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[37] [38] Studies suggest that values regarding financial and psychological burden are strong motivators in not wanting a broad array of end-of-life therapies. [ 39 ] Another alternative to a conventional healthcare proxy is the medical directive , [ 40 ] [ 41 ] a document that describes six case scenarios for advance medical decision-making.
Wishes 1 and 2 are both legal documents. Once signed, they meet the legal requirements for an advance directive in the states listed below.Wishes 3, 4, and 5 are unique to Five Wishes, in that they address matters of comfort care, spirituality, forgiveness, and final wishes.
Unlike advance directives, a POLST should only be used when the individual is at the end of life. [15] Typically, if a provider believes that a person's condition will increasingly worsen and make it hard for the individual to survive another year, then a POLST Form is used. [ 24 ]
Section 1233 of the proposed America's Affordable Health Choices Act of 2009 (H.R. 3200) would have authorized reimbursements for physician counseling regarding advance directives (once every five years) [3] but it was not included in the Patient Protection and Affordable Care Act of 2010 because of controversy over what were characterized as ...
This may include personal values and life goals, describe circumstances the person would find unacceptable, identify preferences relating to specific medical interventions, or a combination of these. [2] Advance care directives may be written on specifically designed forms, but can also take the form of a written letter or statement. [44]
With continued discussion concerning health care preferences for all patients, including those who are incompetent, greater options have been made available to secure health care directives. The involvement of third parties in a patient's health becomes more likely in decisions that may occur in instances other than the end of life.