advance directive


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advance directive

a declaration by a person in relation to medical treatment (usually to instruct that it stop) to provide for a situation in which he might himself be unable to comment, e.g. the so-called living will. The US Supreme Court established the right for a person to refuse medical treatment, which in the case of a comatose patient can be difficult to establish. This is an issue that is troubling most legal systems because it raises moral, philosophical and practical questions. In the UK the directive is legally effective because treatment requires consent. It need not be in writing. It cannot, however, compel doctors to cease treatment so as to mercy-kill or provide treatment which they do not consider to be in the best interests of the patient.
References in periodicals archive ?
Other members of the healthcare team can be engaged in creating protocols for clear recording of advance directive discussions with patients and their families.
And the only way to ensure that outcome is through the completion of advance directives.
More work is needed to understand how members of the healthcare team in ICU should integrate the patient's message from an advance directive in ongoing dialogue about whether the use of life support technologies are wanted in care at the end of life.
Advance directives specifying that patients don't want aggressive treatment at the end of life limit interventions and their costs only in regions in which aggressive end-of-life care is common, according to a report.
All advance directive, or PAD-specific, statutes for mental health allow clinicians to override patients' advance choices for treatment when a preference conflicts with standards of care and the clinician is acting in good faith; however, when this happens, clinicians in most situations are obligated to follow whatever portions of the PAD they can, even if they override specific instructions (Swanson, McCrary, et al.
We hope someday we ll move beyond paper, but until then Google Health can help you store your paper medical records electronically, including an advance directive, in one safe place," they wrote.
3) a public education campaign, toll-free telephone hotline, and clearinghouse to promote advance directives and other advance care planning.
To help realize this goal, they have created a Web site with information and tools for the public to talk about future healthcare decisions and execute written advance directives (healthcare power of attorney and living wills) in accordance with their applicable state laws.
He argues that unlike decisions expressed in advance directives, decisions based on what the patient would want fail to promote self-determination.
The appendix includes resources and Web links for learning about advance directive requirements and obtaining legal forms in all fifty states.
An Advance Directive is a means for a person to direct the health care they wish to receive, in the event that they are not able to speak for themselves.
Oklahoma's advance directive law was amended in the last legislative session.

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