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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.
Advance directives are not portable in a sense that it is not accessible across medical systems, so it is the individual's responsibility to have the form on them at all times. [4] This can bring up challenges as it can be difficult to locate and may need to be interpreted when it is needed. [4] Because advanced directives are filled out by ...
Advance care planning is only applicable when the individual cannot make and/or communicate decisions about what they want in relation to their healthcare. [8] If advance care planning has occurred, patients who have lost capacity or the ability to communicate or both, are able to continue to have a say in their medical care. [9]
Patient rights include: The right to facilitate their own health care decisions; The right to accept or refuse medical treatment; 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.
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 ...
When filing an advance directive, an alternate health care agent should be identified. The surrogate decision maker must be a trusted individual that is able to make crucial decisions on behalf of the advance directive client. The advance directive should also indicate specific instructions for when a patient is incapacitated.