SlideShare a Scribd company logo
Health Care Planning
Sheri Sudweeks, Esq.
Sugai & Sudweeks, LLP
200 S. Santa Cruz Avenue, Suite 100
Los Gatos, Ca 95030
408-354-0200
Sugaisudweeks.com
Advance Health Care Directive
• Includes individual health care instructions
and a power of attorney for health care
(PC4605)
• Authority only becomes effective on
determination that principal lacks capacity,
unless specifically stated otherwise (PC 4682)
AHCD
• Requirements to execute:
– Capacity as defined in PC 4609
– Execution – must include(PC 4673):
– Must include date executed
– Signed by principal or in principals name by another adult in his
presence and at his direction
– Witnessed by 2 witnesses under penalty of perjury, one of which
cannot be related to principal or entitled to part of principal’s
estate
– OR Notarized as alternative to witnesses
– ADDITIONAL Requirements if Execution is in a skilled Nursing
Facility – patient advocate or Ombudsmen designated by the
Department of aging must sign as one of the witnesses or in
addition to notarization
AHCD
• Agents
– Authority:
• Health care decisions to the same extent as the principal (PC
4617)
• Postmortem decisions such as disposition of remains,
making anatomical gifts requesting an autopsy or releasing
medical records (PC 4683(b))
– Limits to authority:
• No commitment to mental health facility
• No convulsive shock treatment, psychosurgery, sterilization,
or abortion (PC 4652)
– Liability: no liability for health care decisions made in
good faith (PC 4741)
AHCD
• Revocation – principal may revoke by
– Designation of agent by informing the supervising health care provider
verbally or by signed writing (PC 4695 (a))
– Any portion or portions, other than appointment of agent may be revoked at
any time, in any manner that communicates an intent to revoke (PC 4695 (b))
– Latter directive revokes former directive (PC 4698)
• Third Parties-
– Agent under Directive has priority over conservator for making health care
decisions (PC 2356)
– Health Care providers and institutions must comply with instructions from
agent as if from patient (PC 4733)
– Limited reasons allow a health care provide to decline to comply (i.e. reasons
of conscience)(PC 4734)
– Can petition court to enforce (PC 4766(e))
– Health Care provider or institution that intentionally violates directive is
subject to liability and damages that include attorney fees (PC 4742)
Talking to Clients about AHCD
Are your documents current?
• Executed Prior to 1997
• Executed Prior to July 2000
• Executed Prior to 2004
• Have you signed a generic hospital form that
revoked your document?
• Statutory form?
• Kaiser (or other PPO/HMO) form?
Talking to Clients about AHCD
Agent
• Someone to make decisions for you if you are
unable to do so
• Choosing an agent:
– at least 18 years old
– knows you well
– can be there for you when you need them
– you trust to do what is best for you
– can tell your doctors about the decisions
you would want made
Talking to Clients about AHCD
• Your Agent cannot be your doctor or someone
who works at your hospital or clinic where you
get health care, unless they are a family
member or your co-worker.
Talking to Clients About AHCD
Is there someone you do not want to be your
agent?
• You can also put this into your AHCD
• You can even put limits on who may visit you
Talking to Clients about AHCD
What powers do agents have?
• Only those that you give
• AHCD can give agent immediate power or state that Agent can
only act if you are unable to make decisions
• Your agent can agree to, say “no” to, change, stop or choose:
– • doctors, nurses, social workers
– • hospitals or clinics
– • medical treatment (including artificial feeding), medications or
tests
– • what happens to your body and organs after you die
Talking to Clients about AHCD
Your Wishes:
• Terminal Illness
• Life Support
• Irreversible Coma
• Palliative Care
• Nutrition and Hydration
• Hospice
• Long term care
• Organ Donation
Talking to Clients about AHCD
Organ Donation
• Entire Body
• Organs and Tissue
• Donate to University, Hospital, Organ Bank
• Limitations: Transplant, Education, Research
• Let Agent make decision
Talking to Clients about AHCD
Autopsy
• Religious beliefs
• May be overridden by law enforcement
• Let Agent make decision
Talking to Clients about AHCD
Disposition of Remains
• Arrangements that you have in place
• Your wishes
• Agents discretion
What do I do with my AHCD?
• Keep the original yourself. Make copies of the
form to share with those who care for you or are
listed as agents.
• Make sure that you place a copy with each of
your doctors, nurses, social workers, and hospital.
• If you keep an emergency bag by your door or a
vial of life in your refrigerator, either include a
copy or the location of a copy.
• Register your AHCD with the Secretary of State.
• Have CODA create a wallet card.
• CMA Wallet card.
Keep a list of who has copies.
DNR
• Do Not Resuscitate
• California Form (EMSA)
• Signed with Physician
• EMS policies
• MedicAlert Registration
• Conservator may not execute without
additional court order
POLST
• Physicians order for life sustaining treatment
• No Conservator right-need court order
• Signed by doctor and patient/agent
• Sets forth decisions that patient has made
decisions about end of life treatment
Authorization for Medical Treatment
of Adult Without Conservator
• Probate code Section 3200-3212
• Permits a petition to obtain authority for a
health care decision for non conserved person
without capacity
• Petitioner may be spouse, friend, relative,
interested person
• Limited to a specific health decision, not an
ongoing course of treatment

More Related Content

What's hot

Accurate Discharge Summaries Vital for a Patient’s Ongoing Healthcare
Accurate Discharge Summaries Vital for a Patient’s Ongoing HealthcareAccurate Discharge Summaries Vital for a Patient’s Ongoing Healthcare
Accurate Discharge Summaries Vital for a Patient’s Ongoing Healthcare
Medical Transcription Service Company
 
Lecture 13 privacy, confidentiality and medical records
Lecture 13 privacy, confidentiality and medical recordsLecture 13 privacy, confidentiality and medical records
Lecture 13 privacy, confidentiality and medical records
Dr Ghaiath Hussein
 
Sibley Memorial Hospital Annual Education 2011
Sibley Memorial Hospital Annual Education 2011Sibley Memorial Hospital Annual Education 2011
Sibley Memorial Hospital Annual Education 2011
Sibley Memorial Hospital
 
Hipaa
HipaaHipaa
Hipaa
wcmc
 
Discharge , referral and death summary
Discharge , referral and death summary Discharge , referral and death summary
Discharge , referral and death summary
Dr Mubashir Bashir
 
SCHS Topic 5: Privacy, Confidentiality and Medical Records
SCHS Topic 5: Privacy, Confidentiality and Medical RecordsSCHS Topic 5: Privacy, Confidentiality and Medical Records
SCHS Topic 5: Privacy, Confidentiality and Medical Records
Dr Ghaiath Hussein
 
How Crucial is Medical Records for Your Medical Malpractice Case?
How Crucial is Medical Records for Your Medical Malpractice Case?How Crucial is Medical Records for Your Medical Malpractice Case?
How Crucial is Medical Records for Your Medical Malpractice Case?
mosmedicalreview
 
Patient rights
Patient rightsPatient rights
Patient rights
Nursing Hi Nursing
 
Patients' rights and responsibilities
Patients' rights and responsibilitiesPatients' rights and responsibilities
Patients' rights and responsibilities
Ankuran Dutta
 
A Patient’S Bill Of Rights
A Patient’S Bill Of RightsA Patient’S Bill Of Rights
A Patient’S Bill Of Rights
Tosca Torres
 
Sarah-CVvvvvvv
Sarah-CVvvvvvvSarah-CVvvvvvv
Sarah-CVvvvvvv
Sarah Caraffi
 
Medical and Dental Council of Nigeria
Medical and Dental Council of NigeriaMedical and Dental Council of Nigeria
Medical and Dental Council of Nigeria
Effiong Akang
 
MODULE 8 - PRIVACY AND CONFIDENTIALITY
MODULE 8 - PRIVACY AND CONFIDENTIALITYMODULE 8 - PRIVACY AND CONFIDENTIALITY
MODULE 8 - PRIVACY AND CONFIDENTIALITY
Dr Ghaiath Hussein
 
Privacy & confedentiality
Privacy & confedentialityPrivacy & confedentiality
Privacy & confedentiality
Hemang Patel
 
Pcpndt act by m b singh 5 8-2020
Pcpndt act by m b singh 5 8-2020Pcpndt act by m b singh 5 8-2020
Pcpndt act by m b singh 5 8-2020
balaji singh
 
Legal rights of a patient
Legal rights of a patientLegal rights of a patient
Legal rights of a patient
Health Education Library for People
 
SCHS Topic 3: Patients Rights
SCHS Topic 3: Patients RightsSCHS Topic 3: Patients Rights
SCHS Topic 3: Patients Rights
Dr Ghaiath Hussein
 
A Gift To Your Family - Planning Ahead for Future Health Needs
A Gift To Your Family - Planning Ahead for Future Health NeedsA Gift To Your Family - Planning Ahead for Future Health Needs
A Gift To Your Family - Planning Ahead for Future Health Needs
elder_law_center_of_wisconsin
 
Eastzone medico legal services pvt2
Eastzone medico legal services pvt2Eastzone medico legal services pvt2
Eastzone medico legal services pvt2
east zone medico legal services pvt.ltd
 

What's hot (19)

Accurate Discharge Summaries Vital for a Patient’s Ongoing Healthcare
Accurate Discharge Summaries Vital for a Patient’s Ongoing HealthcareAccurate Discharge Summaries Vital for a Patient’s Ongoing Healthcare
Accurate Discharge Summaries Vital for a Patient’s Ongoing Healthcare
 
Lecture 13 privacy, confidentiality and medical records
Lecture 13 privacy, confidentiality and medical recordsLecture 13 privacy, confidentiality and medical records
Lecture 13 privacy, confidentiality and medical records
 
Sibley Memorial Hospital Annual Education 2011
Sibley Memorial Hospital Annual Education 2011Sibley Memorial Hospital Annual Education 2011
Sibley Memorial Hospital Annual Education 2011
 
Hipaa
HipaaHipaa
Hipaa
 
Discharge , referral and death summary
Discharge , referral and death summary Discharge , referral and death summary
Discharge , referral and death summary
 
SCHS Topic 5: Privacy, Confidentiality and Medical Records
SCHS Topic 5: Privacy, Confidentiality and Medical RecordsSCHS Topic 5: Privacy, Confidentiality and Medical Records
SCHS Topic 5: Privacy, Confidentiality and Medical Records
 
How Crucial is Medical Records for Your Medical Malpractice Case?
How Crucial is Medical Records for Your Medical Malpractice Case?How Crucial is Medical Records for Your Medical Malpractice Case?
How Crucial is Medical Records for Your Medical Malpractice Case?
 
Patient rights
Patient rightsPatient rights
Patient rights
 
Patients' rights and responsibilities
Patients' rights and responsibilitiesPatients' rights and responsibilities
Patients' rights and responsibilities
 
A Patient’S Bill Of Rights
A Patient’S Bill Of RightsA Patient’S Bill Of Rights
A Patient’S Bill Of Rights
 
Sarah-CVvvvvvv
Sarah-CVvvvvvvSarah-CVvvvvvv
Sarah-CVvvvvvv
 
Medical and Dental Council of Nigeria
Medical and Dental Council of NigeriaMedical and Dental Council of Nigeria
Medical and Dental Council of Nigeria
 
MODULE 8 - PRIVACY AND CONFIDENTIALITY
MODULE 8 - PRIVACY AND CONFIDENTIALITYMODULE 8 - PRIVACY AND CONFIDENTIALITY
MODULE 8 - PRIVACY AND CONFIDENTIALITY
 
Privacy & confedentiality
Privacy & confedentialityPrivacy & confedentiality
Privacy & confedentiality
 
Pcpndt act by m b singh 5 8-2020
Pcpndt act by m b singh 5 8-2020Pcpndt act by m b singh 5 8-2020
Pcpndt act by m b singh 5 8-2020
 
Legal rights of a patient
Legal rights of a patientLegal rights of a patient
Legal rights of a patient
 
SCHS Topic 3: Patients Rights
SCHS Topic 3: Patients RightsSCHS Topic 3: Patients Rights
SCHS Topic 3: Patients Rights
 
A Gift To Your Family - Planning Ahead for Future Health Needs
A Gift To Your Family - Planning Ahead for Future Health NeedsA Gift To Your Family - Planning Ahead for Future Health Needs
A Gift To Your Family - Planning Ahead for Future Health Needs
 
Eastzone medico legal services pvt2
Eastzone medico legal services pvt2Eastzone medico legal services pvt2
Eastzone medico legal services pvt2
 

Similar to Health Care Planning

Current Cases: Medical Staff Nightmares And Fairy Tales
Current Cases: Medical Staff Nightmares And Fairy TalesCurrent Cases: Medical Staff Nightmares And Fairy Tales
Current Cases: Medical Staff Nightmares And Fairy Tales
Quarles & Brady
 
LAW AND ETHICS for and concerned with Forensic
LAW AND ETHICS  for and concerned with ForensicLAW AND ETHICS  for and concerned with Forensic
LAW AND ETHICS for and concerned with Forensic
snmcforensic
 
Licensing and Privileging
Licensing and PrivilegingLicensing and Privileging
Licensing and Privileging
Parsons Behle & Latimer
 
Duty of doctors medico legal aspects
Duty of doctors medico legal aspectsDuty of doctors medico legal aspects
Duty of doctors medico legal aspects
sarosem
 
Start the Discussion: The Importance of Advance Directives
Start the Discussion: The Importance of Advance DirectivesStart the Discussion: The Importance of Advance Directives
Start the Discussion: The Importance of Advance Directives
Summit Health
 
Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...
Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...
Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...
Irish Hospice Foundation
 
Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)
Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)
Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)
drmainuddin
 
Medical Ethics and Professional Misconduct
Medical Ethics and Professional MisconductMedical Ethics and Professional Misconduct
Medical Ethics and Professional Misconduct
EvilDoctor666
 
Medical jurisprudence
Medical jurisprudenceMedical jurisprudence
Medical jurisprudence
sangeet dhillon
 
Lecture 17 ethical issues in medical reports, sick-leaves & medical rec...
Lecture 17   ethical issues in medical reports, sick-leaves & medical rec...Lecture 17   ethical issues in medical reports, sick-leaves & medical rec...
Lecture 17 ethical issues in medical reports, sick-leaves & medical rec...
Dr Ghaiath Hussein
 
Consent in surgical patient
Consent in surgical patientConsent in surgical patient
Consent in surgical patient
rashree-singh
 
Psychiatric Petitions & The Commitment Process
Psychiatric Petitions & The Commitment ProcessPsychiatric Petitions & The Commitment Process
Psychiatric Petitions & The Commitment Process
Teresa Chahine
 
Advance Healthcare Directives (AHDs)
Advance Healthcare Directives (AHDs)Advance Healthcare Directives (AHDs)
Advance Healthcare Directives (AHDs)
Irish Hospice Foundation
 
Sikitsa-Corporate
Sikitsa-CorporateSikitsa-Corporate
Sikitsa-Corporate
Ansh Chopra
 
ETHICAL ASPECTS OF ANESTHESIA CARE.pptx
ETHICAL ASPECTS OF ANESTHESIA CARE.pptxETHICAL ASPECTS OF ANESTHESIA CARE.pptx
ETHICAL ASPECTS OF ANESTHESIA CARE.pptx
mamatabista4
 
Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...
Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...
Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...
VITAS Healthcare
 
Introduction to Medical Ethics
Introduction to Medical EthicsIntroduction to Medical Ethics
Introduction to Medical Ethics
VITAS Healthcare
 
UNETHICAL_MEDICAL_PRACTICES.pptx
UNETHICAL_MEDICAL_PRACTICES.pptxUNETHICAL_MEDICAL_PRACTICES.pptx
UNETHICAL_MEDICAL_PRACTICES.pptx
Bright Kumwenda
 
Legal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursingLegal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursing
Nursing Path
 
LEGAL ASPECTS OF MEDICAL PRACTICE
LEGAL ASPECTS OF MEDICAL PRACTICELEGAL ASPECTS OF MEDICAL PRACTICE
LEGAL ASPECTS OF MEDICAL PRACTICE
S A Tabish
 

Similar to Health Care Planning (20)

Current Cases: Medical Staff Nightmares And Fairy Tales
Current Cases: Medical Staff Nightmares And Fairy TalesCurrent Cases: Medical Staff Nightmares And Fairy Tales
Current Cases: Medical Staff Nightmares And Fairy Tales
 
LAW AND ETHICS for and concerned with Forensic
LAW AND ETHICS  for and concerned with ForensicLAW AND ETHICS  for and concerned with Forensic
LAW AND ETHICS for and concerned with Forensic
 
Licensing and Privileging
Licensing and PrivilegingLicensing and Privileging
Licensing and Privileging
 
Duty of doctors medico legal aspects
Duty of doctors medico legal aspectsDuty of doctors medico legal aspects
Duty of doctors medico legal aspects
 
Start the Discussion: The Importance of Advance Directives
Start the Discussion: The Importance of Advance DirectivesStart the Discussion: The Importance of Advance Directives
Start the Discussion: The Importance of Advance Directives
 
Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...
Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...
Presentation on Advance Healthcare Directives (From Acute Hospital Network, J...
 
Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)
Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)
Medical Negligence (ভুল চিকিৎসায় রোগীর মৃত্যু)
 
Medical Ethics and Professional Misconduct
Medical Ethics and Professional MisconductMedical Ethics and Professional Misconduct
Medical Ethics and Professional Misconduct
 
Medical jurisprudence
Medical jurisprudenceMedical jurisprudence
Medical jurisprudence
 
Lecture 17 ethical issues in medical reports, sick-leaves & medical rec...
Lecture 17   ethical issues in medical reports, sick-leaves & medical rec...Lecture 17   ethical issues in medical reports, sick-leaves & medical rec...
Lecture 17 ethical issues in medical reports, sick-leaves & medical rec...
 
Consent in surgical patient
Consent in surgical patientConsent in surgical patient
Consent in surgical patient
 
Psychiatric Petitions & The Commitment Process
Psychiatric Petitions & The Commitment ProcessPsychiatric Petitions & The Commitment Process
Psychiatric Petitions & The Commitment Process
 
Advance Healthcare Directives (AHDs)
Advance Healthcare Directives (AHDs)Advance Healthcare Directives (AHDs)
Advance Healthcare Directives (AHDs)
 
Sikitsa-Corporate
Sikitsa-CorporateSikitsa-Corporate
Sikitsa-Corporate
 
ETHICAL ASPECTS OF ANESTHESIA CARE.pptx
ETHICAL ASPECTS OF ANESTHESIA CARE.pptxETHICAL ASPECTS OF ANESTHESIA CARE.pptx
ETHICAL ASPECTS OF ANESTHESIA CARE.pptx
 
Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...
Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...
Introduction to Medical Ethics: Informed Consent & Advance Directives | VITAS...
 
Introduction to Medical Ethics
Introduction to Medical EthicsIntroduction to Medical Ethics
Introduction to Medical Ethics
 
UNETHICAL_MEDICAL_PRACTICES.pptx
UNETHICAL_MEDICAL_PRACTICES.pptxUNETHICAL_MEDICAL_PRACTICES.pptx
UNETHICAL_MEDICAL_PRACTICES.pptx
 
Legal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursingLegal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursing
 
LEGAL ASPECTS OF MEDICAL PRACTICE
LEGAL ASPECTS OF MEDICAL PRACTICELEGAL ASPECTS OF MEDICAL PRACTICE
LEGAL ASPECTS OF MEDICAL PRACTICE
 

Recently uploaded

PPT-Money Laundering - lecture 5.pptx ll
PPT-Money Laundering - lecture 5.pptx llPPT-Money Laundering - lecture 5.pptx ll
PPT-Money Laundering - lecture 5.pptx ll
MohammadZubair874462
 
THE CONCEPT OF RIGHT TO DEFAULT BAIL.pptx
THE CONCEPT OF RIGHT TO DEFAULT BAIL.pptxTHE CONCEPT OF RIGHT TO DEFAULT BAIL.pptx
THE CONCEPT OF RIGHT TO DEFAULT BAIL.pptx
Namrata Chakraborty
 
一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理
一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理
一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理
onduyv
 
From Promise to Practice. Implementing AI in Legal Environments
From Promise to Practice. Implementing AI in Legal EnvironmentsFrom Promise to Practice. Implementing AI in Legal Environments
From Promise to Practice. Implementing AI in Legal Environments
ssusera97a2f
 
一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理
一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理
一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理
duxss
 
一比一原版林肯大学毕业证(lincoln毕业证)如何办理
一比一原版林肯大学毕业证(lincoln毕业证)如何办理一比一原版林肯大学毕业证(lincoln毕业证)如何办理
一比一原版林肯大学毕业证(lincoln毕业证)如何办理
fexbqa
 
Safeguarding Against Financial Crime: AML Compliance Regulations Demystified
Safeguarding Against Financial Crime: AML Compliance Regulations DemystifiedSafeguarding Against Financial Crime: AML Compliance Regulations Demystified
Safeguarding Against Financial Crime: AML Compliance Regulations Demystified
PROF. PAUL ALLIEU KAMARA
 
在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样
在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样
在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样
15e6o6u
 
Pedal to the Court Understanding Your Rights after a Cycling Collision.pdf
Pedal to the Court Understanding Your Rights after a Cycling Collision.pdfPedal to the Court Understanding Your Rights after a Cycling Collision.pdf
Pedal to the Court Understanding Your Rights after a Cycling Collision.pdf
SunsetWestLegalGroup
 
快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样
快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样
快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样
15e6o6u
 
Should AI hold Intellectual Property Rights?
Should AI hold Intellectual Property Rights?Should AI hold Intellectual Property Rights?
Should AI hold Intellectual Property Rights?
RoseZubler1
 
原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样
原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样
原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样
abondo3
 
一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理
一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理
一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理
gjsma0ep
 
一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理
一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理
一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理
hedonxu
 
一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理
一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理
一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理
ubype
 
17-03 2022 -full agreement full version .pdf
17-03 2022 -full agreement full version .pdf17-03 2022 -full agreement full version .pdf
17-03 2022 -full agreement full version .pdf
ssuser0dfed9
 
Genocide in International Criminal Law.pptx
Genocide in International Criminal Law.pptxGenocide in International Criminal Law.pptx
Genocide in International Criminal Law.pptx
MasoudZamani13
 
Integrating Advocacy and Legal Tactics to Tackle Online Consumer Complaints
Integrating Advocacy and Legal Tactics to Tackle Online Consumer ComplaintsIntegrating Advocacy and Legal Tactics to Tackle Online Consumer Complaints
Integrating Advocacy and Legal Tactics to Tackle Online Consumer Complaints
seoglobal20
 
一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理
一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理
一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理
gedsuu
 
V.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdf
V.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdfV.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdf
V.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdf
bhavenpr
 

Recently uploaded (20)

PPT-Money Laundering - lecture 5.pptx ll
PPT-Money Laundering - lecture 5.pptx llPPT-Money Laundering - lecture 5.pptx ll
PPT-Money Laundering - lecture 5.pptx ll
 
THE CONCEPT OF RIGHT TO DEFAULT BAIL.pptx
THE CONCEPT OF RIGHT TO DEFAULT BAIL.pptxTHE CONCEPT OF RIGHT TO DEFAULT BAIL.pptx
THE CONCEPT OF RIGHT TO DEFAULT BAIL.pptx
 
一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理
一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理
一比一原版朴次茅斯大学毕业证(uop毕业证)如何办理
 
From Promise to Practice. Implementing AI in Legal Environments
From Promise to Practice. Implementing AI in Legal EnvironmentsFrom Promise to Practice. Implementing AI in Legal Environments
From Promise to Practice. Implementing AI in Legal Environments
 
一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理
一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理
一比一原版英国伦敦大学亚非学院毕业证(soas毕业证书)如何办理
 
一比一原版林肯大学毕业证(lincoln毕业证)如何办理
一比一原版林肯大学毕业证(lincoln毕业证)如何办理一比一原版林肯大学毕业证(lincoln毕业证)如何办理
一比一原版林肯大学毕业证(lincoln毕业证)如何办理
 
Safeguarding Against Financial Crime: AML Compliance Regulations Demystified
Safeguarding Against Financial Crime: AML Compliance Regulations DemystifiedSafeguarding Against Financial Crime: AML Compliance Regulations Demystified
Safeguarding Against Financial Crime: AML Compliance Regulations Demystified
 
在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样
在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样
在线办理(UNE毕业证书)新英格兰大学毕业证成绩单一模一样
 
Pedal to the Court Understanding Your Rights after a Cycling Collision.pdf
Pedal to the Court Understanding Your Rights after a Cycling Collision.pdfPedal to the Court Understanding Your Rights after a Cycling Collision.pdf
Pedal to the Court Understanding Your Rights after a Cycling Collision.pdf
 
快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样
快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样
快速办理(SCU毕业证书)澳洲南十字星大学毕业证文凭证书一模一样
 
Should AI hold Intellectual Property Rights?
Should AI hold Intellectual Property Rights?Should AI hold Intellectual Property Rights?
Should AI hold Intellectual Property Rights?
 
原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样
原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样
原版定做(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书原版一模一样
 
一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理
一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理
一比一原版(Lincoln毕业证)新西兰林肯大学毕业证如何办理
 
一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理
一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理
一比一原版新加坡南洋理工大学毕业证(本硕)ntu学位证书如何办理
 
一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理
一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理
一比一原版(ua毕业证书)加拿大阿尔伯塔大学毕业证如何办理
 
17-03 2022 -full agreement full version .pdf
17-03 2022 -full agreement full version .pdf17-03 2022 -full agreement full version .pdf
17-03 2022 -full agreement full version .pdf
 
Genocide in International Criminal Law.pptx
Genocide in International Criminal Law.pptxGenocide in International Criminal Law.pptx
Genocide in International Criminal Law.pptx
 
Integrating Advocacy and Legal Tactics to Tackle Online Consumer Complaints
Integrating Advocacy and Legal Tactics to Tackle Online Consumer ComplaintsIntegrating Advocacy and Legal Tactics to Tackle Online Consumer Complaints
Integrating Advocacy and Legal Tactics to Tackle Online Consumer Complaints
 
一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理
一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理
一比一原版英国伦敦商学院毕业证(lbs毕业证书)如何办理
 
V.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdf
V.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdfV.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdf
V.-SENTHIL-BALAJI-SLP-C-8939-8940-2023-SC-Judgment-07-August-2023.pdf
 

Health Care Planning

  • 1. Health Care Planning Sheri Sudweeks, Esq. Sugai & Sudweeks, LLP 200 S. Santa Cruz Avenue, Suite 100 Los Gatos, Ca 95030 408-354-0200 Sugaisudweeks.com
  • 2. Advance Health Care Directive • Includes individual health care instructions and a power of attorney for health care (PC4605) • Authority only becomes effective on determination that principal lacks capacity, unless specifically stated otherwise (PC 4682)
  • 3. AHCD • Requirements to execute: – Capacity as defined in PC 4609 – Execution – must include(PC 4673): – Must include date executed – Signed by principal or in principals name by another adult in his presence and at his direction – Witnessed by 2 witnesses under penalty of perjury, one of which cannot be related to principal or entitled to part of principal’s estate – OR Notarized as alternative to witnesses – ADDITIONAL Requirements if Execution is in a skilled Nursing Facility – patient advocate or Ombudsmen designated by the Department of aging must sign as one of the witnesses or in addition to notarization
  • 4. AHCD • Agents – Authority: • Health care decisions to the same extent as the principal (PC 4617) • Postmortem decisions such as disposition of remains, making anatomical gifts requesting an autopsy or releasing medical records (PC 4683(b)) – Limits to authority: • No commitment to mental health facility • No convulsive shock treatment, psychosurgery, sterilization, or abortion (PC 4652) – Liability: no liability for health care decisions made in good faith (PC 4741)
  • 5. AHCD • Revocation – principal may revoke by – Designation of agent by informing the supervising health care provider verbally or by signed writing (PC 4695 (a)) – Any portion or portions, other than appointment of agent may be revoked at any time, in any manner that communicates an intent to revoke (PC 4695 (b)) – Latter directive revokes former directive (PC 4698) • Third Parties- – Agent under Directive has priority over conservator for making health care decisions (PC 2356) – Health Care providers and institutions must comply with instructions from agent as if from patient (PC 4733) – Limited reasons allow a health care provide to decline to comply (i.e. reasons of conscience)(PC 4734) – Can petition court to enforce (PC 4766(e)) – Health Care provider or institution that intentionally violates directive is subject to liability and damages that include attorney fees (PC 4742)
  • 6. Talking to Clients about AHCD Are your documents current? • Executed Prior to 1997 • Executed Prior to July 2000 • Executed Prior to 2004 • Have you signed a generic hospital form that revoked your document? • Statutory form? • Kaiser (or other PPO/HMO) form?
  • 7. Talking to Clients about AHCD Agent • Someone to make decisions for you if you are unable to do so • Choosing an agent: – at least 18 years old – knows you well – can be there for you when you need them – you trust to do what is best for you – can tell your doctors about the decisions you would want made
  • 8. Talking to Clients about AHCD • Your Agent cannot be your doctor or someone who works at your hospital or clinic where you get health care, unless they are a family member or your co-worker.
  • 9. Talking to Clients About AHCD Is there someone you do not want to be your agent? • You can also put this into your AHCD • You can even put limits on who may visit you
  • 10. Talking to Clients about AHCD What powers do agents have? • Only those that you give • AHCD can give agent immediate power or state that Agent can only act if you are unable to make decisions • Your agent can agree to, say “no” to, change, stop or choose: – • doctors, nurses, social workers – • hospitals or clinics – • medical treatment (including artificial feeding), medications or tests – • what happens to your body and organs after you die
  • 11. Talking to Clients about AHCD Your Wishes: • Terminal Illness • Life Support • Irreversible Coma • Palliative Care • Nutrition and Hydration • Hospice • Long term care • Organ Donation
  • 12. Talking to Clients about AHCD Organ Donation • Entire Body • Organs and Tissue • Donate to University, Hospital, Organ Bank • Limitations: Transplant, Education, Research • Let Agent make decision
  • 13. Talking to Clients about AHCD Autopsy • Religious beliefs • May be overridden by law enforcement • Let Agent make decision
  • 14. Talking to Clients about AHCD Disposition of Remains • Arrangements that you have in place • Your wishes • Agents discretion
  • 15. What do I do with my AHCD? • Keep the original yourself. Make copies of the form to share with those who care for you or are listed as agents. • Make sure that you place a copy with each of your doctors, nurses, social workers, and hospital. • If you keep an emergency bag by your door or a vial of life in your refrigerator, either include a copy or the location of a copy. • Register your AHCD with the Secretary of State. • Have CODA create a wallet card. • CMA Wallet card. Keep a list of who has copies.
  • 16. DNR • Do Not Resuscitate • California Form (EMSA) • Signed with Physician • EMS policies • MedicAlert Registration • Conservator may not execute without additional court order
  • 17. POLST • Physicians order for life sustaining treatment • No Conservator right-need court order • Signed by doctor and patient/agent • Sets forth decisions that patient has made decisions about end of life treatment
  • 18. Authorization for Medical Treatment of Adult Without Conservator • Probate code Section 3200-3212 • Permits a petition to obtain authority for a health care decision for non conserved person without capacity • Petitioner may be spouse, friend, relative, interested person • Limited to a specific health decision, not an ongoing course of treatment

Editor's Notes

  1. Discuss accidental revocation
  2. Consider what you put in document so that client can copy copiously.