png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2SD .png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3SD .png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3SD .png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC .png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3SD .png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4SD .png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4SD .png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC .png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4SD .png"> ] }

{ <div class="NarrativeUnderlay">At the hospital, your $FatherMother seems comfortable, but $HeShe is very sleepy and is not speaking. <br><br> You meet with Dr. Petrovic, who explains your $FatherMother has pneumonia, a lung infection. <br><br> Ask the physician...</div> [[Why does your $FatherMother have so many tubes in $HimHer?->ppDMPsg28 Why does your mother have so many tubes in her?]] [[What else can be done for your $FatherMother?->ppDMPsg29 What else can be done for your mother?]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ]  }

{ <div class="NarrativeUnderlay">Dr. Petrovic explains, "$HeSheCap has difficulty swallowing, which causes $HimHer to get things other than air into $HisHer lungs. This causes infections. Right now, $HeShe's receiving medicine intravenously. Food goes through the tube in $HisHer nose to $HisHer stomach, but the tube can't stay long term because it will cause infection.</div> [[What else can be done for your $FatherMother?->ppDMPsg29 What else can be done for your mother?]] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ]  }

{ <div class="NarrativeUnderlay">Dr. Petrovic says, "There are three options: 1) antibiotics to treat the current infection, 2) antibiotics to treat the current infection and insertion of a feeding tube which might help to avoid more infections, or 3) an end-of-life plan." <br><br> Ask more about... </div> [[The antibiotics.->ppDMPsg30 The antibiotics.]] [[The feeding tube.->ppDMPsg31 The feeding tube.]] [[An end-of-life plan.->ppDMPsg32 An end-of-life plan.]] <img class="portrait position5" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ] (set: $SummNotes to $SummNotes + "When your " + $FatherMother + " was in hospital, Dr. Petrovic presented you with three options. You can always ask the physician which of those options they would recommend. The physician might believe that some are more appropriate than others.<br><br>") }

{ <div class="NarrativeUnderlay">Dr. Petrovic says the current infection can be treated with antibiotics, but your $FatherMother is likely to experience similar infections again because of $HisHer difficulty swallowing.</div> [[What else can be done for your $FatherMother?->ppDMPsg29 What else can be done for your mother?]]  }

{ <div class="NarrativeUnderlay">Dr. Petrovic explains that along with treating the current infection with antibiotics, a feeding tube could also be inserted directly into your $FatherMother's stomach. The feeding tube might decrease the risks related to your $DadMom's swallowing problems, but it can also cause other types of infections.</div> [[What else can be done for your $FatherMother?->ppDMPsg29 What else can be done for your mother?]]  <div style="position: fixed; z-index: -2; width:100%; left:0px; height:100%; top:0px; background:grey;"></div> (if: $CharacterSelected is 1) [ <img style="position: fixed; z-index: -1; width:30%; left:35%;" src="http://www.poetproject.ca/voices/feedingTube2.png"> ] (if: $CharacterSelected is 2) [ <img style="position: fixed; z-index: -1; width:30%; left:35%;" src="http://www.poetproject.ca/voices/feedingTube2.png"> ] (if: $CharacterSelected is 3) [ <img style="position: fixed; z-index: -1; width:30%; left:35%;" src="http://www.poetproject.ca/voices/feedingTube3.png"> ] (if: $CharacterSelected is 4) [ <img style="position: fixed; z-index: -1; width:30%; left:35%;" src="http://www.poetproject.ca/voices/feedingTube3.png"> ] }

{ <div class="NarrativeUnderlay">Dr. Petrovic explains that an end-of-life plan would focus on reducing pain and increasing comfort. This is the plan he recommends. <br><br> Your sister and brother remember your $FatherMother saying $HeShe wouldn't want to be "put on any tubes" like your aunt who received artificial feeding. None of you are sure how this story might apply to your decision. </div> [[The doctor suggests talking to the Care Coordinator.->ppDMPsg33 The doctor suggests talking to the resident social worker.]] [[We'll decide amongst ourselves.->ppDMPsg34 We'll decide amongst ourselves.]] <img class="portrait position5" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> ]  }

{ <div class="NarrativeUnderlay">You explain the situation to the hospital's Care Coordinator. <br><br> She tells you that she can help you file a "Form D" with the Consent and Capacity Board. This form will ask the Board to help clarify your $FatherMother's wish. </div> [[We ask the CCB to assist us.->ppDMPsg38 We ask the CCB to assist us.]] [[We'll decide amongst ourselves.->ppDMPsg34 We'll decide amongst ourselves.]] <img class="portrait position5" src="http://www.poetproject.ca/voices/ppPortraitSW .png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4NU.png"> ] (set: $SummNotes to $SummNotes + "The Care Coordinator informed you about the option of completing a Form D with the Consent and Capacity Board. This form is used when substitute decision-makers or health-care providers require clarification. To find out more about this form, click <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20D.pdf\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">The tube is inserted. Your $FatherMother is discharged back to $HisHer long-term care home. Days later, you receive a call from the home: a nurse found the tube removed. They immediately transferred your $FatherMother to the hospital to have it reinserted. However, during the trip, $HeShe passed away from a cardiac arrest.</div> [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4SD.png"> ] (set: $SummNotes to $SummNotes + "You chose to disregard your " + $FatherMother + "'s wishes not to have a feeding tube inserted. The physician could have chosen to propose a different plan and then challenge your decision through the Consent and Capacity Board with a Form G application. To find out more about the Form G option, click <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20G.pdf\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Once stable, your $FatherMother is discharged back to $HisHer long-term care home where $HeShe finishes $HisHer course of antibiotics. Shortly, $HeShe contracts another infection, probably due to the incurable aspiration issues. On the way to the hospital, your $FatherMother passes away from a cardiac arrest.</div> [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4SD.png"> ]  }

{ <div class="NarrativeUnderlay">Dr. Petrovic seems pleased that you were all able to come together in support of the plan. Your $FatherMother's remaining time goes smoothly. But as expected...</div> [[$HeSheCap passes.->ppDMPsg50 Your mother passes.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4HP.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4HP.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitDM4CT.png"> ]  }

{ <div class="NarrativeUnderlay">As discussions continue, your $FatherMother's situation continues to deteriorate. The physician explains that your $FatherMother appears to be nearing the end of $HisHer life. Because $HeShe had previously made the decision not to receive cardiopulmonary resuscitation (CPR), it is not attempted when $HeShe passes away in the hospital.</div> [[Your $FatherMother passes.->ppDMPsg50 Your mother passes.]] }

{ (set: $SummNotes to "") <div class="NarrativeUnderlay">During their visit, your friend tells you about the long-term care facility they live in. They really enjoy being in a place with helpful staff and having fewer things to worry about. Moving was an adjustment, but, overall, they're happy there. </div> [[Stay at your house.->ppOOPsg03 Stay at your house.]] [[Move to the long-term care facility.->ppOOPsg02 Move to the long-term care facility.]] [[Ask my children what they think.->ppOOPsg30 Ask my children what they think.]] (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ]  }

{ <div class="NarrativeUnderlay">You choose to continue living alone in your own home. <br><br> You know your health would probably be better and more easily managed in a long-term care home, with help in day-to- day tasks, but you like living in your house. You accept the risks of living there alone.</div> [[You have a minor accident at home.->ppOOPsg04 You have a minor accident at home.]] [[You have a major accident at home.->ppOOPsg05 You have a major accident at home.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ] (set: $SummNotes to $SummNotes + "You chose to continue living at home despite the risks. If staying in your own home is something that is important to you, make sure you communicate this to your substitute decision-makers. Tell them what risks you are willing to tolerate in order to stay home.<br><br>")  }

{ <div class="NarrativeUnderlay">$Doctor asks your children why they are not following your wishes. They explain they feel too guilty consenting to an end-of-life plan. $Doctor urges them to reconsider, but they refuse to change their minds. <br><br> $Doctor can challenge your children's decision through the Consent and Capacity Board.</div> [[My doctor challenges my children's decision.->ppOOPsg12 My doctor challenges my children's decision.]] [[My doctor does not challenge my substitute decision-makers.->ppOOPsg11 My doctor does not challenge my substitute decision-makers.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (if: $LTC is "Yes" )[ <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (else:)[ <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (set: $SummNotes to $SummNotes + "The doctor urged your children to follow the //Health Care Consent Act// and make a decision in line with your wishes, but they refused. To avoid this situation, you could complete a Power of Attorney for Personal Care document naming someone you trust to follow your wishes, no matter how difficult it is. You can also clarify your wishes <a href=\"https://www.attorneygeneral.jus.gov.on.ca/english/family/pgt/poakit.php\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Even with the care at your new lodgings, your health continues to deteriorate. Eventually, you're incapable of making health-related decisions. Your physician, Dr. Davinda, asks your family if you ever told them your end-of-life wishes, explaining that they're expected to follow those wishes if they are applicable to the situation.</div> [[Yes, I made my health-care wishes known.->ppOOPsg07 Yes, I made my health-care wishes known.]] [[No, I didn't tell anyone.->ppOOPsg06 No, I didn't tell anyone.]] (set: $LTC to "Yes") (set: $Doctor to "Dr. Davinda") <img class="portrait position5" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (set: $SummNotes to $SummNotes + "Dr. Davinda explained your children needed to follow your known wishes if applicable to the situation. This is one of the principles of substitute decision-\making found in Ontario's //Health Care Consent Act//. Find out more <a href=\"https://www.ontario.ca/laws/statute/96h02#BK27\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board reviews all the information related to your finding of incapacity. </div> [[The CCB upholds the finding of incapacity.->ppOOPsg26 The CCB upholds the finding of incapacity.]] [[They find you capable of making a decision about admission to long-term care.->ppOOPsg25 They find you capable of making health-care related decisions.]] (set: $SummNotes to $SummNotes + "The Health Care Consent Act says a person found incapable of making a decision has the right to appeal that finding by filing a Form A application with the Consent and Capcaity Board. At the hearing, the health care provider who made the finding of incapacity must present their evidence of incapacity; the patient does not have to prove anything. Find out more about this application <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20A-treatment.pdf\" target=\"_blank\">here</a> and <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20A-adm-pas.pdf\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">With the Care Coordinator's finding of incapacity, the decision about consent for admission to long-term care must be made by someone else. In your case, your children are your substitute decision-makers. Though they know you want to stay in your home, they must make a decision based on what they think is in your best interests.</div> [[They do not consent to my admission to long-term care.->ppOOPsg27 They do not consent to my admission to long-term care.]] [[Move to the long-term care facility.->ppOOPsg02 Move to the long-term care facility.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CC.png"> ]  }

{ <div class="NarrativeUnderlay">With the finding of incapacity upheld, the decision for admission to long-term care must be made by someone else. Your children, therefore, become your substitute decision-makers. Because you had not previously shared your wishes with them, they make the decision based on what they think is in your best interests.</div> [[They do not consent to my admission to long-term care.->ppOOPsg27 They do not consent to my admission to long-term care.]] [[They consent with moving me to long-term care.->ppOOPsg02 Move to the long-term care facility.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CC.png"> ]  }

{ <div class="NarrativeUnderlay">Because the Consent and Capacity Board found that you are capable, the decision about admission to long-term care is yours to make. </div> [[Move to the long-term care facility.->ppOOPsg02 Move to the long-term care facility.]] [[Stay at your house.->ppOOPsg03 Stay at your house.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO1HP.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO2HP.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO3HP.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO4HP.png"> ]  }

{ <div class="NarrativeUnderlay">You have develop delirium at the hospital. So you aren't capable of making your own decisions. <br><br> Dr. Petrovic explains to your children you probably could not survive a surgical hip repair. The physician suggests an end-of-life plan that will focus on alleviating pain. <br><br> Your children know what your wishes were, and they think that you would consent to the physician's plan.</div> (set: $Doctor to "Dr. Petrovic") [[They do not follow my wishes.->ppOOPsg28 They do not follow my wishes.]] [[My substitute decision-makers honour my wishes.->ppOOPsg20 My substitute decision-makers honour my wishes.]]  }

{ [[Looking back... and ahead.]]  }

{ <div class="NarrativeUnderlay">You remain in your home. Your family helps as much as they can, but your health deteriorates over the next few years. You have a bad fall and break your hip. </div> [[Fortunately, one of your children happens to visit and calls an ambulance.->ppOOPsg24 Fortunately, one of your children happens to visit and calls an ambulance.]] [[You pass away at home after the fall.->ppOOPsg23 You pass away at home after the fall]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO4SD.png"> ]  }

{ <div class="NarrativeUnderlay">Your children explain that your Power of Attorney for Personal Care document states when you are "beyond hope of recovery", you want your physician to focus on pain relief and to forgo any "life prolonging measures." <br><br> Your children and Dr. Davinda agree that your wishes seem to apply to this situation.</div> (set: $Wishes to "Yes") (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR1CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL2CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR2CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL3CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR3CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL4CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR4CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ] [[My substitute decision-makers honour my wishes.->ppOOPsg20 My substitute decision-makers honour my wishes.]] [[They do not follow my wishes.->ppOOPsg28 They do not follow my wishes.]] (set: $SummNotes to $SummNotes + "Your children knew your wishes and believed they applied to the situation. Sometimes things aren't so clear. If your substitute decision-makers do not know if a wish applies to the current situation, or if the wish is in doubt for another reason, they can ask for direction from the <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20D.pdf\" target=\"_blank\">Consent and Capacity Board by completing a Form D.</a><br><br>") }

{ <div class="NarrativeUnderlay">Without knowing your wishes, Dr. Davinda proposes a plan she thinks is clinically appropriate. It includes end-of-life care in the long-term care home. <br><br> She explains that your children -- your substitute decision-makers -- must give or withhold consent based on what is in your best interests, which includes your values and beliefs. </div> (set: $Wishes to "No") [[My decision-makers believe the physician's plan is in my best interests.->ppOOPsg08 My decision-makers believe the physician's plan is in my best interests.]] [[They think Dr. Davinda's plan is not in my best interests.->ppOOPsg09 They think Dr. Davinda's plan is not in my best interests.]] <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (set: $SummNotes to $SummNotes + "Your children didn't know your wishes. If you do have wishes you can tell your substitute decision-maker(s), health care provider, and/or put them in writing. A Power of Attorney for Personal Care document is a good idea, but you can also write them elsewhere. Because they didn't know your wishes, Dr. Davinda explained to your children that they needed to choose based on your best interests. This is one of the principles of substitute decision-\making found in the <a href=\"https://www.ontario.ca/laws/statute/96h02#BK27\" target=\"_blank\">Health Care Consent Act</a>.<br><br>") }

{ <div class="NarrativeUnderlay">With your children's consent to the doctor's plan, your care in your final moments is mapped out. You and your children and friends focus on spending time on more pleasant matters. <br><br> Eventually...</div> [[You pass comfortably at the long-term care facility.->ppOOPsg19 You pass comfortably at the long-term care facility.]] (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR1CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL2CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR2CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL3CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR3CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL4CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR4CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ]  }

{ <div class="NarrativeUnderlay">An end-of-life plan is put in place in line with your wishes. Eventually...</div> [[You pass comfortably at the long-term care facility.->ppOOPsg19 You pass comfortably at the long-term care facility.]] (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR1CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL2CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR2CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL3CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR3CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL4CT.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR4CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ]  }

{ <div class="NarrativeUnderlay">Since your children decided not to consent to her proposal, Dr. Davinda must decide if she will challenge their decision through the Consent and Capacity Board.</div> [[Dr. Davinda challenges my children's decision.->ppOOPsg12 My doctor challenges my children's decision.]] [[Dr. Davinda does not challenge my substitute decision-makers.->ppOOPsg11 My doctor does not challenge my substitute decision-makers.]] [[Before a decision can be made, your condition deteriorates and you are sent to the hospital by ambulance.->ppOOPsg17 Before a decision can be made, your condition deteriorates and you are sent to the hospital by ambulance]] <img class="portrait position5" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (set: $SummNotes to $SummNotes + "Dr. Davinda considered going to the Consent and Capacity Board (CCB) of Ontario. The CCB can help with many issues related to consent, capacity and substitute decision-\making. Find out more about them <a href=\"http://www.ccboard.on.ca/scripts/english/publications/infosheets.asp#generalinfo\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board conducts a hearing and gathers evidence to determine if your children's decisions are in line with //Ontario's Health Care Consent Act//. </div> [[The Board finds their decisions are not in line with the Act.->ppOOPsg16 The Board finds their decisions are not in line with the Act.]] [[The Board finds their choices are in line with the Act.->ppOOPsg15 The Board finds their choices are in line with the Act.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (set: $SummNotes to $SummNotes + "The physician chose to file a Form G application with the Consent and Capacity Board. This form is used when a health care provider wants to confirm that a substitute decision-maker is making decisions in line with Ontario's //Health Care Consent Act//. Find out more about this option <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20G.pdf\" target=\"_blank\">here</a>.<br><br>") }

{ (if: $LTC is "Yes")[ <div class="NarrativeUnderlay">$Doctor doesn't have consent for an end-of-life plan in the home. So you are transported to the hospital when your condition deteriorates. <br><br> The physician in the hospital approaches your substitute decision-makers and recommends an end-of-life plan that focuses on alleviation of pain.</div>] (else:)[ <div class="NarrativeUnderlay">$Doctor doesn't have consent for an end-of-life plan. The physician approaches your substitute decision-makers and recommends an end-of-life plan that focuses on alleviation of pain.</div> ] [[They won't consent to the plan.->ppOOPsg14 They won't consent to the plan.]] [[My substitute decision-makers consent to the plan.->ppOOPsg13 My substitute decision-makers consent to the plan.]] <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4SD.png"> ] (if: $transfer is "No" and $LTC is "Yes")[ (set: $SummNotes to $SummNotes + "Like many transfers from long-term care to hospitals, you were transferred because the physician did not have consent for an end-of-life plan in the home. The PoET project is working to reduce transfers that happen for these reasons. Find out more about the <a href=\"http://www.poetproject.ca\" target=\"_blank\">PoET project</a>.<br><br>") (set: $transfer to "Yes") ] }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board orders your substitute decision-makers to consent to $Doctor's end-of-life plan.</div> [[You pass comfortably at the long-term care facility.->ppOOPsg19 You pass comfortably at the long-term care facility.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ]  }

{ <div class="NarrativeUnderlay">Since $Doctor doesn't have consent for an end-of-life plan in the home, you are transported to the hospital when your condition deteriorates. <br><br> The physician approaches your substitute decision-makers, and recommends a plan focused on alleviation of pain. </div> [[They won't consent to the plan.->ppOOPsg14 They won't consent to the plan.]] [[My substitute decision-makers consent to the plan.->ppOOPsg13 My substitute decision-makers consent to the plan.]] <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ] (if: $transfer is "No" and $LTC is "Yes")[ (set: $SummNotes to $SummNotes + "Like many transfers from long-term care to hospitals, you were transferred because the physician did not have consent for an end-of-life plan in the home. The PoET project is working to reduce transfers that happen for these reasons. Find out more about the <a href=\"http://www.poetproject.ca\" target=\"_blank\">PoET project</a>.<br><br>") (set: $transfer to "Yes") ]  }

{ (if: $LTC is "Yes")[ <div class="NarrativeUnderlay">After 2 weeks in the hospital, you are stable and discharged back to long-term care home. The hospital's physician recommends to Dr. Davinda that you recieve end-of-life care in the home. <br><br> (if: $Wishes is "No") [ Because you did not express any health-care wishes, your substitute decision-makers must consent if they believe the plan is in your best interests, including what matches your values and beliefs.] </div> (if: $Wishes is "No") [ [[My decision-makers believe Dr. Davinda's plan is in my best interests.->ppOOPsg08 My decision-makers believe the physician's plan is in my best interests.]] ] [[They think Dr. Davinda's plan is not in my best interests.->ppOOPsg09 They think Dr. Davinda's plan is not in my best interests.]] [[Before a decision can be made, your condition deteriorates and you are sent to the hospital by ambulance.->ppOOPsg17 Before a decision can be made, your condition deteriorates and you are sent to the hospital by ambulance]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (else:)[ <div class="NarrativeUnderlay">Your condition stabilizes after 2 weeks in the hospital. The hospital's physician recommends that you recieve end-of-life care. <br><br> (if: $Wishes is "No") [ Because you did not express any health-care wishes, your substitute decision-makers must consent if they believe the plan is in your best interests, including what matches your values and beliefs.] </div> [[Before any decisions are made, you pass away in the hospital.->ppOOPsg18 Before any decisions are made, you pass away in the hospital]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ]  }

{ <div class="NarrativeUnderlay">With their consent, the doctor puts an end-of-life plan in place for you.</div> [[You pass away comfortably in the hospital.->ppOOPsg29 You pass away comfortably in the hospital.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CT.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CT.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ]  }

{ <div class="NarrativeUnderlay">At the hospital, the physician approaches your substitute decision-makers and recommends a plan focused on alleviating pain. </div> [[My substitute decision-makers consent to the plan.->ppOOPsg13 My substitute decision-makers consent to the plan.]] [[Before any decisions are made, you pass away in the hospital.->ppOOPsg18 Before any decisions are made, you pass away in the hospital]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ] (if: $transfer is "No" and $LTC is "Yes")[ (set: $SummNotes to $SummNotes + "Like many transfers from long-term care to hospitals, you were transferred because the physician did not have consent for an end-of-life plan in the home. The PoET project is working to reduce transfers that happen for these reasons. Find out more about the <a href=\"http://www.poetproject.ca\" target=\"_blank\">PoET project</a>.<br><br>") (set: $transfer to "Yes") ]  }

{ [[Looking back... and ahead.]]  }

{ <div class="NarrativeUnderlay">Your children visit and find you on the floor after a fall. They call an ambulance. <br><br> At the hospital you get a few stitches. The physician explains that you're slightly dehydrated; you are provided fluids and then discharged.</div> [[You return home.->ppOOpsg31 You return home.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO4SD.png"> ]  }

{ <div class="NarrativeUnderlay">One night you have a bad fall at home. <br><br> You have broken your hip. Because you're not able to make it to the phone, you are not able to get help for yourself.</div> [[Fortunately, one of your children happens to visit and calls an ambulance.->ppOOPsg24 Fortunately, one of your children happens to visit and calls an ambulance.]] [[You pass away at home after the fall.->ppOOPsg23 You pass away at home after the fall]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO1SD.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO2SD.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO3SD.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO4SD.png"> ] (set: $SummNotes to $SummNotes + "Having a bad fall and not having help is a risk of staying at home alone. If this is a risk you are willing to endure in order to stay home, tell your substitute decision-makers.<br><br>")  }

{ <div class="row" style="margin-top:12%;"> <tw-link tabindex="0" passage-name="Choose Decision Maker" data-raw="" style="border:0px; background-color:transparent; width:20%; margin-left:20%;"> <img src="http://www.poetproject.ca/voices/ppButton1DM.png" style="width:100%"> <h3 class="centerDiv linkBackground" style="margin:0px;">Substitute Decision Maker</h4> </tw-link> <tw-link tabindex="0" passage-name="Choose Physician" data-raw="" style="border:0px; background-color:transparent; width:20%;"> <img src="http://www.poetproject.ca/voices/ppButton1PH.png" style="width:100%;"> <h3 class="centerDiv linkBackground" style="margin:0px;">Physician</h3> </tw-link> <tw-link tabindex="0" passage-name="Choose Older Ontarian" data-raw="" style="border:0px; background-color:transparent; width:20%;"> <img src="http://www.poetproject.ca/voices/ppButton1OO.png" style="width:100%"> <h3 class="centerDiv linkBackground" style="margin:0px;">Older Ontarian</h3> </tw-link> <h3 class="NarrativeUnderlay" style="display:inline-block;transform:rotate(-5deg); position: fixed; left:20px; width:auto; margin-bottom: 10px; top: 20px;">CLICK ON YOUR ROLE!</h3> } <div style="display:none;"> <img src="http://www.poetproject.ca/voices/ppButton4Ph.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton1DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton1OO.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton1PH.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton2DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton2OO.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton2Ph.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton3DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton3OO.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton3Ph.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton4DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton4OO.png" width="1" height="1" border="0" alt="Image 01"> </div>

{ [[Looking back... and ahead.]]  }

{ <div class="NarrativeUnderlay">Your children -- who would be your "substitute decision-makers" if you were incapable of making your own decisions - think you should remain in your home. They help as much as they can over the next years.<br><br> But then... </div> [[You have a minor accident at home.->ppOOPsg04 You have a minor accident at home.]] [[You have a major accident at home.->ppOOPsg05 You have a major accident at home.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4NU.png"> ] (set: $SummNotes to $SummNotes + "When you were considering moving to long-term care, you asked your children's opinion. You can consult anyone when making your decisions, but the choice is yours alone to make unless you are not capable. And you have the right to appeal a finding of incapacity! Find out more about a Form A application with the Consent and Capacity Board<a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20A-treatment.pdf\" target=\"_blank\"> here</a> and <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20A-adm-pas.pdf\" target=\"_blank\">here.</a><br><br>") }

{ [[Looking back... and ahead.]]  }

{ <div class="NarrativeUnderlay">Frightened by your fall, your family wonders if you can still manage at home. They suggest looking into long-term care and arrange a visit from a Care Coordinator.</div> [[Talk with the Care Coordinator.->ppOOPsg32 Talk with the social worker.]] (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CC.png"> ] (set: $SummNotes to $SummNotes + "After your fall, your children arranged for someone to come speak to you about long-term care. You chose to speak to this person -- but you also could have refused.<br><br>") }

{ <div class="NarrativeUnderlay">You speak with the Care Coordinator and answer her questions. At the end of the discussion, she explains you're eligible for admission to long-term care, but that she doesn't believe you're currently capable of making the decision. <br><br> She says you have the right to appeal her finding of incapacity, and can do so by filing a Form A with the Consent and Capacity Board.</div> [[Appeal the finding of incapacity.->ppOOPsg21 Appeal the finding of incapacity.]] [[You do not appeal her finding.->ppOOPsg22 You do not appeal her finding.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> (if: $CharacterSelected is 1) [ <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO4CC.png"> ] (set: $SummNotes to $SummNotes + "The //Health Care Consent// Act says a person found incapable of making a decision has the right to appeal that finding by filing a Form A application with the Consent and Capcaity Board. At the hearing, the health care provider who made the finding of incapacity must present their evidence of incapacity; the patient does not have to prove anything. Find out more about this application <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20A-treatment.pdf\" target=\"_blank\">here</a> and <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20A-adm-pas.pdf\" target=\"_blank\">here</a>.<br><br>") }

<div id="hiddenID" onload="changeBackground()">Intro Screen</div>{ <img class="logo" src="http://www.poetproject.ca/voices/VoicesChoicesLogo.png"> <div class="IntroUnderlay"> Health decisions are sometimes stressful and tough, but the unexpected twists and turns are always thought-provoking! See for yourself: start an adventure and play the game. <br><br> It's simple: choose a character, read, and then click on the alternatives you want to explore. At the end, you'll see how you might have done things differently. Don't worry - there's no winning or losing - just learning and discovery! <br><br> <span style="line-height: 20%; font-size:0.7em; ">Serious stuff: The contents of this module are for general information and entertainment purposes. They should not be interpreted as medical or legal advice; or medical or legal opinion. See your own legal or medical advisor for advice or opinion with respect to your particular situation.</span> </div> <tw-link tabindex="0" passage-name="Choose Story" data-raw="" class="startButton" id="startButton2">Click here to start!</tw-link> <div class="version">V1.0</div> } <div style="display:none;"> <img src="http://www.poetproject.ca/voices/ppButton4Ph.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton1DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton1OO.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton1PH.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton2DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton2OO.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton2Ph.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton3DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton3OO.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton3Ph.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton4DM.png" width="1" height="1" border="0" alt="Image 01"> <img src="http://www.poetproject.ca/voices/ppButton4OO.png" width="1" height="1" border="0" alt="Image 01"> </div>

{ |1>[<img class="selectPortrait1" src="http://www.poetproject.ca/voices/ppButton1DM.png">] (click: ?1)[(set: $CharacterSelected to 1)(goto: "ppDMPsg01 Substitute Decision Maker")] |2>[<img class="selectPortrait2" src="http://www.poetproject.ca/voices/ppButton2DM.png">] (click: ?2)[(set: $CharacterSelected to 2)(goto: "ppDMPsg01 Substitute Decision Maker")] |3>[<img class="selectPortrait3" src="http://www.poetproject.ca/voices/ppButton3DM.png">] (click: ?3)[(set: $CharacterSelected to 3)(goto: "ppDMPsg01 Substitute Decision Maker")] |4>[<img class="selectPortrait4" src="http://www.poetproject.ca/voices/ppButton4DM.png">] (click: ?4)[(set: $CharacterSelected to 4)(goto: "ppDMPsg01 Substitute Decision Maker")] <h3 class="NarrativeUnderlay" style="display:inline-block;transform:rotate(-5deg); position: fixed; left:20px; width:auto; margin-bottom: 10px; top: 20px;">CLICK ON YOUR PORTRAIT!</h3> }

{ |1>[<img class="selectPortrait1" src="http://www.poetproject.ca/voices/ppButton1OO.png">] (click: ?1)[(set: $CharacterSelected to 1)(goto: "ppOOPsg00 Begin")] |2>[<img class="selectPortrait2" src="http://www.poetproject.ca/voices/ppButton2OO.png">] (click: ?2)[(set: $CharacterSelected to 2)(goto: "ppOOPsg00 Begin")] |3>[<img class="selectPortrait3" src="http://www.poetproject.ca/voices/ppButton3OO.png">] (click: ?3)[(set: $CharacterSelected to 3)(goto: "ppOOPsg00 Begin")] |4>[<img class="selectPortrait4" src="http://www.poetproject.ca/voices/ppButton4OO.png">] (click: ?4)[(set: $CharacterSelected to 4)(goto: "ppOOPsg00 Begin")] <h3 class="NarrativeUnderlay" style="display:inline-block;transform:rotate(-5deg); position: fixed; left:20px; width:auto; margin-bottom: 10px; top: 20px;">CLICK ON YOUR PORTRAIT!</h3> }

{ |1>[<img class="selectPortrait1" src="http://www.poetproject.ca/voices/ppButton1PH.png">] (click: ?1)[(set: $CharacterSelected to 1)(goto: "ppPHPsg01 Physician")] |2>[<img class="selectPortrait2" src="http://www.poetproject.ca/voices/ppButton2PH.png">] (click: ?2)[(set: $CharacterSelected to 2)(goto: "ppPHPsg01 Physician")] |3>[<img class="selectPortrait3" src="http://www.poetproject.ca/voices/ppButton3PH.png">] (click: ?3)[(set: $CharacterSelected to 3)(goto: "ppPHPsg01 Physician")] |4>[<img class="selectPortrait4" src="http://www.poetproject.ca/voices/ppButton4PH.png">] (click: ?4)[(set: $CharacterSelected to 4)(goto: "ppPHPsg01 Physician")] <h3 class="NarrativeUnderlay" style="display:inline-block;transform:rotate(-5deg); position: fixed; left:20px; width:auto; margin-bottom: 10px; top: 20px;">CLICK ON YOUR PORTRAIT!</h3> }

{ (set: $SummNotes to "") <div class="NarrativeUnderlay">You are a long-term care physician. Your newest patient, Mrs. Marie Olenski is 84 years old, and has two adult children. They are involved in her care, visit often, and have asked to be invited to all meetings. In a Power of Attorney for Personal Care, she named her oldest child, Tomasz, as her substitute decision-maker. </div> (set: $DNR to "No") [[Prepare to meet Mrs. Olenski.->ppPHPsg02 Prepare to meet Mrs. Olenski]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4CT.png"> ] }

{ <div class="NarrativeUnderlay">You meet Mrs. Olenski and her two children in the meeting room. <br><br> They offer to translate for you. After your general update, you bring up cardiopulmonary resuscitation (CPR) again. You explain that if Mrs. Olenski's heart were to stop, the current plan would include chest compressions and transfer to hospital. <br><br> Before translating this information to Mrs. Olenski, her daughter, Marta, interrupts you. </div> [[Let Marta speak.->ppPHpsg07 Marta speaks.]] [[Continue explaning your recommendation about CPR.->ppPHpsg07 Marta speaks.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "Mrs. Olenski's children provided interpretation services for you. The College of Physicians and Surgeons of Ontario notes there could be circumstances in which it is inappropriate to have family members acting as interpreters in consent discussions. To find out more about this, click <a href=\"https://www.cpso.on.ca/Physicians/Policies-Guidance/Policies/Consent-to-Treatment\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">You acknowledge Marta's concerns, then continue to explain you must make your recommendation clear.</div> [[Continue the discussion with Marta and Tomasz.->ppPHPsg11 Keep the conversation going with Marta.]] [[End my discussion with Mrs. Olenski's children.->ppPhyPsg10 End my discussion with Mrs. Olenski’s children.]] <img class="portrait position3 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "At the care conference, Mrs. Olenski's daughter, Marta, interrupted. When you let her speak, she then removed her mother from the conversation. When Marta interjected it might have been possible to gently remind her you needed to have the discussion with Mrs. Olenski herself. <br><br>") }

{ <div class="NarrativeUnderlay">You explain to Mrs. Olenski's children that you do not believe cardiopulmonary resuscitation (CPR) would benefit their mother. You explain the risks, benefits, and likely outcomes. You then explain that you recommend a "Do-Not-Resuscitate" (DNR) order, which would mean that if their mother's heart were to stop, no attempt would be made to restart it.</div> [[Ask for consent from Tomasz.->ppPHPsg52 Ask for consent from Tomasz.]] [[Ask for consent from both of the Olenski children.->ppPHPsg14 Ask for consent from both of the Olenski children.]] [[Arrange to speak with Mrs. Olenski.->ppPHPsg13 Arrange to speak with Mrs. Olenski.]] <img class="portrait position3 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBL1SD.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "After Mrs. Olenski left the room, you continued to have a discussion with her children. Since Mrs. Olenski is still capable, this discussion should have been continued with her. <br> ") }

{ <div class="NarrativeUnderlay">You explain that this discussion must include their mother because she might be capable of making the decision herself. You thank the children and excuse yourself from the room.</div> [[Arrange to speak with Mrs. Olenski.->ppPHPsg13 Arrange to speak with Mrs. Olenski.]] [[Do not approach Mrs. Olenski.->ppPHPsg12 Do not approach Mrs. Olenski.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1SD.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] (set: $SummNotes to $SummNotes + "After Marta removed her mother from the room, you decided to follow Mrs. Olenski in order to continue the discussion with her. That's great! <br><br>") }

{ <div class="NarrativeUnderlay">Since Tomasz is named in Mrs. Olenski's Power of Attorney for Personal Care, you turn to him for consent. <br><br> Tomasz listens to your proposal for a Do-Not-Resuscitate (DNR) order.</div> [[Tomasz consents to the plan.->ppPHPsg15 Tomasz consents.]] [[Tomasz does not consent.->ppPHPsg16 Tomasz does not consent.]] <img class="portrait position3 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "You discussed a Do-Not-Resuscitate (DNR) order with Mrs. Olenski's son, Tomasz. Even though Tomasz was named in Mrs. Olenski's Power of Attorney for Personal Care, she is still presumed to be capable. To find out more about the presumption of capacity, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK4\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Marta and Tomasz listen to your proposal, then they discuss it amongst themselves. Finally, they respond.</div> [[The children consent to your plan.->ppPHPsg20 The children consent.]] [[Marta and Tomasz do not consent.->ppPHPsg21 Marta and Tomasz do not consent.]] <img class="portrait position3 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">With Tomasz's consent, you write a Do-Not-Resuscitate (DNR) order for Mrs. Olenski. <br><br> A few months later, she develops a fever and is transferred to the hospital for monitoring and antibiotics.</div> (set: $DNR to "Yes") [[Check on Mrs. Olenski when she returns.->ppPHPsg18 Check on Mrs. Olenski when she returns.]] (set: $SummNotes to $SummNotes + "You accepted consent for a Do-Not-Resuscitate (DNR) order from Mrs. Olenski's son, Tomasz. Because Mrs. Olenski was capable of making this decision, you did not have valid consent. To find out more about what is considered to be valid consent, click <a href=\"https://www.cpso.on.ca/Physicians/Policies-Guidance/Policies/Consent-to-Treatment\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">You explain to Tomasz that physicians can file a Form G to the Consent and Capacity Board to review substitute decision-makers' decisions. The Board will ensure that the decisions are in line with any previously-expressed wishes applicable to the circumstances, and if there are no wishes, that the decisions are in the patient's best interests.</div> [[File a Form G with the Consent and Capacity Board.->ppPHPsg17 File a Form G with the Consent and Capacity Board.]] [[Do not file a Form G with the Consent and Capacity Board.->ppPHPsg19 Do not file a Form G with the Consent and Capacity Board.]] }

{ <div class="NarrativeUnderlay">Without consent from Mrs. Olenski or her substitute decision-makers, the plan remains the same: cardiopulmonary resuscitation will be initiated if Mrs. Olenski's heart were to stop beating.</div> [[Months pass.->ppPHPsg42 Months pass.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">Based on the consent of her children, you write a do-not-resuscitate (DNR) order for Mrs. Olenski. This means that if her heart were to stop, cardiopulmonary resuscitation (CPR) would not be initiated.</div> (set: $DNR to "Yes") [[Time passes.->ppPHPsg27 Time passes.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppP flipImageortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">You explain to Tomasz that physicians file a Form G to the Consent and Capacity Board to review substitute decision-makers' choices. The Board would ensure that the decisions are in line with any previously-expressed capable wishes applicable to the circumstances, and if there are no wishes, that they are in the patient's best interests.</div> [[File a Form G with the Consent and Capacity Board.->ppPHPsg17 File a Form G with the Consent and Capacity Board.]] [[Do not file a Form G with the Consent and Capacity Board.->ppPHPsg19 Do not file a Form G with the Consent and Capacity Board.]] }

{ <div class="NarrativeUnderlay">The plan initiated in the hospital remains the same, meaning that Mrs. Olenski will receive cardiopulmonary resuscitation (CPR) if her heart were to stop.</div> [[Months pass.->ppPHPsg42 Months pass.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">You arrange for a trained interpreter to be present and ensure that Mrs. Olenski has her hearing aids. You explain your recommendation for a Do-Not-Resuscitate (DNR) order to Mrs. Olenski. <br><br> She acknowledges the risks related to cardiopulmonary resuscitation (CPR), but explains that her religious values lead her to insist on sticking to the plan: if her heart stops, she wants CPR to be attempted.</div> [[Time goes by.->ppPHPsg45 Time goes by.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "After your first meeting with Mrs. Olenski, you arranged to have a trained interpreter present, and made sure that she had her hearing aids. That's great! Click <a href=\"https://www.cpso.on.ca/Physicians/Policies-Guidance/Policies/Consent-to-Treatment\" target=\"_blank\">here</a> to find out more about what the College of Physicians and Surgeons has to say about communication and consent.<br><br>") }

{ <div class="NarrativeUnderlay">Tomasz is surprised to hear of the change. Maybe his sister, Marta -- who was present for their mother's hospital stay -- misunderstood. Tomasz confirms that a do-not-resuscitate (DNR) order should be re-applied. He recounts his father's harrowing end-of-life experience with cardiopulmonary resuscitation (CPR) and believes it would certainly convince his mother to avoid it.</div> [[Ask Tomasz for more details.->ppPHPsg24 Ask Tomasz for more details.]] [[Accept Tomasz's consent for a DNR order.->ppPHPsg25 Accept Tomasz's anecdote as consent for a DNR order.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "When Mrs. Olenski returned from hospital with her code status changed, you spoke with her son, Tomasz. Because Mrs. Olenski is presumed to be capable, you should have spoken with her first. To find out more about the presumption of capacity, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK4\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Tomasz explains, "I saw my dad get CPR when he passed. It wasn't what we had expected. After dad died we could hardly speak about it. I'm sure my mom wouldn't want it for herself; I know I don't want it for her." </div> [[Based on this further explanation, accept Tomasz's consent for DNR.->ppPHPsg26 That's good enough for me.]] [[Choose not to write the DNR order.->ppPHPsg53 That’s not a good enough reason.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "After Tomasz told you about his father's experience with cardiopulmonary resuscitation (CPR), he told you he didn't believe Mrs. Olenski would want it. <br><br> Since Mrs. Olenski is presumed capable, you should have had the discussion with her. For more about the presumption of capacity, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK6\">here.</a> <br><br> Even if Mrs. Olenski were incapable, Tomasz is guessing about his mother's wishes. He is not telling you about a wish that she stated. To find out more about wishes, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK6\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">Tomasz's story convinces you. You write up a do-not-resuscitate (DNR) order for his mother: Mrs. Olenski will not receive cardiopulmonary resuscitation if her heart stops.</div> [[Time passes.->ppPHPsg27 Time passes.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4CT.png"> ] }

{ <div class="NarrativeUnderlay">Based on Tomasz's expectations of his mother's preferences, you write another do-not-resuscitate (DNR) order for Mrs. Olenski.</div> [[Time passes.->ppPHPsg27 Time passes.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">You explain to Tomasz that you appreciate his providing this information, but that you have now decided that you must first speak with Mrs. Olenski directly about this decision. </div> [[Arrange to speak with Mrs. Olenski.->ppPHPsg13 Arrange to speak with Mrs. Olenski.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] (set: $SummNotes to $SummNotes + "While you were discussing a Do-Not-Resuscitate (DNR) order with Mrs. Olenski's son, Tomasz, you realized that you should be having the discussion with her. That's great! <br><br>") }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board gathers evidence and information, including your observations as well. Before examining the refusal of consent, they must figure out if Mrs. Olenski is or is not capable of making the decision herself. With an interpreter, they speak with Mrs. Olenski. They find her capable.</div> [[Arrange to speak with Mrs. Olenski.->ppPHPsg13 Arrange to speak with Mrs. Olenski.]] <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitOO1CC.png"> }

{ <div class="NarrativeUnderlay">Based on the refusal, you do not write a do-not-resuscitate (DNR) order. If Mrs. Olenski's heart were to stop, cardiopulmonary resuscitation will be initiated.</div> [[Some time goes by.->ppPHPsg51 Some time goes by.]] (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">You explain to Marta that you understand her concerns, but that you can't discuss the proposal without Mrs. Olenski present, as it is her care you are discussing.</div> [[Arrange to speak with Mrs. Olenski.->ppPHPsg13 Arrange to speak with Mrs. Olenski.]] <img class="portrait position3 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">Months pass and you receive a call from the home's nursing staff saying that Mrs. Olenski is having trouble breathing. You tell the nursing staff that they should call 911 immediately.</div> [[Mrs. Olenski returns from the hospital.->ppPHPsg54 Mrs. Olenski returns from the hospital.]] }

{ <div class="NarrativeUnderlay">Mrs. Olenski spends two weeks in the hospital. When she returns to the home, you see that her code status has been changed to "do-not-resuscitate (DNR)". She will not receive cardiopulmonary resuscitation (CPR) if her heart were to stop. Consent was provided by her children, a fact confirmed by the nurses at the home.</div> [[Time passes.->ppPHPsg27 Time passes.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">Months pass and you receive a call from the home's nursing staff saying that Mrs. Olenski is having trouble breathing. You tell the nursing staff that they should call 911 immediately.</div> [[Mrs. Olenski returns to the home.->ppPHPsg44 Mrs. Olenski returns to the home.]]  }

{ <div class="NarrativeUnderlay">After two weeks in hospital, Mrs. Olenski returns to the home. You are surprised but relieved to see her code status has changed to "do-not-resuscitate (DNR)": she will not receive cardiopulmonary resuscitation (CPR) if her heart stops. A quick phone call to the hospital informs you that this is indeed the case and consent was provided by Tomasz.</div> (set: $DNR to "Yes") [[Time passes.->ppPHPsg27 Time passes.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">Months pass and you receive a call from the home's nursing staff saying that Mrs. Olenski is having trouble breathing. You tell the nursing staff that they should call 911 immediately.</div> [[After a stay in the hospital, Mrs. Olenski returns to the long-term care home.->ppPHPsg46 Mrs. Olenski comes back to the home.]] }

{ <div class="NarrativeUnderlay">When you review the hospital's paperwork, you see that Mrs. Olenski's code status has been changed to "Do-Not-Resuscitate" (DNR) in the hospital, and that consent was provided by Tomasz.</div> (set: $DNR to "Yes") [[Ask Mrs. Olenski about the change to DNR.->ppPHPsg48 Ask Mrs. Olenski about the change to DNR.]] [[Let Mrs. Olenski be for now as she's not feeling well and may not be capable.->ppPHPsg47 Leave Mrs. Olenski be.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">When you and the interpreter speak with Mrs. Olenski, she's surprised that her code status changed. You again recommend strongly that she not have cardiopulmonary resuscitation (CPR), stating the risks, benefits, and alternatives. She repeats that she understands, but her religious beliefs are more important and she insists on having CPR performed. You'll have to approach her again at another time.</div> [[Time passes.->ppPHPsg27 Time passes.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">The nurse confirms with Tomasz that Mrs. Olenski should now have a Do-Not-Resucitate (DNR) order. You decide that once Mrs. Olenski is feeling better you will discuss the issue with her.</div> [[Time passes.->ppPHPsg27 Time passes.]] (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitNU.png"> (set: $SummNotes to $SummNotes + "After Mrs. Olenski returned from hospital, you chose not to address the change in her code status. If this change wasn't looked at quickly, it could lead to treatment that is not in line with Mrs. Olenski's wishes. <br><br>") }

{ <div class="NarrativeUnderlay">Mrs. Olenski's condition deteriorates. She is eating less, losing weight, and having more and more trouble breathing. You want to propose an end-of-life plan so that she can pass away at the home comfortably and avoid a transfer to the hospital.</div> [[Speak with Mrs. Olenski about your plan.->ppPHPsg28 Arrange time to talk with Mrs. Olenski.]] [[Have a talk with Mrs. Olenski's children.->ppPHPsg29 Have a talk with Mrs. Olenski's children.]] [[Seek out Tomasz for a discussion.->ppPHPsg34 Seek out Tomasz for a discussion.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">With the help of the interpreter, Mrs. Olenski understands she isn’t doing well and that cardiopulmonary resuscitation (CPR) likely won’t work for her, but she isn't afraid of pain or suffering. With a smile, she tells you her religious beliefs instruct her to try everything to keep her heart going. </div> (set: $DNR to "No") [[More time goes by.->ppPHPsg30 More time goes by.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1HP.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] (set: $SummNotes to $SummNotes + "When you thought it was appropriate to propose an end-of-life plan, you approached Mrs. Olenski directly. That's great! <br><br>") }

{ <div class="NarrativeUnderlay">Once Mrs. Olenski's children arrive, you explain the plan's risks, benefits, and alternatives. Mrs. Olenski's daughter, Marta, won't consent to the plan because she believes everyone is "giving up" on her mother.</div> [[Suggest Marta and Tomasz discuss the proposal.->ppPHPsg32 Suggest Marta and Tomasz think about and discuss the proposal.]] [[Explain the decision is up to Tomasz, because he is named in the Power of Attorney for Personal Care.->ppPHPsg33 Explain it's up to Tomasz.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] (set: $SummNotes to $SummNotes + "When you thought it was appropriate to propose an end-of-life plan you, approached Mrs. Olenski's children first. Because Mrs. Olenski is presumed to be capable, you should have had the discussion with her. To find out more about the presumption of capacity, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK4\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">You discuss the proposal with Tomasz. He is in agreement that this end-of-life plan is best for his mother. You put the plan into place. Some weeks afterwards, Mrs. Olenski passes away peacefully in the home.</div> [[Mrs. Olenski’s friends and family mourn her passing.->ppPHPsg55 Mrs. Olenski’s friends and family mourn her passing.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] (set: $SummNotes to $SummNotes + "When you thought it was appropriate to propose an end-of-life plan, you approached Tomasz first. Though her Power of Attorney for Personal Care named Tomasz, she is still presumed to be capable. So you should have discussed it with her. For more on the presumption of capacity, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK4\" target=\"_blank\">here</a>.<br><br> Although Tomasz consented to your plan and Mrs. Olenski had a peaceful death, her religious beliefs would have led her to refuse consent had she been asked.<br><br>") }

{ <div class="NarrativeUnderlay">While you wait for her children to discuss your Do-Not-Resuscitate (DNR) proposal, you keep an eye on Mrs. Olenski's health. </div> [[Her condition deteriorates.->ppPHPsg35 Her condition deteriorates.]] [[She remains stable.->ppPHPsg36 She remains stable.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] (set: $SummNotes to $SummNotes + "After approaching Mrs. Olenski's children about a Do-Not-Resuscitate (DNR) order, they could not agree. You did not need their agreement, as Mrs. Olenski was still capble of making the decision herself. Even if she were incapable, you would only need consent from Tomasz, as he was named in Mrs. Olenski's Power of Attorney for Personal Care document. <br><br>") }

{ <div class="NarrativeUnderlay">You acknowledge that Marta has concerns, but turn to Tomasz. After asking a few more questions about the plan, Tomasz makes his decision. </div> [[Tomasz consents to the plan.->ppPHPsg50 Tomasz consents to the plan.]] [[Tomasz does not consent to the plan.->ppPHPsg37 Tomasz does not consent to the plan.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] (set: $SummNotes to $SummNotes + "When you discussed end-of-life with Mrs. Olenski's children, you allowed Tomasz to make a decision. Even though Tomasz was named in Mrs. Olenski's Power of Attorney for Personal Care, she is still presumed to be capable. To find out more about the presumption of capacity, click <a href=\"https://www.ontario.ca/laws/statute/96h02#BK4\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">You discuss the proposal with Tomasz, who is in agreement that an end-of-life plan is best for his mother. The plan is put into place, and Mrs. Olenski later passes away peacefully in the home.</div> [[Mrs. Olenski’s friends and family mourn her passing.->ppPHPsg55 Mrs. Olenski’s friends and family mourn her passing.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH4CT.png"> ] }

{ <div class="NarrativeUnderlay">You do not have consent to the plan that you want to propose. You do have the option to challenge Tomasz's decision through the Consent and Capacity Board.</div> [[I challenge Tomasz's decision.->ppPHPsg38 I challenge Tomasz's decision.]] [[I do not challenge Tomasz's decision.->ppPHPsg31 I do not challenge Tomasz's decision]] (set: $SummNotes to $SummNotes + "Tomasz did not consent to the end-of-life plan you proposed. You could have challenged his decision through a Form G with the Consent and Capacity Board. For more on the Form G application, click <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20G.pdf\" target=\"_blank\"> here.</a> Keep in mind you had not found Mrs. Olenski incapable of making this decision, and she wasn't informed of her right to appeal. So the Consent and Capacity Board might not have heard the Form G case because they are required to examine the finding of incapacity first, through a Form A. There's more on the Form A application <a href=\"http://www.ccboard.on.ca/english/publications/documents/Form%20A-treatment.pdf\" target=\"_blank\">here</a>.<br><br>") }

{ <div class="NarrativeUnderlay">You start the process of your Form G application with the Consent and Capacity Board. <br><br> While waiting for the hearing, you keep a close eye on Mrs. Olenski because you believe her condition might change quickly."</div> [[Mrs. Olenski has a health emergency before the hearing takes place.->ppPHPsg35 Her condition deteriorates.]] [[Mrs. Olenski's condition remains stable while you await the hearing.->ppPHPsg39 Mrs. Olenski's condition remains stable for the time being.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">The current plan stays in place. You hope to reapproach Tomasz after a little while. In the meantime, you watch Mrs. Olenski's health.</div> [[Her condition deteriorates.->ppPHPsg35 Her condition deteriorates.]] [[She remains stable.->ppPHPsg36 She remains stable.]] <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">As sometimes happens, a single evening sees Mrs. Olenski's condition deteriorate. A nurse calls to inform you she was transferred to hospital. The next day, you learn Mrs. Olenski passed away in the ambulance while in transit.</div> [[Mrs. Olenski’s friends and family mourn her passing.->ppPHPsg55 Mrs. Olenski’s friends and family mourn her passing.]] }

{ <div class="NarrativeUnderlay">You decide to try one last time with your do-not-resuscitate (DNR) proposal. You organize a conference call with Mrs. Olenski's children. You cut to the chase and...</div> [[Explain it's up to Tomasz.->ppPHPsg33 Explain it's up to Tomasz.]] <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1CT.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> <img class="portrait position1 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">The Consent and Capacity Board gathers evidence and information, including your observations as well. Before examining the refusal of consent, they must determine if Mrs. Olenski is capable of making the decision herself or not. With an interpreter, they speak with Mrs. Olenski. They inform you that she is capable, which requires you to...</div> [[Speak with Mrs. Olenski once more.->ppPHPsg40 Speak with Mrs. Olenski once more.]] <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitOO1CC.png"> }

{ <div class="NarrativeUnderlay">Mrs. Olenski explains that she is not afraid of pain or suffering, and that her religious beliefs lead her to refuse consent. She wants to continue doing everything that can be done. She is surprised to hear that she has a do-not-resuscitate (DNR) order and asks that this be reversed.<br><br> Because of Mrs. Olenski's refusal of consent, you reverse her code status so that she will now receive cardiopulmonary resuscitation if her heart were to stop.</div> [[More time goes by.->ppPHPsg30 More time goes by.]] <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">The nurse explains to you that Mrs. Olenski has hearing loss and doesn't speak English. Fortunately, the nurse is able to translate for you. </div> [[Visit Mrs. Olenski.->ppPHPsg03 Visit Mrs. Olenski.]] (set: $SummNotes to $SummNotes + "If a staff member or family member feels they are able to act as a translator for a patient, it is still advisable to use a translation service if possible. Sometimes medical terminology, like 'cardiopulmonary rescuscitation', can be difficult to translate, even for those who are comfortable with translating more conversational speech. <br><br>") <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitNU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH4CT.png"> ] }

{ <div class="NarrativeUnderlay">You visit Mrs. Olenski in her room. <br><br> Although the nurse tries his best, Mrs. Olenski has great trouble understanding what he is saying to her. </div> [[Speak with Mrs. Olenski again at the upcoming care conference.->ppPHPsg04 The next care conference.]] [[Continue trying to speak with Mrs. Olenski despite the difficulty.->ppPHPsg05 Press Mrs. Olenski for information now.]] [[End the conversation and ask the nursing staff to update you about any changes.->ppPHPsg06 Let the staff update you later about Mrs. Olenski.]] (set: $SummNotes to $SummNotes + "When you met Mrs. Olenski for the first time she seemed to have trouble understanding what was being said to her. The College of Physicians and Surgeons of Ontario advises its members 'to consider and/or address language or communication issues.' Perhaps she needed her hearing aid or another device? For more about this obligation and how it relates to consent, click <a href=\"https://www.cpso.on.ca/Physicians/Policies-Guidance/Policies/Consent-to-Treatment\" target=\"_blank\">here</a>.<br><br>") <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitNU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (if: $CharacterSelected is 1) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitPH4CT.png"> ] }

{ <div class="NarrativeUnderlay">With the nurse continuing to translate, you speak to Mrs. Olenski about cardiopulmonary resuscitation (CPR) - her "code status." You explain to Mrs. Olenski that you don't believe cardiopulmonary resuscitation (CPR) would benefit her. Mrs. Olenski appears worried. You decide not to discuss this with her any further today.</div> [[Wait till the next care conference.->ppPHPsg04 The next care conference.]] <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitNU.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1SD.png"> (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">Mrs. Olenski has been doing well in the home. Through participating in a few activities, she made friends with another resident who speaks the same language.</div> [[Attend the next care conference.->ppPHPsg04 The next care conference.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitOO4HP.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> (set: $SummNotes to $SummNotes + "At your first meeting with Mrs. Olenski you decided to stop the conversation and let staff update you later. It would still be important for Mrs. Olenski to know what would happen to her in an emergency. <br><br>") }

{ <div class="NarrativeUnderlay">Ignoring you, Marta says a few words to her mother and takes her out of the room. <br><br> She returns shortly, saying, "It's not appropriate to talk about cardiopulmonary resuscitation (CPR) in front of my mother. It will upset her. My brother and I have talked about all of this. We want everything done for my mother."</div> [[Continue my proposal for no CPR.->ppPHPsg08 Continue my proposal for no CPR.]] [[Stop my proposal for no CPR.->ppPHPsg09 Stop my proposal for no CPR.]] <img class="portrait position3 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBL1NU.png"> <img class="portrait position4 flipImage" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH1NU.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH2NU.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH3NU.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitPH4NU.png"> ] }

{ <div class="NarrativeUnderlay">When Mrs. Olenski returns to the home, the nurse informs you the hospital's discharge summary recorded Mrs. Olenski as "full code", meaning that she would receive cardiopulmonary resuscitation (CPR). After a quick call to the hospital, you learn Mrs. Olenski's daughter, Marta, asked for the change and the physician there agreed. <br><br> You are concerned about this change as you still believe that CPR would not benefit Mrs. Olenski. </div> [[Arrange to speak with Mrs. Olenski.->ppPHPsg13 Arrange to speak with Mrs. Olenski.]] [[Talk to Tomasz about it.->ppPHPsg23 Talk to Tomasz about it.]] [[Let things stay as they are.->ppPHPsg43 Let things stay as they are.]] <img class="portrait position2" src="http://www.poetproject.ca/voices/ppPortraitNU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">As expected, it's only a few months before Mrs. Olenski's condition deteriorates. She is eventually sent to hospital by ambulance. (if: $DNR is "Yes")[There, she is surprised to learn about the DNR order. She demands that it be revoked.] When her heart stops cardiopulmonary resuscitation (CPR) is initiated but is unsuccessful. Mrs. Olenski passes away in the hospital. </div> [[Mrs. Olenski’s friends and family mourn her passing.->ppPHPsg55 Mrs. Olenski’s friends and family mourn her passing.]] }

{ [[Looking back... and ahead.]] }

{ <div class="NarrativeUnderlay">Once again calling on the interpreter, you have a sit-down with Mrs. Olenski. During the talk, Mrs. Olenski brings up her religious beliefs. You diplomatically ask if her religious beliefs apply to the topic of an end-of-life plan.</div> [[ppPHPsg41 She certainly does.]] [[She thinks before responding.->ppPHPsg28 Arrange time to talk with Mrs. Olenski.]] <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitSW.png"> <img class="portrait position5 flipImage" src="http://www.poetproject.ca/voices/ppPortraitOO1NU.png"> (if: $CharacterSelected is 1) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitPH4CC.png"> ] }

{ <div class="NarrativeUnderlay">After discussing it with your family, you decide...</div> [[To treat the pneumonia with antibiotics.->ppDMPsg36 To treat the pneumonia with antibiotics.]] [[To disregard your $FatherMother's wishes and have a feeding tube inserted.->ppDMPsg35 To disregard your mother's wishes and have a feeding tube inserted.]] [[To consent to Dr. Petrovic's proposal on an end-of-life plan.->ppDMPsg37 To consent to the physician's proposal on an end-of-life plan.]] (set: $SummNotes to $SummNotes + "When two mutually exclusive plans are presented, an SDM can ask which of the two the physician is recommending, and then they can provide consent or not.<br><br>") (if: $CharacterSelected is 1) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM1CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL1CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR1CC.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM2CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL2CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR2CC.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM3CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL3CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR3CC.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position1" src="http://www.poetproject.ca/voices/ppPortraitDM4CC.png"> <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitSBL4CC.png"> <img class="portrait position4" src="http://www.poetproject.ca/voices/ppPortraitSBR4CC.png"> ]  }

{ (set: $SummNotes to "") <div class="NarrativeUnderlay">You've lived happily at home alone for the past 10 years, staying busy with family, friends, and community. As the years fly faster, your health makes it more and more difficult to do all the things you used to do. </div> [[Your friend comes to visit.->ppOOPsg01 Your friend comes to visit.]] (set: $LTC to "No") (set: $transfer to "No") (if: $CharacterSelected is 1) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO1CT.png"> ] (if: $CharacterSelected is 2) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO2CT.png"> ] (if: $CharacterSelected is 3) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO3CT.png"> ] (if: $CharacterSelected is 4) [ <img class="portrait position3" src="http://www.poetproject.ca/voices/ppPortraitOO4CT.png"> ]  }