Advance Directive

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Related to Advanced Directive: Durable power of attorney

Advance Directive

A legal document expressing a person's medical wishes in the event of his/her mental or physical incapacity. An advance directive is made while the director is still competent, and comes into effect at incapacity. An advance directive may state whether or not the director wishes to be placed on life support or to receive a particular treatment. It may or may not assign another party, usually a family member, to make these decisions as they come up. It is important to note that in this situation, an advance directive is not a power of attorney and neither allows the other party access to the assignor's finances, nor obliges him/her to pay for any treatment. See also: Proxy directive.
References in periodicals archive ?
"So the steps we have taken, as organisation, to make sure that if patients tell us that they have an advanced directive, we store that information at the front of the notes, so that it is immediately obvious and we also electronic alert, on a patient's record, so that there is another way of alerting staff to the fact that there is an advanced directive.
A doctor, nurse, or social worker can help patients start the process of an advanced directive, and the forms are available to download online.
Nearly 90 percent of patients have an advanced directive.
Many people are nervous about starting an advanced directive. But with the right forms and help from a social worker, you can feel good about the decisions you make.
First, advanced directives were not celebrated by participants for their ability to secure aggressive life support treatment for patients who wanted to live despite their critical illness, but were criticized for their inability to "prevent unwanted aggressive treatments that prolong dying".
(1) Cameron Stewart, 'Advanced Directives, the Right to Die and the Common Law: Recent Problems with Blood Transfusions' (1999) 23 Melbourne University Law Review 161, 173-8; John Blackwood, '"I Would Rather Die with Two Feet than Live with One"; The Status and Legality of Advance Directives in Australia' (1997) 19 University of Queensland Law Journal 270, 278-81; Loane Skene, Law and Medical Practice." Rights.
Cauchi advises that in writing a combined power of attorney for continuing care and advanced directives, one should resort to written wishes to receive food and water by whatever means until they can no longer be assimilated.
Most people want to protect their rights in health, and the Advanced Directives help in this--yet most people aware of them aren't aware of its components or how it's used.
Miles, "Advanced Directives to Limit Treatment: The Need for Portability," Journal of the American Geriatrics Society 35, no.
Fallout from the death of Jesica Santillan due to a blood type mix-up continues to plague Duke University Hospital (DUH) after a government inspection found "significant deficiencies" in its dialysis unit and the operation of its advanced directives program.
So the past decade has seen a tremendous push for living wills and other advanced directives, while more and more families in hospital waiting rooms find themselves asked if they want "everything done" for their beloved.
Such policies include do not resuscitate, termination of life support, defining brain death, complying with advanced directives, determining the appropriate surrogate decision maker, triaging, determining capacity to refuse consent to treatment, and other issues.

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