In some states, the DNR order also may be used in outpatient settings.ĭurable power of attorney for health careĪ written advance directive that assigns one person as a decision-making proxy should the user become incapacitated. ![]() Written or verbal documentation in which a person indicates health care preferences while he or she is cognitively and physically able to make decisions.Įach state has different regulations for the use of advance directives.Īn advanced directive that combines elements of a living will and durable power of attorney for health care into one document.Īn order that prohibits the use of cardiopulmonary resuscitation in the event of cardiac arrest.Īdvanced directives do not need to include a do-not-resuscitate (DNR) order, and the patient does not need an advanced directive to have a DNR order. 10, 11 Another type of advance directive, the durable power of attorney for health care, allows persons to designate a proxy (or surrogate) to make decisions for them if they become incapacitated. A living will may list medical interventions the patient would like withheld or withdrawn when he or she becomes unable to communicate. 8, 10, 11 The living will, a written advance directive, allows a competent person to indicate his or her health care preferences while cognitively and physically healthy. 9 Table 1 is a list of terms and definitions associated with advance directives. The PSDA requires hospitals, nursing homes, and health care programs to ask patients about advance directives and then incorporate the information into medical records. ![]() 8 The Patient Self-Determination Act (PSDA) 9 was written in response to the case. This case affirmed a state’s right to require “clear and convincing evidence” for wishes concerning life-sustaining medical care. Supreme Court decision 7 drew attention to the issue of life-sustaining treatments for patients who are unable to make their own decisions.
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