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Learn about various kinds of advance directives, including written living will declarations and appointment of an attorney-in-fact in a durable power of attorney for healthcare. These directives help extend the authority of patients and ensure their wishes are honored, avoiding potential conflicts and unwanted interventions. Understand the reasons for having advance directives and how they can prevent inappropriate or guilt-driven decisions in healthcare.
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ADVANCE DIRECTIVES KINDS OF ADVANCE DIRECTIVE
WHY AN ADVANCE DIRECTIVE • TO EXTEND THE AUTHORITY OF THE PATIENT BEYOND THE ONSET OF DECISIONAL INCAPACITY • TO EXPRESS CLEARLY THE WISHES OF THE PATIENT SO THEY WILL BE HONORED BY CAREGIVERS, FAMILIES, AND OTHERS • TO AVOID BECOMING A VICTIM OF ANOTHER’S AGENDA • ARBITRARY DECISIONS PATIENT WOULD NOT WANT • DECISIONS MADE OUT OF GUILT OR FEAR • PRESSURE FROM SPECIAL INTEREST GROUPS • PROTRACTED OR UNDESIRABLE COURT DECISIONS • TO AVOID THE NECESSITY OF GOING TO COURT --- OFTEN INAPPROPRIATE DECISIONS • CONSERVE RESOURCES, PARTICULARLY WHEN FURTHER TREATMENT IS FUTILE
KINDS OF ADVANCE DIRECTIVESUNWRITTEN • INFORMAL STATEMENTS MADE TO FAMILY AND FRIENDS • INEFFECTIVE IN CASES OF CONFLICT • STATEMENTS MADE TO PHYSICIANS WHICH ARE DOCUMENTED IN THE PATIENT’S CHART • SAME STATUS AS WRITTEN ADVANCE DIRECTIVES
KINDS OF ADVANCE DIRECTIVESWRITTEN LIVING WILL DECLARATIONS • A DOCUMENT WRITTEN AND/OR SIGNED BY INDIVIDUALS WHILE THEY ARE CAPABLE OF MAKING DECISIONS ABOUT THEIR HEALTHCARE WHICH ORDINARILY DIRECTS THEIR PHYSICIANS TO USE RESTRAINT IN EMPLOYING AGGRESSIVE TREATMENTS TO PROLONG THEIR LIVES IF THEY ARE IN A TERMINAL OR IRREVERSIBLE CONDITION AND UNABLE TO MAKE DECISIONS ON THEIR OWN BEHALF AT THE TIME THE TREATMENTS ARE BEING CONSIDERED.
KINDS OF ADVANCE DIRECTIVESAPPOINTMENT OF AN ATTORNEY-IN-FACT IN A DURABLE POWER OF ATTORNEY FOR HEALTHCARE • A DOCUMENT SIGNED BY INDIVIDUALS WHILE THEY ARE CAPABLE OF MAKING DECISIONS ABOUT THEIR HEALTHCARE DESIGNATING A PERSON WHO WILL HAVE AUTHORITY TO MAKE HEALTHCARE DECISIONS FOR THEM IN THE EVENT THAT THEY MIGHT BECOME INCAPABLE OF MAKING THOSE DECISIONS AT THE TIME THEY ARE BEING CONSIDERED. • IMPORTANCE OF TRUST