Advnce Directive A

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ADVANCE DIRECTIVES

ADVANCE DIRECTIVES : DEFINITIO


Is a legal document in which a person specifies
what actions should be taken For their health
if they are no longer able to make decisions
for themselves Because of illness
or incapacity
ADVANCE DIRECTIVES : USES
Appointment of health care
proxy
Make decision and guide doctors
about life sustaining procedures
in the event of terminal
condition, persistent vegetative
state and end stage condition i.e
DNR, Pain management, Organ
Donation, Euthanasia
ADVANCE DIRECTIVES :
BACKGROUND
 Advance directives were created in
response to the increasing sophistication
and prevalence of medical technology. Of
U.S death , 25%-55% occur in health care
facilities. Numerous studies have
documented critical deficits in the medical
care of the dying. Is has been found to be
unnecessarily prolonged, painful,
expensive, and emotionally burdensome to
both patients and their families.
ADVANCE DIREVTIVES :
FORMS
1. Living will
2. Healthcare proxy
3. Power of attorney
LIVING WILL
A living will is a more limited
type of advance directive
because you only make decisions
about life sustaining procedure
in the event that your death
from a terminal conditions is
imminent
HEALTH CARE PROXY
Is a document ( legal
instrument) with which a
patient appoints an agent to
legally make health care
decisions on behalf of the
patient, when he or she is
incapable of making and
executing healthcare decisions
stipulated in the proxy
POWER OF ATTORNEY
 Written authorization to represent
or act on another ‘s behalf if private
affairs, business, or some other legal
matter, sometimes against the
wishes of the other.
 Not limited to healthcare but also
other matters, such as finance
ADVANCE DIREVTIVES :
ADVANTAGE
 Unnecessarily prolonged painful
hospitalization
 Prevents unnecessary prolonged
comatose or vegetative state
 Prevents burden of rising Medical
costs
 Releases responsibility of love ones
of difficult decisions
ADVANCE DIRECTIVES :
DISADVANTAGES
 Family or loved ones may disagree with
your medical decisions
 Difficulty in predicting what treatments
will be available and preferred in a
“future” crisis
 Uncertainty over who can/should be a
health care agent, especially for
individuals without available (or willing)
family
FIVE WISHES
FIVE WISHES
1. 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
2. Wish 2 : The kind of medical treatment I want or
Don’t want - this section is a living will – e.g DNR
3. Wish 3 : how comfortable I want to be –Addresses
matters of comfort care – paint management,
personal grooming and bathing instructions,
among others.
FIVE WISHES
4. Wish 4 : How I want people treat me –
Personal matters, such as whether you would like
to be at home, whether you would like someone to
pray at you bedside, among others
5. Wish 5 : what I want My Love ones to know –
Matters of forgiveness, how you wish to be
remembered, and finals wishes regarding of
memorial plans.
ETHICAL QUESTIONS (ASK YOURSELF)
1 . Would you rather make your own life/death
situation decisions via A.D or let your loved ones do
the decision making ?

2. If you are the medical proxy of your comatose


mother would you have the strength to obey their
advance Directives if it stated to turn of the
respirator to ease their suffering ?

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