Advance Directives – Health Care Law (Nursing)

by Christy Davidson

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    00:00 Welcome back everyone.

    00:03 End of life decisions can be very emotional for the patient or family.

    00:07 Sometimes, decisions need to be made quickly and this becomes complicated if the patient has not previously made his or her wishes known.

    00:15 The very best way to avoid this challenging situation is to ensure the patient has an advanced directive.

    00:21 The term "advance directives" refers to treatment preferences and the designation of a surrogate decision-maker in the event that a person should become unable to make medical decisions on her or his own behalf.

    00:34 Advance medical directives are designated to outline a person's wishes and preferences in regard to medical treatments and interventions.

    00:43 When a patient is incapable of making his/her own medical decisions, a health care proxy can act on the patient's behalf to make decisions consistent with and based on the patient's stated will.

    00:55 Now, in advance directive, the policies can differ from one state to another.

    01:00 It might require the assistance from a personal physician and an attorney.

    01:05 These should be included in important documents as well as the medical record, There are different categories.

    01:13 One - living will,.

    01:15 Health care proxy And the power of attorney A living will is a written document that specifies what types of medical treatment are desired should the individual become incapacitated.

    01:29 It can be very general or it can be very specific.

    01:32 The most common statement in a living will is "to the effect that if I suffer an incurable, irreversible illness, disease or condition and my attending physician determines that my condition is terminal, I direct that life sustaining measures that would serve only to prolong my dying be withheld or discontinued".

    01:52 Additional inclusions may identify a patient's desire for analgesia or pain relief or antibiotics or artificial intravenous or IV hydration.

    02:05 Artificial feeding through a feeding tube, CPR or cardiopulmonary resuscitation, Life support equipment including ventilators or breathing machines, or a Do Not Resuscitate order, a DNR.

    02:21 Now, a healthcare proxy is a legal document in which an individual designates another person to make health care decisions if he or she is rendered incapable of making their wishes known.

    02:33 Anyone identified as a healthcare proxy has the same rights to request or refuse treatment that the individual would have if capable of making and communicating decisions.

    02:44 A Durable Power of Attorney.

    02:46 This provides the ability to execute legal documents in the case of an incapacitating medical condition.

    02:53 Anyone who is identified as a durable power of attorney has the ability to make bank transactions or sign social security checks, apply for disability or write checks to pay bills.

    03:06 Now, some common scenarios where an advance directive becomes helpful could include a coma, a persistent vegetative state, severe brain injury, strokes, advanced Alzheimer's disease or other form of dementia, critical medical illness affecting mental capacity.

    03:29 Now let's talk about what to assess and to document.

    03:32 You need to review and verify the patient's advance directive status with the first patient contact.

    03:38 Be sure to encourage all patients to initiate advance directives.

    03:42 Document and communicate all information with other members of the healthcare team so that the patient's choices are upheld in all aspects of care.

    03:53 Remember, advance directives not only help with the decision-making in times of incapacity, but they can also clarify one's preferences during times of uncertainties while still cognitively intact.

    04:06 So in thinking of what we've all covered today, I'd like you to consider this question: What are three categories of advance medical directives? They are living will, a health care proxy and a durable power of attorney.

    04:27 I hope you've enjoyed today's video on advance directives.

    04:30 Thank you so much for watching.

    About the Lecture

    The lecture Advance Directives – Health Care Law (Nursing) by Christy Davidson is from the course Professionalism (Nursing).

    Included Quiz Questions

    1. Advance directive
    2. Power of attorney
    3. Do not resuscitate
    4. Health care surrogacy personnel
    1. The health care proxy
    2. The client’s spouse
    3. The client’s children
    4. The health care provider
    1. A living will document
    2. A power of attorney document
    3. A do not resuscitate document
    4. A delineation of treatment document
    1. Health care proxy
    2. Health care alternate
    3. Health care surrogate
    4. Health care executor
    1. Durable power of attorney
    2. Health care proxy
    3. Designated decision maker
    4. Surrogacy personnel

    Author of lecture Advance Directives – Health Care Law (Nursing)

     Christy Davidson

    Christy Davidson

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