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Life sustaining measures, otherwise known as life support measures, are treatment measures that primarily aim at prolonging life and not treating the underlying condition. Examples of life sustaining measures include cardiopulmonary resuscitation (CPR), mechanical ventilation, artificial nutrition and hydration, among others.
According to Stapleton et al. (2014), these interventions have their risks and benefits, both of which ought to be considered. Starting with the benefits, these measures are considered beneficial if they help in relieving suffering, restoring function, and enhancing the quality of life. However, these measures have severe risks, especially in older adults (Arizona Center on Aging, 2019). For example, the measures could be painful, unnecessarily prolong the dying process, and negatively impact the quality of life.
According to a study conducted by Stapleton et al. (2014), the survival rates for older patients with multiple comorbidities and chronic illnesses like Mr. D are very minimal. A majority of such patients do not survive to the discharge level, but die in the hospital, the study found. Notably, Mr. D has asked his providers to take all measures to save his life. According to the Arizona Center on Aging (2019), CPR in older adults could fracture the spine, sternum, and the rib. It could also cause internal bleeding, damaged airways, and damage to spleen and liver, and heart contusions.
Factors I will Consider
One of the major factors that need to be considered is Mr. D’s advanced age and his history of multiple comorbidities. As has been previously mentioned, life sustaining measures on individuals of this age is associated with numerous adverse outcomes. Besides, Mr. D has been diagnosed with Myocardial infarction. According to Bhatia & Naik (2013), seniors with myocardial infarction are more vulnerable to certain complications as the cardiac failure and arrhythmia.
How I will Respond to his Decision
If I were a family member, I would support Mr. D and his decision. At this point, he needs support and be made to feel that he is not alone. He has the right to make the decision he has made but should be educated on the risks and benefits of the decision to enable informed decision-making.

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