advance directive

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Related to Advanced Directive: Durable power of attorney

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 ?
The issue was about where the documentation was in the notes and the doctors and nurses who were treating the patient at the time, and indeed the family, were unaware that the patient had made an advanced directive stating what their wishes were," she said.
Initiating an advanced directive can create a great communication with your spouse or your significant other or your family.
As the one responsible for continuity of a patient's care, the family physician is the appropriate person to counsel patients about advanced directives.
Many people are nervous about starting an advanced directive.
If the patient who executed the advanced directive is "dead," then our next question should be, Who is the person here now?
COOL also helps people deal with issues such as locating a physician for a child who is away at school, finding resources to manage diabetes or other chronic medical conditions, or preparing an advanced directive expressing end of life wishes.
Even with an advanced directive in place, the patient has to be given the opportunity to change his or her mind.
A random survey of 50 patient charts at McKenzie-Willamette every six months found 22 percent of patients had filled out an advanced directive.
The Wyoming Donor Registry takes the form of an advanced directive, which is legally binding; family members cannot overrule an individual's decision to donate at the time of death.
First of all, nurses know we all need a living will and advanced directives.
It is neither ethically right nor legally lawful to apply an advance directives document (2) whilst a patient enjoys sufficient competence to make autonomous decisions and express his or her informed consent (1); nor is it to request a decision from a patient's proxy (3) whilst the former maintains his or her capacity to make autonomous decisions (1) or has previously let his or her wishes be known in the form of an advanced directives (2).
Formal interviews were audio-recorded, transcribed verbatim and analyzed into themes describing content with regard to the participants' clinical experiences with use of advanced directives in ICU and recommendations for improving advanced care planning for ICU patients.

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