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The right to make an advance health care directive; Facilities must inquire as to whether the patient already has an advance health care directive, and make note of this in their medical records. Facilities must provide education to their staff and affiliates about advance health care directives.
Advance directives were created in response to the increasing sophistication and prevalence of medical technology. [3] [4] Numerous studies have documented critical deficits in the medical care of the dying; it has been found to be unnecessarily prolonged, [5] painful, [6] expensive, [7] [8] and emotionally burdensome to both patients and their families.
Wishes 3, 4, and 5 are unique to Five Wishes, in that they address matters of comfort care, spirituality, forgiveness, and final wishes. Wish 1: "The Person I Want to Make Care Decisions for Me When I Can't" – This section is an assignment of a health care agent (also called proxy, surrogate, representative, or health care power of attorney ...
An individual does not need to have an advance directive to have a POLST form although health care professionals recommend that all competent adults have advance directives in place; this will help healthcare providers shape a more concise medical decision that better reflects the individual's wishes. [24]
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The advance directive must state that the designated agent has authority to make health care decisions on the patient's behalf and what limitations, if any, are imposed on the agent's authority. The document should clearly state that the agent's authority begins only when the patent is unable to make health care decisions.
Patients should also include advance health care directives. These medical orders (DNR, MOST, POLST) must be signed by a physician and are the most frequently used medical directives. The DNR (Do Not Resuscitate) order expresses the patient's preference to decline cardiopulmonary resuscitation. The names of the other physician orders (MOST or ...
Psychiatric advance directives are sometimes referred to as Ulysses pacts or Ulysses contracts, where there is a legal agreement designed to override a present request from a legally incompetent patient in favor of a past request made by that previously competent patient. [1]