Advance Directives: Declarations by patients, made in advance of a situation in which they may be incompetent to decide about their own care, stating their treatment preferences or authorizing a third party to make decisions for them. (Bioethics Thesaurus)Advance Directive Adherence: Compliance by health personnel or proxies with the stipulations of ADVANCE DIRECTIVES (or similar directives such as RESUSCITATION ORDERS) when patients are unable to direct their own care.Living Wills: Written, witnessed declarations in which persons request that if they become disabled beyond reasonable expectation of recovery, they be allowed to die rather than be kept alive by extraordinary means. (Bioethics Thesaurus)Advance Care Planning: Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions.Life Support Care: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.Proxy: A person authorized to decide or act for another person, for example, a person having durable power of attorney.Withholding Treatment: Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.Legal Guardians: A legal concept for individuals who are designated to act on behalf of persons who are considered incapable of acting in their own behalf, e.g., minors and persons found to be not mentally competent.Mental Competency: The ability to understand the nature and effect of the act in which the individual is engaged. (From Black's Law Dictionary, 6th ed).Resuscitation Orders: Instructions issued by a physician pertaining to the institution, continuation, or withdrawal of life support measures. The concept includes policies, laws, statutes, decisions, guidelines, and discussions that may affect the issuance of such orders.Personal Autonomy: Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Judicial Role: The kind of action or activity proper to the judiciary, particularly its responsibility for decision making.Patient Self-Determination Act: The purpose of this 1990 federal act is to assure that individuals receiving health care services will be given an opportunity to participate in and direct health care decisions affecting themselves. Under this act, hospitals, health care agencies, and health maintenance organizations are responsible for developing patient information for distribution. The information must include patients' rights, advance directives, living wills, ethics committees' consultation and education functions, limited medical treatment (support/comfort care only), mental health treatment, resuscitation, restraints, surrogate decision making and transfer of care. (from JCAHO, Lexicon, 1994)Right to Die: The right of the patient or the patient's representative to make decisions with regard to the patient's dying.Medical Futility: The absence of a useful purpose or useful result in a diagnostic procedure or therapeutic intervention. The situation of a patient whose condition will not be improved by treatment or instances in which treatment preserves permanent unconsciousness or cannot end dependence on intensive medical care. (From Ann Intern Med 1990 Jun 15;112(12):949)Ethics, Medical: The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.Euthanasia: The act or practice of killing or allowing death from natural causes, for reasons of mercy, i.e., in order to release a person from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)Personhood: The state or condition of being a human individual accorded moral and/or legal rights. Criteria to be used to determine this status are subject to debate, and range from the requirement of simply being a human organism to such requirements as that the individual be self-aware and capable of rational thought and moral agency.Patient Rights: Fundamental claims of patients, as expressed in statutes, declarations, or generally accepted moral principles. (Bioethics Thesaurus) The term is used for discussions of patient rights as a group of many rights, as in a hospital's posting of a list of patient rights.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Third-Party Consent: Informed consent given by someone other than the patient or research subject.Attitude to Death: Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.Euthanasia, Passive: Failing to prevent death from natural causes, for reasons of mercy by the withdrawal or withholding of life-prolonging treatment.Persistent Vegetative State: Vegetative state refers to the neurocognitive status of individuals with severe brain damage, in whom physiologic functions (sleep-wake cycles, autonomic control, and breathing) persist, but awareness (including all cognitive function and emotion) is abolished.European Union: The collective designation of three organizations with common membership: the European Economic Community (Common Market), the European Coal and Steel Community, and the European Atomic Energy Community (Euratom). It was known as the European Community until 1994. It is primarily an economic union with the principal objectives of free movement of goods, capital, and labor. Professional services, social, medical and paramedical, are subsumed under labor. The constituent countries are Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden, and the United Kingdom. (The World Almanac and Book of Facts 1997, p842)Patient Preference: Individual's expression of desirability or value of one course of action, outcome, or selection in contrast to others.Double Effect Principle: Guideline for determining when it is morally permissible to perform an action to pursue a good end with knowledge that the action will also bring about bad results. It generally states that, in cases where a contemplated action has such double effect, the action is permissible only if: it is not wrong in itself; the bad result is not intended; the good result is not a direct causal result of the bad result; and the good result is "proportionate to" the bad result. (from Solomon, "Double Effect," in Becker, The Encyclopedia of Ethics, 1992)Judaism: The religion of the Jews characterized by belief in one God and in the mission of the Jews to teach the Fatherhood of God as revealed in the Hebrew Scriptures. (Webster, 3d ed)Nontherapeutic Human Experimentation: Human experimentation that is not intended to benefit the subjects on whom it is performed. Phase I drug studies (CLINICAL TRIALS, PHASE I AS TOPIC) and research involving healthy volunteers are examples of nontherapeutic human experimentation.Religion: A set of beliefs concerning the nature, cause, and purpose of the universe, especially when considered as the creation of a superhuman agency. It usually involves devotional and ritual observances and often a moral code for the conduct of human affairs. (Random House Collegiate Dictionary, rev. ed.)Hospice Care: Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)Hospitals, Religious: Private hospitals that are owned or sponsored by religious organizations.Dissent and Disputes: Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.Forensic Psychiatry: Psychiatry in its legal aspects. This includes criminology, penology, commitment of mentally ill, the psychiatrist's role in compensation cases, the problems of releasing information to the court, and of expert testimony.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Physician-Patient Relations: The interactions between physician and patient.Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Family: A social group consisting of parents or parent substitutes and children.Mentally Ill Persons: Persons with psychiatric illnesses or diseases, particularly psychotic and severe mood disorders.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Patient Advocacy: Promotion and protection of the rights of patients, frequently through a legal process.Beneficence: The state or quality of being kind, charitable, or beneficial. (from American Heritage Dictionary of the English Language, 4th ed). The ethical principle of BENEFICENCE requires producing net benefit over harm. (Bioethics Thesaurus)Physician's Role: The expected function of a member of the medical profession.Forms and Records Control: A management function in which standards and guidelines are developed for the development, maintenance, and handling of forms and records.Terminally Ill: Persons with an incurable or irreversible illness at the end stage that will result in death within a short time. (From O'Leary et al., Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, 1994, p780)Legislation, Medical: Laws and regulations, pertaining to the field of medicine, proposed for enactment or enacted by a legislative body.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Attitude: An enduring, learned predisposition to behave in a consistent way toward a given class of objects, or a persistent mental and/or neural state of readiness to react to a certain class of objects, not as they are but as they are conceived to be.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Informed Consent: Voluntary authorization, by a patient or research subject, with full comprehension of the risks involved, for diagnostic or investigative procedures, and for medical and surgical treatment.Communication Barriers: Those factors, such as language or sociocultural relationships, which interfere in the meaningful interpretation and transmission of ideas between individuals or groups.Hospitals, Military: Hospitals which provide care for the military personnel and usually for their dependents.Treatment Refusal: Patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.)Patient Education as Topic: The teaching or training of patients concerning their own health needs.Patient Participation: Patient involvement in the decision-making process in matters pertaining to health.Psychiatry: The medical science that deals with the origin, diagnosis, prevention, and treatment of mental disorders.Cultural Diversity: Coexistence of numerous distinct ethnic, racial, religious, or cultural groups within one social unit, organization, or population. (From American Heritage Dictionary, 2d college ed., 1982, p955)Comprehension: The act or fact of grasping the meaning, nature, or importance of; understanding. (American Heritage Dictionary, 4th ed) Includes understanding by a patient or research subject of information disclosed orally or in writing.Assisted Living Facilities: A housing and health care alternative combining independence with personal care. It provides a combination of housing, personalized supportive services and health care designed to meet the needs, both scheduled and unscheduled, of those who need help with activities of daily living. (www.alfa.org)GermanyHomes for the Aged: Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Public Opinion: The attitude of a significant portion of a population toward any given proposition, based upon a measurable amount of factual evidence, and involving some degree of reflection, analysis, and reasoning.Medical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Physicians: Individuals licensed to practice medicine.MarylandHealth Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Truth Disclosure: Truthful revelation of information, specifically when the information disclosed is likely to be psychologically painful ("bad news") to the recipient (e.g., revelation to a patient or a patient's family of the patient's DIAGNOSIS or PROGNOSIS) or embarrassing to the teller (e.g., revelation of medical errors).United States
(1/306) Incorporating advance care planning into family practice [see comment].

Despite widespread support for the concept of advance care planning, few Americans have a living will or a health care proxy. Advance care planning offers the patient the opportunity to have an ongoing dialog with his or her relatives and family physician regarding choices for care at the end of life. Ultimately, advance care planning is designed to clarify the patient's questions, fears and values, and thus improve the patient's well-being by reducing the frequency and magnitude of overtreatment and undertreatment as defined by the patient. An advance directive consists of oral and written instructions about a person's future medical care in the event he or she becomes unable to communicate. There are two types of advance directives: a living will and a health care power of attorney. Family physicians are in an ideal position to discuss advance care plans with their patients. By introducing the subject during a routine office visit, physicians can facilitate a structured discussion of the patient's wishes for end-of-life care. At the next visit, further discussion can include the patient and his or her proxy. A document that clearly delineates the patient's wishes is then developed. The patient should be assured that the directive can be changed at any time according to the patient's wishes. The advance care plan should be reviewed periodically to make sure the specifications continue to be in line with the patient's wishes.  (+info)

(2/306) Relationships between various attitudes towards self-determination in health care with special reference to an advance directive.

OBJECTIVES: The subject of patient self-determination in health care has gained broad interest because of the increasing number of incompetent patients. In an attempt to solve the problems related to doctors' decision making in such circumstances, advance directives have been developed. The purpose of this study was to examine relationships between public attitudes towards patient autonomy and advance directives. SUBJECTS AND MAIN OUTCOME MEASURES: A stratified random sample of 600 adults in northern Sweden was surveyed by a questionnaire with a response rate of 78.2%. The subjects were asked about their wish for control of their health care, their concerns about health care, their treatment preferences in a life-threatening situation (both reversible and irreversible), and their attitudes towards the application of advance directives. RESULTS: Numerous relationships between various aspects of self-determination in health care (desire for control, fears of over-treatment, and choice of treatment level) in general and advance directives, in particular, were found. Those who wanted to have a say in their health care (about 94%) also mainly supported the use of an advance directive. CONCLUSIONS: The fact that almost 30% of the respondents were undecided concerning their personal use of advance directives points to a lack of knowledge and to the necessity of education of the public on these issues.  (+info)

(3/306) Advance directives are the solution to Dr Campbell's problem for voluntary euthanasia.

Dr Neil Campbell suggests that when patients suffering extremes of protracted pain ask for help to end their lives, their requests should be discounted as made under compulsion. I contend that the doctors concerned should be referred to and then act upon advance directives made by those patients when of sound and calm mind and afflicted by no such intolerable compulsion.  (+info)

(4/306) A staff dialogue on do not resuscitate orders: psychosocial issues faced by patients, their families, and caregivers.

Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH. The Schwartz Center is a non-profit organization dedicated to supporting and advancing compassionate health care delivery which provides hope to the patient, support to caregivers, and encourages the healing process. The Center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum where caregivers reflect on important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from fellow staff members. The following case of a woman who developed lymphoma was discussed at the July and August, 1997 Schwartz Center Rounds. There were considerable delays and uncertainties in the diagnosis, which was followed by an unpredictably chaotic clinical course. Although she had made it clear to her doctor that she did not want "heroic measures," she had unexpectedly rallied so many times that her son and her husband wanted her doctors to do everything possible to keep her alive, including the performance of cardiopulmonary resuscitation (CPR). The clinical benefit of CPR in the event of cardiac arrest in those with cancer is discussed, as are do not resuscitate (DNR) orders, living wills, and healthcare proxies. In addition, the issues that surround DNR status, including who should discuss DNR status with a patient, and how and when it should be discussed, are reviewed. Staff raised concerns about the effect of discussing DNR status on the doctor-patient relationship, and wondered whether writing DNR orders adversely affect the care of patients.  (+info)

(5/306) Bone marrow transplant patients with life-threatening organ failure: when should treatment stop?

PURPOSE: To discuss issues surrounding life support in bone marrow transplant (BMT) patients, issues that may determine how far we go to keep a deteriorating BMT patient alive--and when we stop trying. How can we define survival chance in BMT patients, and when should prolongation of life be deemed inappropriate? Who should make the decision to terminate support? And how should life support be terminated? DESIGN: Prognostic factors that predict for almost certain nonsurvival have been identified in BMT patients with life-threatening organ failure. The concept of futility raises the question of how low the chance of survival must be before termination of life support is justified--but the concept is flawed, and the value judgments involved in decision making must also be considered. Then, once a decision is made, the manner of withholding or withdrawing life support is also open to discussion. CONCLUSION: Despite controversies, there are areas in which improvements to current practice might be considered. More data are required to determine survival chances of BMT patients with life-threatening organ failure. Greater attention might be devoted, in pretransplant counseling, to issues of intensive life support, with the patient's own views being ascertained before transplantation. And, because technologic possibilities are now imposing fewer boundaries, the problem of finite resources may need to be readdressed, with treatment limits being set down before transplantation.  (+info)

(6/306) Family consent, communication, and advance directives for cancer disclosure: a Japanese case and discussion.

The dilemma of whether and how to disclose a diagnosis of cancer or of any other terminal illness continues to be a subject of worldwide interest. We present the case of a 62-year-old Japanese woman afflicted with advanced gall bladder cancer who had previously expressed a preference not to be told a diagnosis of cancer. The treating physician revealed the diagnosis to the family first, and then told the patient: "You don't have any cancer yet, but if we don't treat you, it will progress to a cancer". In our analysis, we examine the role of family consent, communication patterns (including ambiguous disclosure), and advance directives for cancer disclosure in Japan. Finally, we explore the implications for Edmund Pellegrino's proposal of "something close to autonomy" as a universal good.  (+info)

(7/306) Survey of Japanese physicians' attitudes towards the care of adult patients in persistent vegetative state.

OBJECTIVES: Ethical issues have recently been raised regarding the appropriate care of patients in persistent vegetative state (PVS) in Japan. The purpose of our study is to study the attitudes and beliefs of Japanese physicians who have experience caring for patients in PVS. DESIGN AND SETTING: A postal questionnaire was sent to all 317 representative members of the Japan Society of Apoplexy working at university hospitals or designated teaching hospitals by the Ministry of Health and Welfare. The questionnaire asked subjects what they would recommend for three hypothetical vignettes that varied with respect to a PVS patient's previous wishes and the wishes of the family. RESULTS: The response rate was 65%. In the case of a PVS patient who had no previous expressed wishes and no family, 3% of the respondents would withdraw artificial nutrition and hydration (ANH) when the patient did not require any other life-sustaining treatments, 4% would discontinue ANH, and 30% would withhold antibiotics when the patient developed pneumonia. Significantly more respondents (17%) would withdraw ANH in the case of a PVS patient whose previous wishes and family agreed that all life support be discontinued. Most respondents thought that a patient's written advance directives would influence their decisions. Forty per cent of the respondents would want to have ANH stopped and 31% would not want antibiotics administered if they were in PVS. CONCLUSIONS: Japanese physicians tend not to withdraw ANH from PVS patients. Patients' written advance directives, however, would affect their decisions.  (+info)

(8/306) A multimedia intervention on cardiopulmonary resuscitation and advance directives.

OBJECTIVE: To assess the effects of a multimedia educational intervention about advance directives (ADs) and cardiopulmonary resuscitation (CPR) on the knowledge, attitude and activity toward ADs and life-sustaining treatments of elderly veterans. DESIGN: Prospective randomized controlled, single blind study of educational interventions. SETTING: General medicine clinic of a university-affiliated Veterans Affairs Medical Center (VAMC). PARTICIPANTS: One hundred seventeen Veterans, 70 years of age or older, deemed able to make medical care decisions. INTERVENTION: The control group (n = 55) received a handout about ADs in use at the VAMC. The experimental group (n = 62) received the same handout, with an additional handout describing procedural aspects and outcomes of CPR, and they watched a videotape about ADs. MEASUREMENTS AND MAIN RESULTS: Patients' attitudes and actions toward ADs, CPR and life-sustaining treatments were recorded before the intervention, after it, and 2 to 4 weeks after the intervention through self-administered questionnaires. Only 27.8% of subjects stated that they knew what an AD is in the preintervention questionnaire. This proportion improved in both the experimental and control (87.2% experimental, 52.5% control) subject groups, but stated knowledge of what an AD is was higher in the experimental group (odds ratio = 6.18, p <.001) and this effect, although diminished, persisted in the follow-up questionnaire (OR = 3.92, p =. 003). Prior to any intervention, 15% of subjects correctly estimated the likelihood of survival after CPR. This improved after the intervention in the experimental group (OR = 4.27, p =.004), but did not persist at follow-up. In the postintervention questionnaire, few subjects in either group stated that they discussed CPR or ADs with their physician on that day (OR = 0.97, p = NS). CONCLUSION: We developed a convenient means of educating elderly male patients regarding CPR and advance directives that improved short-term knowledge but did not stimulate advance care planning.  (+info)

*  Advance healthcare directive
An advance healthcare directive, also known as living will, personal directive, advance directive, medical directive or advance ... "advance decisions" or "advance directives". On 18 June 2009 the Bundestag passed a law on advance directives, applicable since ... The most recent third-generation advance directive is the Lifecare Advance Directive. In creating this document, researchers ... National Resource Center on Psychiatric Advance Directives (U.S.) Portal for Advance Directives for Medical Care British ...
*  Terri Schiavo case
765.401 of Florida Statutes - Health Care Advance Directives - The proxy". State of Florida. November 22, 2006. Archived from ...
*  Texas Advance Directives Act
The Texas Advance Directives Act (1999), also known as the Texas Futile Care Law, describes certain provisions that are now ... It is the first reform to the Texas Advance Directives Act since 2003. Spiro Nikolouzos Terri Schiavo Right to Life Right to ... Point: The Texas Advance Directives Act Effectively and Ethically Resolves Disputes About Medical Futility. Chest 2009 136(4): ... when an attending physician is unwilling to respect a patient's advance directive or a patient's or family's decision to choose ...
*  Psychiatric advance directive
A mental health advance directive is one kind of advance health care directive. Psychiatric advance directives are legal ... A psychiatric advance directive (PAD), also known as a mental health advance directive, is a written document that describes ... "Facilitated Psychiatric Advance Directives: A Randomized Trial of an Intervention to Foster Advance Treatment Planning Among ... "Advance Directives for Mental Health Treatment" Debra S. Srebnik and John Q. La Fond Psychiatric Services, Volume 50, Number 7 ...
*  Death of Marlise Muñoz
A Texas law restricts the application of advance directives in pregnant patients, but Muñoz's husband argued that the law was ... Texas Advance Directives Act. Sec. 166.049 and Sec. 166.098 cover pregnant patients.. ... which automatically invalidate a woman's advance directive if she is pregnant. Such laws state that, regardless of the ...
*  Jiska Cohen-Mansfield
When advance directives were enacted in the U.S., Prof. Cohen-Mansfield examined preferences for life sustain interventions ... Cohen-Mansfield, J.; Lipson, S. (2008). "Which Advance Directive Matters? An Analysis of End-Of-Life Decisions Made in Nursing ... "Which Unmet Needs Contribute to Behavior Problems in Persons with Advanced Dementia?". Psychiatry Research (228): 59-64. Cohen- ... "Efficacy of Nonpharmacologic Interventions for Agitation in Advanced Dementia: a Randomized, Placebo-Controlled Trial". The ...
*  Physician Orders for Life-Sustaining Treatment
Unlike advance directives, a POLST summarizes the patients' wishes in the form of medical orders. An advance directive is a ... To designate a health care surrogate, patients must use an advance directive. An advance directive allows you to generally ... One difference between a POLST form and an advance directive is that the POLST form is designed to be actionable throughout an ... A POLST form turns treatment wishes outlined in an advance directive into medical orders. An individual does not need to have ...
*  Surrogate decision-maker
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 ... The advance directive must state that the designated agent has authority to make health care decisions on the patient's behalf ... If no advance directives are available, the proxy should use the principle of substituted judgment by considering what the ...
*  Sheila E. Hixson
... to provide advance directives; and sponsored the groundbreaking Maryland Responsible Gun Safety Act of 2000 which made Maryland ...
*  Uniform Rights of the Terminally Ill Act
"De-Balkanizing State Advance Directive Law" (PDF). Bifocal American Bar Association Commission on Law and Aging Bar ...
*  Terminal illness
... and takes the form of an advance directive. The advance directive should be updated regularly as the patient's condition ... Decisions like these should be indicated in the advance directive so that the patient's wishes can be carried out to improve ... It is highly recommended by many research studies and meta-analyses for patients to discuss and create an advance directive ... Palliative sedation is not intended to prolong life or hasten death; it is merely meant to relieve symptoms Advance directive ...
*  Healthcare proxy
Advance healthcare directive Doe ex. rel. Tarlow v. District of Columbia Do Not Resuscitate (DNR) Estate planning Living will ... "Myths and Facts About Health Care Advance Directives" (PDF). ABA Commission on Law and Aging. American Bar Association. ... such as a living will or advanced health care directive, in which case it is necessary to examine all of the documents to ...
*  Stephen Broden
HANKINS, LAMAR (January 15, 2014). "Freethought San Marcos: Religion corrupts advance directives and medical care". San Marcos ...
*  Mandated choice
Organ donation Advance directives Remedying donor organ complications Herz, Susan. Two Steps to Three Choices: A New Approach ... but has increasingly been considered for advance directives as well. As one bioethicist has observed in advocating for a ... choice or mandatory choice is an approach to public policy questions in which people are required by law to state in advance ...
*  John Peter Smith Hospital
Religion corrupts advance directives and medical care". San Marcos Mercury. Retrieved 25 January 2014. Texas Hospital Takes ...
*  MyDirectives
"Facebook of Advance Directives"". D Healthcare Daily. 2012-11-06. Retrieved 2016-06-17. "New EHR Module for Advance Directives ... Users' advance directives can also be retrieved by doctors and healthcare professionals in case of emergency. The app makes a ... Storing advance health care directive documents digitally can alleviate the need for doctors or family members to track down ... A user can update his or her advance directive as circumstances or healthcare wishes change via MyDirectives.com and ...
*  Patient Self-Determination Act
... knowledge of Advance Directives, Patient Self-determination Act, and Illinois Advance Directive Law". Clinical Nurse Specialist ... an advance health care directive Facilities must inquire as to whether the patient already has an advance health care directive ... Health Care Advance Directives - What is the Patient Self-Determination Act?. American Bar Association. What is the Patient ... Patient self rationing of expensive medical care at the end of life through the process of the advance directive under the ...
*  Euthanasia in the United States
... and through advance directives and do not resuscitate orders. Several major court cases advanced the legal rights of patients, ... They are also more likely to have advance directives and to use other end-of-life measures. African Americans are almost 3 ... In 1999, the state of Texas passed the Advance Directives Act. Under the law, in some situations, Texas hospitals and ...
*  Maternal somatic support after brain death
... directives. Specifically, 26 states have laws that ignore advance directives when a woman is terminally ill, but pregnant. This ... Without an advance directive stating that the woman wishes to be kept alive to save her unborn child, prolonging life is ... The Texas Advance Directives Act, also referred to as the Texas Futile Care Law, provides hospitals with discretion over ... Texas is one of several states that have laws that pertain to pregnant women and advance directives or Do Not Resuscitate (DNR ...
*  Involuntary commitment internationally
Advance psychiatric directives may have a bearing on involuntary commitment. The service member can be held under the so-called ... External link in ,title= (help) "National Resource Center on Psychiatric Advance Directives". Nrc-pad.org. Retrieved 2013-12-21 ... DoD Directive 6490.04. Retrieved 2013-08-15. Kenber, Billy (4 June 2015) A plea for sanity The Times, (Example of Raymond ... Boxer law (DoD Directive 6490.04). In the District of Columbia, any police officer, physician, or mental health professional ...
*  Do not resuscitate
It should be stressed that, in the United States, an advance directive or living will is not sufficient to ensure a patient is ... Medicine portal Advance Health Care Directive Cardiac arrest Power of attorney Letting die Euthanasia Uniform Rights of the ... Missouri has a Living Will Statute that requires two witnesses to any signed advance directive that results in a DNR/DNI code ... "DO NOT RESUSCITATE - ADVANCE DIRECTIVES FOR EMS Frequently Asked Questions and Answers". State of California Emergency Medical ...
*  Psychiatric survivors movement
New Law and Ethics in Mental Health Advance Directives: The Convention on ... - Penelope Weller - Google Books. Books.google. ...
*  Power of attorney
Related to the health care power of attorney is a separate document known as an advance health care directive, also called a " ... Depending upon the jurisdiction, a health care power of attorney may or may not appear with an advance health care directive in ... Examples are enduring power of attorney, advance directive, and notary public. Irish law there are two forms of power of ... the California legislature has adopted a standard power of attorney for health care and advance health care directive form that ...
*  Disorders of consciousness
Additionally only few patients have created advance directives before losing decision-making capacity. Typically approval must ...
*  Elderly care
"Advance Directives"; powers of attorney, trusts, living wills and health care directives. The person who has these documents in ... Thailand has observed global patterns of an enlarging elderly class: as fertility control is encouraged and medical advances ...
*  Battle of Sio
As the advance continued, new beachheads were opened up while rearward ones were closed. The advance was halted on occasion to ... and extraordinary efforts were made to carry out his directive. In one instance, a Piper Cub of No. 4 Squadron RAAF dropped ... During the early part of the advance, 4,700 rounds were fired in one day; but during the entire 5th Division advance from Sio ... To support the advance, a beach maintenance area was prepared at a beach at the mouth of the Kalueng River, which involved ...
Advance Directives | FirstHealth  Advance Directives | FirstHealth
Facts about Advance Directives. *Advance Directives DO NOT cost a lot of money to complete. The forms are free and there is no ... What are Advance Directives?. Advance Directives are planning documents that legally ensure your wishes are carried out and ... Periodically review your Advance Directives and update them as needed. You can revoke old Advance Directives and replace them ... Advance Care Planning Choices: Make them yours, and make them known.. An advance directive gives your family direction on what ...
more infohttps://www.firsthealth.org/reference/patient-education/advance-directives
Literature Review on Advance Directives | ASPE  Literature Review on Advance Directives | ASPE
Department of Health and Human Services Literature Review on Advance Directives Anne Wilkinson, Ph.D., Neil Wenger, M.D., M.P.H ... HISTORY OF ADVANCE DIRECTIVES/ADVANCE CARE PLANNING. IV. ETHICAL ISSUES IN ADVANCE DIRECTIVES AND ADVANCE CARE PLANNING. V. ... Advance Directives and Advance Care Planning: Report to Congress Advance Directives and Advance Care Planning for People with ... advance* care plan* OR advance* directive* OR advance care planning[mh] OR advance directives[mh] OR end of life plan* ...
more infohttps://aspe.hhs.gov/basic-report/literature-review-advance-directives
Implementing psychiatric advance directives: Service provider issues and answers | SpringerLink  Implementing psychiatric advance directives: Service provider issues and answers | SpringerLink
... are an emerging method for adults with serious and persistent mental illness to document treatment preferences in advance of ... Making advance directives work for you.Natl Empowerment Cent Newsletter. 2000. Available at: www.power2u.org/selfhep/directive_ ... Winick B. Advance directive instruments for those with mental illness.University of Miami Law Review. 1996;51:57-95.Google ... Appelbaum P. Advance directives for psychiatric care.Hospital and Community Psychiatry. 1991;42: 983-984.Google Scholar ...
more infohttps://link.springer.com/article/10.1007%2FBF02287316
Superseding Psychiatric Advance Directives: Ethical and Legal Considerations | Journal of the American Academy of Psychiatry...  Superseding Psychiatric Advance Directives: Ethical and Legal Considerations | Journal of the American Academy of Psychiatry...
In the third scenario for overriding medical advance directives, the interests of others justify not honoring the directive. ... medical advance directives at their discretion has contributed to the belief among many observers that advance directives ( ... Superseding Psychiatric Advance Directives: Ethical and Legal Considerations. Jeffrey W. Swanson, S. Van McCrary, Marvin S. ... Superseding Psychiatric Advance Directives: Ethical and Legal Considerations. Jeffrey W. Swanson, S. Van McCrary, Marvin S. ...
more infohttp://jaapl.org/content/34/3/385.long
The role of advance directives in end-of-life decisions in Austria: survey of intensive care physicians | BMC Medical Ethics |...  The role of advance directives in end-of-life decisions in Austria: survey of intensive care physicians | BMC Medical Ethics |...
Adherence to advance directives. Percentage of positive ("Yes") and negative ("No") adherence to advance directives by ... experience with advance directives and only 9 directors of intensive care units had dealt with more than 10 advance directives ... intensive care physicians consider advance directives to be helpful tools and if they recommend creating an advance directive ... The advance directive can be laid down in binding form (doctors must execute the patient's wishes in any case) or in non- ...
more infohttps://bmcmedethics.biomedcentral.com/articles/10.1186/1472-6939-11-19
The vegetative state | Journal of Neurology, Neurosurgery & Psychiatry  The vegetative state | Journal of Neurology, Neurosurgery & Psychiatry
Few patients have made an advance directive and there has been much debate about appropriate surrogate decision makers. In the ...
more infohttp://jnnp.bmj.com/content/73/4/355
Living wills - alleged mercy killings and starvation - limits of self-deliverance | The EXIT euthanasia blog  Living wills - alleged mercy killings and starvation - limits of self-deliverance | The EXIT euthanasia blog
... or advance directives as they are also called), used to be a familiar battle ground. 'Pro-life' and 'Pro-choice' campaigners ... NHS video about making advance directives. Advance decisions to refuse treatment - an NHS guide for patients. Advance decisions ... Be specific in your advance directive (an older, thought-provoking study). Sample policy document on advance directives ( ... In a debate that all too-frequently becomes polarised, living wills (or advance directives as they are also called), used to be ...
more infohttps://exiteuthanasia.wordpress.com/2010/05/16/living-wills-alleged-mercy-killings-and-starvation-limits-of-self-deliverance/
Patient Rights and Responsibilities at UnityPoint Health - Meriter  Patient Rights and Responsibilities at UnityPoint Health - Meriter
Advance Medical Directives. An advance medical directive tells, in writing, your choices about the treatments you want or do ... An advance medical directive expresses your personal wishes and is based upon your beliefs and values. Since an advance ... Take a Class on Advance Medical Directives. Register for the Advance Care Planning: Completing your Power of Attorney for ... At this free class, you will learn more about advance care planning and how to complete an advance medical directive. ...
more infohttp://www.unitypoint.org/madison/patient-rights.aspx
Advance Directives  Advance Directives
Here we review general information about different advance health care directives, like health care power of attorney, living ... An advance health care directive is a kind of legal document that tells your doctor your wishes about your health care. ... Advance Directives. An advance health care directive is a kind of legal document that tells your doctor your wishes about your ... Here we review general information about different advance health care directives, like health care power of attorney, living ...
more infohttps://www.cancer.org/treatment/finding-and-paying-for-treatment/understanding-financial-and-legal-matters/advance-directives.html
Advance Directives - Geriatrics  Advance Directives - Geriatrics
Having an advance directive in place can mean the difference between life and death. - Advance Directives - Geriatrics at ... Advance Directives. Guest Author - A. Maria Hester, M.D.. An advance directive outlines what your doctor should and should not ... Ask your doctor for an advance directive form.. Write your own list of things you would and would not want done in the event of ... There are several options for writing your advance directives.. Speak to your attorney about your wishes and have her write ...
more infohttp://www.bellaonline.com/articles/art50486.asp
Advance Directives  Advance Directives
... FAQs Advance Directives FAQs. What other documents can be prepared ahead of time to indicate my healthcare ... When do advance directives come into effect? Advance directives only come into effect when you are unable to make your own ... Ohio Advance Directives forms:. Download and complete the Ohio Advance Directive Forms packet that includes the health care ... Need help with Advance Directives?. Assistance for patients in completing Advance Directives is available from either:. ...
more infohttps://my.clevelandclinic.org/patients/information/medical-decisions-guide/advance-directives
Advance directives - Canadian Cancer Society  Advance directives - Canadian Cancer Society
Advance directives take effect only when you die or if you become una ... Advance directives are legal documents that describe what you want for your medical care, finances and estate. They allow you ... Copies of any advance directive you make can be given to a lawyer, your healthcare team (to be put in your medical file) or ... Laws about advance directives differ from province to province. It's best to talk to a lawyer or your healthcare team for more ...
more infohttp://www.cancer.ca/en/cancer-information/cancer-journey/advanced-cancer/advance-directives/?region=ns
Advance Directives Awareness - Mayo Clinic  Advance Directives Awareness - Mayo Clinic
Research and Clinical TrialsSee how Mayo Clinic research and clinical trials advance the science of medicine and improve ...
more infohttps://www.mayoclinic.org/healthy-lifestyle/consumer-health/multimedia/advance-directives-awarness/vid-20114292
Advance Directives and Do Not Resuscitate Orders  Advance Directives and Do Not Resuscitate Orders
Learn how to create advance directives, such as living will, durable power of attorney for health care, and do not resuscitate ... What is an advance directive?. An advance directive is a legal document. It tells your doctor and family what kind of medical ... Advance directives could include:. Living will. A living will is one type of advance directive. It is a written, legal document ... How can I write an advance directive?. You can write an advance directive in several ways:. *Use a form provided by your doctor ...
more infohttps://familydoctor.org/advance-directives-and-do-not-resuscitate-orders/
Advance Directives | Main  Advance Directives | Main
Where is my advance directive valid?. Your advance directive is valid in Wisconsin. If you spend considerable time in another ... What if I update my advance directive?. If you change or update your advance directive, give a copy to all those who have the ... What if I don't have an advance directive?. If you don't have an advance directive, and you are incapacitated, your decisions ... Tips for Completing Your Advance Directive. Below are some common problems which result in an advance directive being returned ...
more infohttp://www.aspirus.org/Main/Advance-Directives.aspx?srcaud=GastrointestinalAssociatesSC-Wausau
Advance Directives | SVMHS  Advance Directives | SVMHS
Advance Directives. Salinas Valley Memorial Healthcare System is here to provide superior health services to patients ... Advance Directives. Salinas Valley Memorial Hospital utilizes an Advance Directive for Healthcare form that incorporates a ... Completing the Advance Directive Forms. After you choose options and you know who will speak on your behalf, complete an ... An Advance Directive is important for any age person and can be changed at any time. ...
more infohttps://www.svmh.com/About-Us/Healthcare-District-Information-Reports/Quality-Reporting/Advance-Directives.aspx
Advance Directives | National Kidney Foundation  Advance Directives | National Kidney Foundation
Advance Directives and Dialysis Other Important Points Discussion Topics Other Resources Checklist of Things to Consider ... What is an Advance Directive?. An advance directive is a legal paper that tells doctors and health care providers how you want ... Advance Directives and Dialysis. Can an advance directive state the conditions under which dialysis could be stopped?. Yes. An ... You are not required by law to have an advance directive. *You do not need to see a lawyer to make an advance directive; ...
more infohttps://www.kidney.org/atoz/content/advancedirectives
Advance Directive - Orlando Health  Advance Directive - Orlando Health
Learn about advance directives, which designate how you want your healthcare to be delivered should you be mentally or ... An "advance directive" is a document that you fill out before you need hospitalization. It designates how you want your ...
more infohttps://www.orlandohealth.com/patients-and-visitors/patient-resources/advance-directives
Advance Directives cohort  - EMGO  Advance Directives cohort - EMGO
The advance directive cohort, consisting of people with one or more of the 4 most common advance directives in the Netherlands ... Approximately4600 people with an advance directive of the NVVE (a refusal of treatment, an advance euthanasia directive or a ... To study advance directives comprehensively a cohort of about 5800 people with one (or more) of the 4 most common advance ... Collaboration gives the opportunity to compare groups of elderly with an advance directive with groups without an advance ...
more infohttp://www.emgo.nl/research/international-collaborations/longitudinal-cohort-studies/advance-directives-cohort
Advance Directives facts, information, pictures | Encyclopedia.com articles about Advance Directives  Advance Directives facts, information, pictures | Encyclopedia.com articles about Advance Directives
Make research projects and school reports about Advance Directives easy with credible articles from our FREE, online ... and pictures about Advance Directives at Encyclopedia.com. ... What Are Advance Directives? Advance directives are legal ... Psychiatric Advance Directives Issue Summary. ORGANIZATIONS. Advance Directive Training Project. Resource Center, Inc. Albany, ... Advance Directives. An advance directive is a statement that declares what kind of lifesaving medical treatment a patient wants ...
more infohttps://www.encyclopedia.com/medicine/divisions-diagnostics-and-procedures/medicine/advance-directives
Court ruling carries lesson on need for advance directives: CMA
	  Court ruling carries lesson on need for advance directives: CMA
... but this case does show clearly that all Canadians must make their wishes clear with advance care directives,' says CMA ...
more infohttps://www.cma.ca/En/Pages/Court-ruling-carries-lesson-need-advance-directives.aspx
Kidney failure patients advance directives are often inadequate | EurekAlert! Science News  Kidney failure patients' advance directives are often inadequate | EurekAlert! Science News
... but only a very small minority of these directives addressed the management of dialysis. ... nearly half of kidney failure patients receiving dialysis had advance directives outlining their preferences related to end-of- ... Notably, for patients receiving dialysis who had advance directives, more of the advance directives addressed cardiopulmonary ... Advance care planning includes advance directives, legal documents such as a living will designed to record such wishes. ...
more infohttps://www.eurekalert.org/pub_releases/2016-11/ason-kfp111116.php
Living wills and advance directives for medical decisions - Mayo Clinic  Living wills and advance directives for medical decisions - Mayo Clinic
Living wills and other advance directives describe your treatment preferences in end-of-life situations when you can't speak ... Creating advance directives. Advance directives need to be in writing. Each state has different forms and requirements for ... Reviewing and changing advance directives. You can change your directives at any time. If you want to make changes, you must ... A POLST also indicates what advance directives you have created and who serves as your health care agent. Like advance ...
more infohttps://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/art-20046303?pg=1
Default Options in Advance Directives - Full Text View - ClinicalTrials.gov  Default Options in Advance Directives - Full Text View - ClinicalTrials.gov
Comfort default advance directive No Intervention: Standard advance directive Subjects in the standard advance directive (AD) ... Life-extension default advance directive Experimental: Comfort default Subjects in this group will receive an advance directive ... their advance directive forms and an instruction sheet explaining to patients that they should complete their advance directive ... Default options in advance directives: study protocol for a randomised clinical trial. BMJ Open. 2016 Jun 6;6(6):e010628. doi: ...
more infohttps://clinicaltrials.gov/ct2/show/NCT02017548?recr=Open&intr=%22Hospice+Care%22&rank=17
Advance Directives<...  Advance Directives<...
Advance Directives. This is The Talk nobody talks about. No, not the one about drugs, or about sex. This is The Talk that helps ... Click Here to Download copy of Georgia Advance Directives.. Click here to connect to the site "Closure: Changing Expectations ... For healthy patients, an advance directive is an appropriate tool for making future end-of-life care wishes known to loved ones ...
more infohttp://www.hospicesavannah.org/what-services-are-available/hospice-care/advance-directives/
  • UMMC will honor advanced directives to the extent allowable by Mississippi law and the extent to which it is within the policies of this institution and to the extent agreed to by the treating physician. (umc.edu)
  • Even if you're not nor have ever been a patient at a FirstHealth hospital, you CAN have your Advance Directives on file for easy access if needed. (firsthealth.org)
  • After your Advance Directives are on file at the hospital you CAN change them anytime you want by simply sending a letter to the hospital Health Information Management Department or by sending in new documents. (firsthealth.org)
  • If a patient does not have general information regarding advance directives, s/he can expect to receive it at the time of hospitalization. (umc.edu)
more