Advance Directive. An individual’s written directive or instruction, such as a power of attorney for health care or a living will, recognized under state law (whether statutory or as recognized by the courts of the state) for the provision of that individual’s health care if the individual is unable to make his or her health care wishes known.
Advance Directive. Provider shall document all patient records with respect to the existence of an Advance Directive in compliance with the Patient Self-Determination Act (Section 4751 of the Omnibus Reconciliation Act of 1990), as amended, and other appropriate laws.
Advance Directive. The PASSE will maintain policies and procedures addressing advanced directives for adult PASSE Members as specified in 42 CFR §438.3(j) and 42 CFR §422.128, the Arkansas Healthcare Decisions Act. (Ark. Code Xxx. §20-6-101 et seq.), and the Medicaid Provider Manual for all providers, Section I which refers to the Patient Self Determination Act of 1990, Sections 4206 and 4751 of the Omnibus Budget Reconciliation Act of 1990, P.L.101-508. SECTION XXII
Advance Directive. 1. The rights of all RESIDENTS to participate in making their own health care decisions, including the right to decide whether to accept or refuse life-prolonging measures or other treatments, is supported by the FACILITY. The RESIDENT has a right to appoint a health care representative to represent her/him regarding her/his health care in the event she/he is unable to do so personally, or to prepare an Advance Directive which clearly expresses his/her wishes regarding health care decisions. The RESIDENT acknowledges that she/he has been provided with written information by the FACILITY regarding these rights, a copy of which is contained at Part 15 of the Application for Admission, and that they have a right to request assistance from the FACILITY in obtaining additional information. The FACILITY cannot and does not provide legal advice in the preparation of these documents.
Advance Directive. The CCN must maintain policy and procedures concerning advance directives with respect to all adult individuals receiving medical services by or through the CCN in accordance with 42 CFR §489 438.6(i)(1). The written information provided by the CCN must reflect changes in State law as soon as possible, but no later than 90 days after the effective date of the change.
Advance Directive. The Patient Speaks The doctor and the patient engage in a social contract, a voluntary arraignment that exchanges some freedom for security. The patient puts trust in the doctor. The doctor acts in the best interest of the patient. Illness creates vulnerability and the medical social contract may falter. Fear of involuntary treatment or the consequence of the involuntary removal of treatment has necessitated the development of an advanced document or declaration on goals of care. Physicians may honor a request of a patient that no longer desires treatment. This request may be contained within an advance directive or may be determined in the circumstance of ongoing treatment. Advance directives are underpinned by the ethical principle of patient autonomy and, as such, require an extension of a patient’s personhood to a point beyond what might otherwise be claimable. An understanding of personhood is fundamental to advance directives as only a person can assert them. We believe that our sense of self extends beyond our capacity to verbally express it and is not necessarily diminished by a loss of personal agency. From the perspective of friends or family, they may be compelled to act against conflicted personal interests when tasked with the responsibility of proxy or surrogate decision maker. From the perspective of the health care provider, all patient treatment directives must be filtered through ethical conduct. The health care provider must use caution against usurping the narrative and be aware of the competing interests of the patient, family, society and themselves. The rise of patient autonomy and the need for advance directives reflects, to an extent, the perception that physicians have failed to act with non-maleficence and promote beneficence. From the perspective of the physician, the opposite might be claimed, that is, an advance directive cannot be honored if the patient requests the physician to act in a capacity that the physician cannot view as beneficent. The rise of advance directive is a parallel development to the development of new technology in medical care that can extend life beyond what has traditionally been possible. The public has concerns that life extension may create lives of low quality as a consequence of pain, disability, or a general incapacity. A further concern is that in this incapacitated state, a loss of the ability to communicate wishes could result in prolonged patient suffering. On its face, suffering of any degre...
Advance Directive. Do you have an advance directive? Information given (Check one): Y N
Advance Directive. “Advance Directive” means a written instruction, such as a living will or durable power of attorney for health care, recognized under the laws of the State of Washington, relating to the provision of health care when an individual is incapacitated (WAC 182-501-0125, 42 C.F.R. § 438.6, 438.10, 422.128, and 489.100).
Advance Directive. Written instructions such as an Advance Directive, Mental Health Advance Directive, living will, durable health care power of attorney, durable mental health care power of attorney, or Advance Health Directive, relating to the provision of health care when an adult is incapacitated. [See generally, NMSA 1978, §§27-7A-1 – 27-7A-18, and §§24-7B-1 – 24-7B-16.]
Advance Directive
