The document provides information about New York State's Health Care Proxy Law, which allows a person to appoint a health care agent to make medical decisions on their behalf if they become unable to do so. It explains that the agent can be a family member or friend and has the authority to decide on treatments based on the patient's wishes. The document also answers frequently asked questions about the health care proxy, such as who can serve as an agent, when the agent's authority takes effect, what decisions they can make, and how the patient's wishes should be communicated to the agent.
Managed care organizations provide coverage for approved treatments with low out-of-pocket costs for patients and encourage preventative care. Group medical practices share liability. HIPAA regulates privacy of protected health information and medical practice acts protect patients from unqualified providers. Common bioethical issues involve reproductive technologies and end-of-life care. Maintaining professionalism, confidentiality, and obtaining informed consent reduces litigation risks.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so themselves. There are two types in New Jersey - a proxy directive which appoints a healthcare representative, and an instruction directive like a living will which provides guidance on treatments wanted or not wanted. Advance directives only take effect if a physician determines a person cannot make their own decisions. They help ensure preferences are followed and provide peace of mind that one's voice will still be heard during a medical crisis.
This document provides an overview of East Zone Medico Legal Services Pvt. Ltd., a private company that provides medico-legal consulting services. It was established in 2013 in Patna, Bihar, India and assists hospitals, doctors, and medical professionals with legal issues related to their work, including defending clients in litigation, conducting audits, and providing training. The document outlines some common types of medical negligence claims and legal issues that doctors and hospitals face.
This document summarizes an advance medical directive webinar presentation. It discusses the key components of advance medical directives including durable power of attorney, living wills, and organ donation directives. It also summarizes a landmark Virginia Supreme Court case on withdrawing life-prolonging treatment from patients in a persistent vegetative state. The document provides guidance on drafting, executing, and revoking advance medical directives.
Power point for womens health class chapters 23Maureen Galvin
This document discusses key aspects of the Affordable Care Act and accessing healthcare. It explains that the ACA provides everyone access to healthcare, outlines essential health benefits that must be covered, and makes it illegal to deny coverage due to pre-existing conditions. It provides information about healthcare.gov where people can learn about the law and available plans. The document also discusses how to choose providers and address barriers to care like costs, cultural issues, and disabilities.
Start the Discussion: The Importance of Advance DirectivesSummit Health
This presentation discusses the importance of advance directives and provides information about them. It notes that the Patient Self Determination Act of 1990 requires certain healthcare facilities to provide information to patients about advance directives. An advance directive allows patients to communicate their treatment preferences if they become unable to make decisions. It can take the form of a healthcare proxy or living will. The presentation provides guidance on completing an advance directive form and sharing it with one's healthcare providers and agent. It also discusses POLST forms, which provide instructions for life-sustaining treatment.
This document provides information about advanced directives. It defines an advanced directive as a legal document that specifies a person's wishes for medical treatment if they become unable to make decisions. It discusses the importance of advanced directives for patients, families, and physicians. It also describes different types of advanced directives like living wills, medical powers of attorney, and do not resuscitate orders.
This document discusses advance care planning and advance directives. It defines key terms like advance directives, living wills, durable power of attorney for healthcare, Do Not Resuscitate orders, palliative care, hospice care, and comfort care. It explains the importance of advance care planning and having conversations with loved ones about end-of-life wishes. However, it notes that many people do not complete advance directives due to lack of knowledge, difficulties with paperwork, and potential family disagreements. The document provides resources for individuals to learn more about advance care planning.
Managed care organizations provide coverage for approved treatments with low out-of-pocket costs for patients and encourage preventative care. Group medical practices share liability. HIPAA regulates privacy of protected health information and medical practice acts protect patients from unqualified providers. Common bioethical issues involve reproductive technologies and end-of-life care. Maintaining professionalism, confidentiality, and obtaining informed consent reduces litigation risks.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so themselves. There are two types in New Jersey - a proxy directive which appoints a healthcare representative, and an instruction directive like a living will which provides guidance on treatments wanted or not wanted. Advance directives only take effect if a physician determines a person cannot make their own decisions. They help ensure preferences are followed and provide peace of mind that one's voice will still be heard during a medical crisis.
This document provides an overview of East Zone Medico Legal Services Pvt. Ltd., a private company that provides medico-legal consulting services. It was established in 2013 in Patna, Bihar, India and assists hospitals, doctors, and medical professionals with legal issues related to their work, including defending clients in litigation, conducting audits, and providing training. The document outlines some common types of medical negligence claims and legal issues that doctors and hospitals face.
This document summarizes an advance medical directive webinar presentation. It discusses the key components of advance medical directives including durable power of attorney, living wills, and organ donation directives. It also summarizes a landmark Virginia Supreme Court case on withdrawing life-prolonging treatment from patients in a persistent vegetative state. The document provides guidance on drafting, executing, and revoking advance medical directives.
Power point for womens health class chapters 23Maureen Galvin
This document discusses key aspects of the Affordable Care Act and accessing healthcare. It explains that the ACA provides everyone access to healthcare, outlines essential health benefits that must be covered, and makes it illegal to deny coverage due to pre-existing conditions. It provides information about healthcare.gov where people can learn about the law and available plans. The document also discusses how to choose providers and address barriers to care like costs, cultural issues, and disabilities.
Start the Discussion: The Importance of Advance DirectivesSummit Health
This presentation discusses the importance of advance directives and provides information about them. It notes that the Patient Self Determination Act of 1990 requires certain healthcare facilities to provide information to patients about advance directives. An advance directive allows patients to communicate their treatment preferences if they become unable to make decisions. It can take the form of a healthcare proxy or living will. The presentation provides guidance on completing an advance directive form and sharing it with one's healthcare providers and agent. It also discusses POLST forms, which provide instructions for life-sustaining treatment.
This document provides information about advanced directives. It defines an advanced directive as a legal document that specifies a person's wishes for medical treatment if they become unable to make decisions. It discusses the importance of advanced directives for patients, families, and physicians. It also describes different types of advanced directives like living wills, medical powers of attorney, and do not resuscitate orders.
This document discusses advance care planning and advance directives. It defines key terms like advance directives, living wills, durable power of attorney for healthcare, Do Not Resuscitate orders, palliative care, hospice care, and comfort care. It explains the importance of advance care planning and having conversations with loved ones about end-of-life wishes. However, it notes that many people do not complete advance directives due to lack of knowledge, difficulties with paperwork, and potential family disagreements. The document provides resources for individuals to learn more about advance care planning.
HIPAA is a national law that establishes standards to protect patient privacy and the confidentiality of patient health information. It applies to covered entities like health plans, providers, and clearinghouses, as well as their business associates. PHI, or protected health information, refers to individually identifiable patient information. HIPAA restricts the use and disclosure of PHI to treatment, payment, and healthcare operations. Covered entities must implement safeguards to secure PHI and provide patient rights and protections. Violations of HIPAA can result in penalties including fines and imprisonment.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so. It includes documents like living wills, durable power of attorney, and do-not-resuscitate orders. The document only takes effect if a physician determines the person cannot make their own medical decisions. Federal law requires informing patients about their right to complete an advance directive.
Navigating the Benefits Maze & Exercising Your Rightscedwvugraphics
Todd Rundle presented on navigating health care and benefits options for transitioning youth. He discussed Medicaid, CHIP, SSI, SSDI, private insurance, and waiver programs. The presentation covered exercising appeal rights, including filing in a timely manner and providing necessary documentation. Contact information was provided for the Family to Family Health Information Center for additional assistance.
A Gift to Your Family is designed to help you get started with future health care planning. It includes Wisconsin state forms to help you put your decisions in writing after you have discussed them with your family. We encourage you to execute a Power of Attorney for Health Care or a Declaration to Physicians (Living Will) before a
medical crisis occurs, and invite you to consider organ and tissue donation as you contemplate these important issues.
- Paramedics must understand and follow medical ethics and laws to avoid civil and criminal liability. They are bound by professional ethics to do no harm, act in good faith, and act in the patient's best interest. EMS research presents ethical issues regarding informed consent.
- The legal system includes federal and state laws, with two types of law - civil and criminal. Lawsuits against paramedics usually involve negligence claims. Paramedics are subject to their state's medical practice act and scope of practice. Patient privacy is protected by HIPAA.
- Paramedics must obtain consent, honor patient refusals and autonomy when possible, and understand decision-making capacity, especially for minors. They must
This document is an authorization form for Winn Family Dentistry to release a patient's health information. It allows the dental office to disclose x-rays and chart notes relating to the patient's treatment to any person or entity upon legal request or referral. The purpose is for continuity of care, further dental care, or legal proceedings. The patient signature acknowledges they understand and voluntarily sign the form, and can revoke authorization at any time except if the office has already acted upon it.
Hip How it Works - From a Community Health WorkerKris Roehling
There are 4 different kinds of Healthy Indiana Plan. How does one apply and make sure they are covered? This info graphic has been helpful to many in our small community. Adjustments may be needed for other counties in Indiana.
Federal laws such as EMTALA and HIPAA regulate emergency care and patient privacy. EMTALA requires hospitals to provide medical screening exams and stabilizing treatment to anyone regardless of ability to pay. It also sets rules for appropriate patient transfers. HIPAA protects personal health information and sets penalties for violations like improper access or disclosure of patient records. Consent is also important legally and varies for situations like treatment of minors, incapacitated adults, and refusals of care. Proper documentation in medical records is essential.
Protected health information (PHI) refers to individually identifiable health information that is transmitted or maintained by a covered entity or business associate. PHI includes health information and demographic information related to an individual's physical or mental health. PHI can be protected by removing identifiers, using statistical methods, or stripping listed identifiers such as names, dates, and social security numbers. Patients can access their own PHI and covered entities can use and disclose PHI for treatment, payment, and healthcare operations. Patients can release PHI to family and friends but must be given the opportunity to agree or object. Covered entities have a duty to limit PHI use and disclosure to the minimum necessary and improper access or disclosure of PHI can result in penalties
Unregistered health practitioners in South Australia must display the Code of Conduct for Unregistered Health Practitioners and information about how to make a complaint to the Health and Community Services Complaints Commissioner (HCSCC). They must also display any relevant qualifications. These documents must be displayed in an easily visible manner. However, this requirement does not apply to hospitals, health care services, day procedure centres, SA Ambulance Service, or approved aged care service providers. The Code of Conduct outlines 15 standards that unregistered health practitioners must follow, including practicing safely and ethically, maintaining competence, not making unsupported claims, avoiding conflicts of interest, and respecting patient privacy and rights. It also provides information about how patients can make a complaint to
This document provides an overview of legal and ethical issues in prehospital emergency care. It discusses the differences between legal, ethical and moral responsibilities and reviews laws impacting EMS providers, such as scope of practice and vehicle operation laws. It also examines accountability and malpractice, including the standard of care and elements required to prove negligence. Specific issues related to patient consent, refusals, restraint and confidentiality are analyzed. The document concludes with discussions of operational concerns like equipment failure, documentation requirements and interactions with law enforcement.
Nobody should ever have to worry about getting hurt due to the careless or negligent actions of a healthcare professional. Unfortunately, medical mistakes happen all the time. If you ever need a Hawaii medical malpractice attorney, you can count on the team at Kurzban, Kurzban, Tetzeli and Pratt, P.A. to be by your side. they are going to step in to secure the compensation you deserve.
For more details visit at https://www.seriousinjurylawyerhawaii.com/catastrophic-injuries/medical-malpractice/
This document discusses several key legal issues in emergency medicine, including duty of care, consent, competence and capacity, privacy and confidentiality, refusal of treatment, and negligence. It emphasizes the importance of acting in the patient's best interests, obtaining valid consent, properly assessing decision-making capacity, and thorough documentation. Legal concepts are complex, so the focus should be on doing what a reasonable practitioner would do in any given situation.
London iCAAD 2019 - Heather Hayes and Jeffrey J Merrick - JUSTICE IN RECOVERY...iCAADEvents
This presentation explains the importance of developing a more integrated, collaborative and comprehensive approach to care advocacy for our recovering clients with criminal charges and other legal issues.
Planner Health Care is a health plan that provides transportation, home health services, assisted living services, dietary aide, and wellness services. It has a $50 monthly deductible and $100 monthly fee. The first year of the plan has a rollout period where services are withheld. Payments can be made out of pocket or through health insurance. Eligibility includes seniors, retirees, those with disabilities. Services are available to subscribers through online payments, mail-in payments using health insurance, or full yearly payment of $1200. The plan aims to deliver high quality healthcare services while ensuring safety of employees and subscribers.
This document provides guidance on obtaining valid consent and assessing mental capacity. It discusses the importance of ensuring patients understand procedures and risks before obtaining consent. It outlines key principles from the Mental Health Act and Mental Capacity Act, such as assessing capacity and determining best interests. The document also describes types of consent forms, roles like IMCA advocates, and powers like LPAs. It includes examples of how to quantify and qualify risks to patients. Finally, it provides answers to sample cases related to valid consent and mental capacity.
This document discusses the legal concept of consent in medical treatment in Malaysia. It makes two key points:
1) Consent serves both a clinical purpose of gaining patient cooperation and a legal purpose of providing a defense against assault/battery claims. However, failure to adequately advise a patient does not negate consent but rather forms the basis of a negligence claim.
2) Malaysian law follows the "Rogers v Whitaker" test for assessing a doctor's duty to disclose risks to patients. A risk is "material" if a reasonable person would likely consider it significant in deciding whether to undergo treatment.
This document provides instructions for completing an Arizona Health Care Directive. It begins with appointing an agent to make health care decisions if the individual becomes unable to do so. It then allows the individual to provide guidance on their end-of-life wishes through a living will. The document also covers options for organ donation and autopsy. Instructions are provided throughout to guide the individual in making their wishes clear and executing the document properly.
This document introduces Five Wishes, a living will form that allows a person to specify their medical treatment preferences and appoint a healthcare agent if they become unable to make decisions. It describes the key features of Five Wishes, including specifying a healthcare agent, communicating treatment wishes, and ensuring wishes are followed. It also provides information on who should use Five Wishes, how it works in different states, and how to change from a previous living will or healthcare directive to using Five Wishes instead.
Running head DELIVERABLE 7 - HEALTHCARE INTAKE PACKET .docxtodd271
Running head: DELIVERABLE 7 - HEALTHCARE INTAKE PACKET
1
DELIVERABLE 7 - HEALTHCARE INTAKE PACKET
5
Healthcare Intake Packet
Keri King
Deliverable 7
Deliverable 7 - Healthcare Intake Packet
Patient Letter
Health Services Manager,
Three Mountain Regional Hospital.
Dear New Patient,
The Intake Packet is an important document which marks the start of every successful medical procedure. This is a necessary document which will be used to process all doctor’s appointment in Three Mountain Hospital. The Intake Packet has different components which are crucial to upholding professional standards and best practice in healthcare. These components include; i) organizational ethics and values which will be used to guide healthcare practice and behavior of healthcare professionals, ii) a privacy policy which enhances the protection of patient information, and iii) statement of compliance with HIPAA regulations.
Ethics is a crucial component of the Intake Packet which focuses on promoting best practice in healthcare. It also emphasizes on building the relationship between the patient and the physician so as to improve cooperation and their involvement in decision-making during care delivery. The Intake Packet adheres to the HIPAA privacy and confidentiality statement by ensuring patient information can only be used and shared with the consent of the patients. Three Mountains Hospital takes the safety of its patients seriously and will ensure that health information will only be used for medical purposes as stipulated by government laws and policies.
Yours Sincerely,
Health Services Manager
Code of Ethics
The code of ethics tends to outline the mission and values within an organisation, the ways staffs and other employees should approach company problems. The ethical principles that are based on the company’s core values and standards that the organisation is held are:
· From billing for services; employees of Three Mountains Regional Hospital must remain free from offers as well as solicitations so that they can benefit at personal level by performing work where outside parties do benefit.
· Communication; the employees should not at all use social media, marketing platforms or other communications forms to disclose patient’s and hospital’s confidential information.
· Physicians activities; At the Three Mountains, they don’t recommend submitting bill or charge for a given service where the referring physician or immediate member of the family has financial relationship with the health system. Due to complex nature of these laws, legal department approval should be obtained before establishment of financial relationship with the physician is established.
· Privacy: Giving information of the patients inappropriately may subject one to criminal prosecution. The invasion of patients’ privacy should be avoided. If patient’s information is released inappropriately is very harmful.
· Conflict of interest; this exists wh.
HIPAA is a national law that establishes standards to protect patient privacy and the confidentiality of patient health information. It applies to covered entities like health plans, providers, and clearinghouses, as well as their business associates. PHI, or protected health information, refers to individually identifiable patient information. HIPAA restricts the use and disclosure of PHI to treatment, payment, and healthcare operations. Covered entities must implement safeguards to secure PHI and provide patient rights and protections. Violations of HIPAA can result in penalties including fines and imprisonment.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so. It includes documents like living wills, durable power of attorney, and do-not-resuscitate orders. The document only takes effect if a physician determines the person cannot make their own medical decisions. Federal law requires informing patients about their right to complete an advance directive.
Navigating the Benefits Maze & Exercising Your Rightscedwvugraphics
Todd Rundle presented on navigating health care and benefits options for transitioning youth. He discussed Medicaid, CHIP, SSI, SSDI, private insurance, and waiver programs. The presentation covered exercising appeal rights, including filing in a timely manner and providing necessary documentation. Contact information was provided for the Family to Family Health Information Center for additional assistance.
A Gift to Your Family is designed to help you get started with future health care planning. It includes Wisconsin state forms to help you put your decisions in writing after you have discussed them with your family. We encourage you to execute a Power of Attorney for Health Care or a Declaration to Physicians (Living Will) before a
medical crisis occurs, and invite you to consider organ and tissue donation as you contemplate these important issues.
- Paramedics must understand and follow medical ethics and laws to avoid civil and criminal liability. They are bound by professional ethics to do no harm, act in good faith, and act in the patient's best interest. EMS research presents ethical issues regarding informed consent.
- The legal system includes federal and state laws, with two types of law - civil and criminal. Lawsuits against paramedics usually involve negligence claims. Paramedics are subject to their state's medical practice act and scope of practice. Patient privacy is protected by HIPAA.
- Paramedics must obtain consent, honor patient refusals and autonomy when possible, and understand decision-making capacity, especially for minors. They must
This document is an authorization form for Winn Family Dentistry to release a patient's health information. It allows the dental office to disclose x-rays and chart notes relating to the patient's treatment to any person or entity upon legal request or referral. The purpose is for continuity of care, further dental care, or legal proceedings. The patient signature acknowledges they understand and voluntarily sign the form, and can revoke authorization at any time except if the office has already acted upon it.
Hip How it Works - From a Community Health WorkerKris Roehling
There are 4 different kinds of Healthy Indiana Plan. How does one apply and make sure they are covered? This info graphic has been helpful to many in our small community. Adjustments may be needed for other counties in Indiana.
Federal laws such as EMTALA and HIPAA regulate emergency care and patient privacy. EMTALA requires hospitals to provide medical screening exams and stabilizing treatment to anyone regardless of ability to pay. It also sets rules for appropriate patient transfers. HIPAA protects personal health information and sets penalties for violations like improper access or disclosure of patient records. Consent is also important legally and varies for situations like treatment of minors, incapacitated adults, and refusals of care. Proper documentation in medical records is essential.
Protected health information (PHI) refers to individually identifiable health information that is transmitted or maintained by a covered entity or business associate. PHI includes health information and demographic information related to an individual's physical or mental health. PHI can be protected by removing identifiers, using statistical methods, or stripping listed identifiers such as names, dates, and social security numbers. Patients can access their own PHI and covered entities can use and disclose PHI for treatment, payment, and healthcare operations. Patients can release PHI to family and friends but must be given the opportunity to agree or object. Covered entities have a duty to limit PHI use and disclosure to the minimum necessary and improper access or disclosure of PHI can result in penalties
Unregistered health practitioners in South Australia must display the Code of Conduct for Unregistered Health Practitioners and information about how to make a complaint to the Health and Community Services Complaints Commissioner (HCSCC). They must also display any relevant qualifications. These documents must be displayed in an easily visible manner. However, this requirement does not apply to hospitals, health care services, day procedure centres, SA Ambulance Service, or approved aged care service providers. The Code of Conduct outlines 15 standards that unregistered health practitioners must follow, including practicing safely and ethically, maintaining competence, not making unsupported claims, avoiding conflicts of interest, and respecting patient privacy and rights. It also provides information about how patients can make a complaint to
This document provides an overview of legal and ethical issues in prehospital emergency care. It discusses the differences between legal, ethical and moral responsibilities and reviews laws impacting EMS providers, such as scope of practice and vehicle operation laws. It also examines accountability and malpractice, including the standard of care and elements required to prove negligence. Specific issues related to patient consent, refusals, restraint and confidentiality are analyzed. The document concludes with discussions of operational concerns like equipment failure, documentation requirements and interactions with law enforcement.
Nobody should ever have to worry about getting hurt due to the careless or negligent actions of a healthcare professional. Unfortunately, medical mistakes happen all the time. If you ever need a Hawaii medical malpractice attorney, you can count on the team at Kurzban, Kurzban, Tetzeli and Pratt, P.A. to be by your side. they are going to step in to secure the compensation you deserve.
For more details visit at https://www.seriousinjurylawyerhawaii.com/catastrophic-injuries/medical-malpractice/
This document discusses several key legal issues in emergency medicine, including duty of care, consent, competence and capacity, privacy and confidentiality, refusal of treatment, and negligence. It emphasizes the importance of acting in the patient's best interests, obtaining valid consent, properly assessing decision-making capacity, and thorough documentation. Legal concepts are complex, so the focus should be on doing what a reasonable practitioner would do in any given situation.
London iCAAD 2019 - Heather Hayes and Jeffrey J Merrick - JUSTICE IN RECOVERY...iCAADEvents
This presentation explains the importance of developing a more integrated, collaborative and comprehensive approach to care advocacy for our recovering clients with criminal charges and other legal issues.
Planner Health Care is a health plan that provides transportation, home health services, assisted living services, dietary aide, and wellness services. It has a $50 monthly deductible and $100 monthly fee. The first year of the plan has a rollout period where services are withheld. Payments can be made out of pocket or through health insurance. Eligibility includes seniors, retirees, those with disabilities. Services are available to subscribers through online payments, mail-in payments using health insurance, or full yearly payment of $1200. The plan aims to deliver high quality healthcare services while ensuring safety of employees and subscribers.
This document provides guidance on obtaining valid consent and assessing mental capacity. It discusses the importance of ensuring patients understand procedures and risks before obtaining consent. It outlines key principles from the Mental Health Act and Mental Capacity Act, such as assessing capacity and determining best interests. The document also describes types of consent forms, roles like IMCA advocates, and powers like LPAs. It includes examples of how to quantify and qualify risks to patients. Finally, it provides answers to sample cases related to valid consent and mental capacity.
This document discusses the legal concept of consent in medical treatment in Malaysia. It makes two key points:
1) Consent serves both a clinical purpose of gaining patient cooperation and a legal purpose of providing a defense against assault/battery claims. However, failure to adequately advise a patient does not negate consent but rather forms the basis of a negligence claim.
2) Malaysian law follows the "Rogers v Whitaker" test for assessing a doctor's duty to disclose risks to patients. A risk is "material" if a reasonable person would likely consider it significant in deciding whether to undergo treatment.
This document provides instructions for completing an Arizona Health Care Directive. It begins with appointing an agent to make health care decisions if the individual becomes unable to do so. It then allows the individual to provide guidance on their end-of-life wishes through a living will. The document also covers options for organ donation and autopsy. Instructions are provided throughout to guide the individual in making their wishes clear and executing the document properly.
This document introduces Five Wishes, a living will form that allows a person to specify their medical treatment preferences and appoint a healthcare agent if they become unable to make decisions. It describes the key features of Five Wishes, including specifying a healthcare agent, communicating treatment wishes, and ensuring wishes are followed. It also provides information on who should use Five Wishes, how it works in different states, and how to change from a previous living will or healthcare directive to using Five Wishes instead.
Running head DELIVERABLE 7 - HEALTHCARE INTAKE PACKET .docxtodd271
Running head: DELIVERABLE 7 - HEALTHCARE INTAKE PACKET
1
DELIVERABLE 7 - HEALTHCARE INTAKE PACKET
5
Healthcare Intake Packet
Keri King
Deliverable 7
Deliverable 7 - Healthcare Intake Packet
Patient Letter
Health Services Manager,
Three Mountain Regional Hospital.
Dear New Patient,
The Intake Packet is an important document which marks the start of every successful medical procedure. This is a necessary document which will be used to process all doctor’s appointment in Three Mountain Hospital. The Intake Packet has different components which are crucial to upholding professional standards and best practice in healthcare. These components include; i) organizational ethics and values which will be used to guide healthcare practice and behavior of healthcare professionals, ii) a privacy policy which enhances the protection of patient information, and iii) statement of compliance with HIPAA regulations.
Ethics is a crucial component of the Intake Packet which focuses on promoting best practice in healthcare. It also emphasizes on building the relationship between the patient and the physician so as to improve cooperation and their involvement in decision-making during care delivery. The Intake Packet adheres to the HIPAA privacy and confidentiality statement by ensuring patient information can only be used and shared with the consent of the patients. Three Mountains Hospital takes the safety of its patients seriously and will ensure that health information will only be used for medical purposes as stipulated by government laws and policies.
Yours Sincerely,
Health Services Manager
Code of Ethics
The code of ethics tends to outline the mission and values within an organisation, the ways staffs and other employees should approach company problems. The ethical principles that are based on the company’s core values and standards that the organisation is held are:
· From billing for services; employees of Three Mountains Regional Hospital must remain free from offers as well as solicitations so that they can benefit at personal level by performing work where outside parties do benefit.
· Communication; the employees should not at all use social media, marketing platforms or other communications forms to disclose patient’s and hospital’s confidential information.
· Physicians activities; At the Three Mountains, they don’t recommend submitting bill or charge for a given service where the referring physician or immediate member of the family has financial relationship with the health system. Due to complex nature of these laws, legal department approval should be obtained before establishment of financial relationship with the physician is established.
· Privacy: Giving information of the patients inappropriately may subject one to criminal prosecution. The invasion of patients’ privacy should be avoided. If patient’s information is released inappropriately is very harmful.
· Conflict of interest; this exists wh.
FIVE
WISHES
®
1
2
3
4
5
M Y W I S H F O R :
The Person I Want to Make Care Decisions for Me When I Can’t
The Kind of Medical Treatment I Want or Don’t Want
How Comfortable I Want to Be
How I Want People to Treat Me
What I Want My Loved Ones to Know
print your name
birthdate
2
T here are many things in life that are out of our hands. This Five Wishes document gives you a way to control something very
important—how you are treated if you get seriously ill. It is an easy-to-
complete form that lets you say exactly what you want. Once it is filled out
and properly signed it is valid under the laws of most states.
Five Wishes
Five Wishes is the first living will that talks
about your personal, emotional and spiritual
needs as well as your medical wishes. It lets
you choose the person you want to make
health care decisions for you if you are not
able to make them for yourself. Five Wishes
lets you say exactly how you wish to be
treated if you get seriously ill. It was
written with the help of The American Bar
Association’s Commission on Law and Aging,
and the nation’s leading experts in end-of-life
care. It’s also easy to use. All you have to do is
check a box, circle a direction, or write a few
sentences.
What Is Five Wishes?
• It lets you talk with your family,
friends and doctor about how you
want to be treated if you become
seriously ill.
• Your family members will not have to
guess what you want. It protects them
if you become seriously ill, because
they won’t have to make hard choices
without knowing your wishes.
• You can know what your mom, dad,
spouse, or friend wants. You can be
there for them when they need you
most. You will understand what they
really want.
How Five Wishes Can Help You And Your Family
How Five Wishes Began
For 12 years, Jim Towey worked closely with
Mother Teresa, and, for one year, he lived in a
hospice she ran in Washington, DC. Inspired by
this first-hand experience, Mr. Towey sought a
way for patients and their families to plan ahead
and to cope with serious illness. The result is
Five Wishes and the response to it has been
overwhelming. It has been featured on CNN
and NBC’s Today Show and in the pages of
Time and Money magazines. Newspapers have
called Five Wishes the first “living will with a
heart and soul.” Today, Five Wishes is available
in 23 languages
3
If you live in the District of Columbia or one of the 42 states listed below, you can use
Five Wishes and have the peace of mind to know that it substantially meets your state’s
requirements under the law:
You may already have a living will or a durable power of attorney for health care. If you
want to use Five Wishes instead, all you need to do is fill out and sign a new Five Wishes
as directed. As soon as you sign it, it takes away any advance directive you had before. To
make sure the right form is used, please do the following:
Five Wishes is for any.
The document discusses the differences between three types of advance healthcare directives: a durable power of attorney for healthcare, a living will declaration, and a do not resuscitate directive/order. A durable power of attorney appoints an agent to make healthcare decisions if the person becomes incapacitated. A living will allows a terminally ill patient to decline life-sustaining treatment. A do not resuscitate directive instructs medical professionals not to perform CPR if the person's heart or breathing stops. Each type of directive serves a distinct purpose and has different legal requirements regarding completion and implementation.
FIVEWISHES®12345M Y W I S H F O R .docxAKHIL969626
FIVE
WISHES
®
1
2
3
4
5
M Y W I S H F O R :
The Person I Want to Make Care Decisions for Me When I Can’t
The Kind of Medical Treatment I Want or Don’t Want
How Comfortable I Want to Be
How I Want People to Treat Me
What I Want My Loved Ones to Know
print your name
birthdate
SA
M
PL
E
2
T here are many things in life that are out of our hands. This Five Wishes document gives you a way to control something very
important—how you are treated if you get seriously ill. It is an easy-to-
complete form that lets you say exactly what you want. Once it is filled out
and properly signed it is valid under the laws of most states.
Five Wishes
Five Wishes is the first living will that talks
about your personal, emotional and spiritual
needs as well as your medical wishes. It lets
you choose the person you want to make
health care decisions for you if you are not
able to make them for yourself. Five Wishes
lets you say exactly how you wish to be
treated if you get seriously ill. It was
written with the help of The American Bar
Association’s Commission on Law and Aging,
and the nation’s leading experts in end-of-life
care. It’s also easy to use. All you have to do is
check a box, circle a direction, or write a few
sentences.
What Is Five Wishes?
• It lets you talk with your family,
friends and doctor about how you
want to be treated if you become
seriously ill.
• Your family members will not have to
guess what you want. It protects them
if you become seriously ill, because
they won’t have to make hard choices
without knowing your wishes.
• You can know what your mom, dad,
spouse, or friend wants. You can be
there for them when they need you
most. You will understand what they
really want.
How Five Wishes Can Help You And Your Family
How Five Wishes Began
For 12 years, Jim Towey worked closely with
Mother Teresa, and, for one year, he lived in a
hospice she ran in Washington, DC. Inspired by
this first-hand experience, Mr. Towey sought a
way for patients and their families to plan ahead
and to cope with serious illness. The result is
Five Wishes and the response to it has been
overwhelming. It has been featured on CNN
and NBC’s Today Show and in the pages of
Time and Money magazines. Newspapers have
called Five Wishes the first “living will with a
heart and soul.” Today, Five Wishes is available
in 26 languages.
SA
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PL
E
3
If you live in the District of Columbia or one of the 42 states listed below, you can use
Five Wishes and have the peace of mind to know that it substantially meets your state’s
requirements under the law:
You may already have a living will or a durable power of attorney for health care. If you
want to use Five Wishes instead, all you need to do is fill out and sign a new Five Wishes
as directed. As soon as you sign it, it takes away any advance directive you had before. To
make sure the right fo ...
This document summarizes New Mexico's End-of-Life Options Act, which takes effect on June 18, 2021. The act legalizes medical aid in dying, allowing terminally ill adult residents of New Mexico to request a prescription for life-ending medication from a licensed healthcare provider. To be eligible, an individual must have decision-making capacity, a terminal illness expected to cause death within 6 months, and the ability to self-administer the medication. The document outlines the qualification determination process, requirements for prescribing providers, reporting obligations, legal protections, and resources for more information.
The document outlines the rights and responsibilities of patients and their families at Hospital Changkat Melintang. It states that patients have the right to considerate, respectful care without discrimination. They also have the right to effective communication, involvement in decisions about their care, privacy and confidentiality, and freedom from abuse. The document provides specific details about the consent process, medical records, organizational contacts for concerns, and other rights.
This document summarizes key considerations and guidelines around issues of medical futility and end-of-life decision making. It discusses patients' rights to refuse treatment, problems that can arise from determining futility, and the obligations of physicians to initiate discussions with patients about treatment preferences. It also addresses guidelines for communicating with surrogate decision makers, including ensuring they understand the patient's diagnosis, prognosis and values to make decisions reflecting the patient's wishes. The document emphasizes open communication with patients and surrogates about medical realities and options to avoid prolonging dying unnecessarily against a patient's values and interests.
Assessing Employees’ Understanding of Liability Protections for .docxfestockton
Assessing Employees’ Understanding of Liability Protections for Physicians and Facility
A case of Three Mountains Regional Hospital
Keri King
Deliverable 2
Physician Liability Protection Question 1
In case no fee is charged, does the responsibility of the malpractice carrier change?
In the event a fee is not charged, the responsibility of the malpractice carrier does not change. The reason is that the practitioner would be deemed to have executed the procedure in question. In the context, the expectation would be that the physician endeavors to meet the highest standards of care. If the responsibility was to change, however, the notion would be that the practitioner is motivated by pay to adhere to practice guidelines, which should not be the case.
2
Physician Liability Protection Question 2
Do Good Samaritan laws present an effect of a physician’s protection from legal action?
Good Samaritan laws have an effect of protection of healthcare professionals from legal actions in certain specific circumstances. One such circumstance is during provision of care in emergency circumstances. In legal context, emergency situations may involve the element of confusion and the physician may, therefore, engage in a malpractice against their wish (Bertoli & Grembi, 2018). The laws mentioned previously, however, do not offer protection to physicians in all other circumstances of offering care and physicians should, therefore, exercise caution.
3
Physician Liability Protection Question 3
What is the nature of liability incurred by a physician as a result of diagnosing a patient and recommending treatment without usual diagnostic tests?
Diagnosing a patient without a usual test amounts to neglect of the duty of care to decide the treatment to give to a sufferer. The reason is that a range of ailments can feature similar symptoms and would, therefore, be inappropriate for a medic to settle on treatment without confirmed laboratory results. In like manner, the physician in question would also be liable for breaching the duty of care in administration of treatment. The breach of duties would grant a patient the right of action for negligence.
4
Physician Liability Protection Question 4
In case treatment will be unavailable owing to the patient being uninsured, what would be the use of diagnostic testing?
Usually, treatment is not available to patients that are not insured. In the context, however, diagnostic tests may still be available to the patients despite the absence of insurance, the rationale being that test results may be applied for treatment of the patient in the facility if payment is availed (Schneider, 2017). In a similar manner, the results may be used in another medical facility where a client could be having a cover. In both cases, prior testing saves a client from potential danger of escalation of their problem without knowledge of the disorder they are suffering from.
5
Physician Liability Pr ...
- Physicians are obligated to fully communicate with patients and surrogates about diagnoses, prognoses, treatment options and risks in a timely manner to allow for informed medical decision making. However, studies show physicians often fail to discuss end of life care preferences with patients.
- Determinations of medical futility can be difficult due to uncertainties in prognosis and a lack of understanding of patient values. Physicians are encouraged to have open discussions with patients and surrogates about medical futility and end of life options.
- If a surrogate cannot understand the patient's medical situation or make decisions that reflect the patient's wishes, the physician may need to seek a new surrogate or consider the patient's best interests in
Write a 100-word reply to the 4 individual questions below. .docxlindorffgarrik
**Write a 100-word reply to the 4 individual questions below.**
To help you with your discussion, please consider the following questions:
What clarification do you need regarding the posting?
What differences or similarities do you see between your posting and other classmates' postings?
What additional questions do you have after reading the posting?
What item you found to be compelling and enlightening.
1.Katrina- In my opinion the court decision is warranted because, doctors are not obligated to disclose to patients “miracle treatments” or any drug or treatment not yet approved by the FDA. Now there are cases where FDA approved drugs have been used in specific treatments that isn’t approved for that particular drug this is called “off label drugs”. The use of non-FDA approve medicines increases the physician chance of medical malpractice liability. These particular drugs and/or treatment were illegal and not approved by the FDA in the patient state of resident for a reason. Non-FDA approved prescription drugs may present a significant threat to individuals seeking care since these drugs most certainly has not endured evaluation by the FDA for “safety, effectiveness or quality” (FDA.gov). If the FDA did not evaluate drugs, there wouldn’t be any means to determine if these medicines are harmless and beneficial for use. The FDA also evaluates to make certain that prescription drugs are formulated in a way that the drug quality is consistent and if the drugs label is absolute and accurate. FDA unapproved drugs have ensued in injury to the patient. The FDA focus on protecting patients from the injuries associated with non-approved drugs. These standards are put in place to protect both the patient and the physician.
The treating physician need not to be held accountable for not advising patients of treatment options that are illegal or not successfully proven because, technically these treatment options are not available to the patient. The informed consent doctrine requires the physician to inform the patient of the benefits, inherent, material risks, and alternatives of a medical intervention. “The doctrine of informed consent is the legal basis for informed consent and is usually outlined in a state’s medical practice acts” (Judson, K 2020). Informed consent entails the patient’s right to receive all pertinent information in relation to the condition and then to make a decision regarding treatment based on that knowledge. (Judson, K 2020). The informed consent doctrine does not include disclosure for illegal treatments or illegal prescription drugs. “The physician's obligation is to give medical facts accurately to the patient and to make recommendations for management in accordance with good medical practice” (AMA 2010). Disclosing illegal treatment options or even illegal prescription drugs do not fall under good medical practices and the physician should not be held responsible for not disclosing this information.
An advance directive allows a person to specify their healthcare wishes in the event they become unable to make their own medical decisions. It comes in two forms: a medical power of attorney designates a trusted individual to make healthcare decisions on their behalf, and a living will outlines what medical treatments the person does or does not want at the end of life. The 1st Special Operations Medical Group website provides a worksheet to complete an advance directive, and legal assistance is available to help draft the documents.
Patients at Hospital Changkat Melintang have rights that respect their personal dignity, values, and preferences. They have the right to receive considerate care without discrimination. They also have the right to effective communication, involvement in treatment decisions, privacy and confidentiality, pain management, and understanding of medical charges. If patients have concerns about their care, the hospital provides processes to lodge and address complaints.
An advance directive allows a person to document their wishes for medical care and appoint a healthcare agent if they become unable to make decisions. They can take the form of a living will to specify treatment preferences or a medical power of attorney to appoint a surrogate. Anyone over 18 can create an advance directive, which provides clarity for loved ones and ensures one's preferences are followed even in an emergency. States have different requirements, so it's important to understand applicable laws. Advance directives can be changed at any time if capable, and reviewing them periodically is recommended.
Legal aspects of nursing philnursingstudentpinoy nurze
This document discusses several key legal aspects of nursing practice including:
- State nurse practice acts that regulate nursing scope and standards.
- Requirement for an active nursing license to legally practice.
- Ethical principles like patient autonomy, beneficence, and informed consent.
- Legal documentation standards for nursing notes and physician orders.
- Liability considerations for nurses and hospitals regarding negligence and mistakes.
- Guidelines for use of patient restraints and requirements for informed consent.
Patients have several important legal rights regarding their healthcare. These rights stem from human rights, constitutional rights, consumer protection laws, and medical ethics codes. Some key rights include the right to confidentiality, informed consent, and consideration and respect during treatment. Patients should take steps to protect their rights such as understanding consent forms, requesting medical records, and addressing any complaints at the hospital level before pursuing legal action. Special protections also exist for patients related to HIV/AIDS status, clinical trials participation, and examinations by doctors of a different gender.
1. This document discusses several key ethical and legal issues in healthcare including principles of ethics like autonomy, beneficence, and justice. It also covers patient's rights like informed consent and confidentiality.
2. Professional responsibilities of healthcare providers are outlined, including scope of practice, admitting mistakes, and providing competent care. Various roles of healthcare team members are also defined.
3. Discharge planning is introduced as an interprofessional process to ensure patients have a plan for continuing care after leaving a facility and to assist their transition between environments of care. Referrals to other providers may be part of discharge planning.
Kansas Legal Services is a statewide organization that provides legal representation to impoverished individuals. It focuses on vulnerable groups like the abused, neglected, elderly, disabled, and children. Areas of practice include domestic and family law, landlord-tenant issues, consumer protection, elder law, juvenile law, education law, and disability law. The organization can be contacted for legal assistance.
dical Sonography program, delves into the innovation and the future of precision medicine. Innovation in precision medicine is vital for early detection and prevention of diseases based on an individual’s
Read More
The New York Health Care Proxy Law allows you to appoint someone you trust ... care agent, you can make sure that health care providers follow your wishes.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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1. Health Care Proxy
Appointing Your Health Care Agent
in New York State
The New York Health Care Proxy Law allows you to appoint
someone you trust — for example, a family member or close
friend – to make health care decisions for you if you lose the
ability to make decisions yourself. By appointing a health
care agent, you can make sure that health care providers
follow your wishes. Your agent can also decide how your
wishes apply as your medical condition changes. Hospitals,
doctors and other health care providers must follow your
agent’s decisions as if they were your own. You may give
the person you select as your health care agent as little or
as much authority as you want. You may allow your agent
to make all health care decisions or only certain ones. You
may also give your agent instructions that he or she has to
follow. This form can also be used to document your wishes
or instructions with regard to organ and/or tissue donation.
2. About the Health Care Proxy Form
This is an important legal document.
Before signing, you should understand the
following facts:
1. This form gives the person you choose as your
agent the authority to make all health care
decisions for you, including the decision to
remove or provide life-sustaining treatment,
unless you say otherwise in this form. “Health
care” means any treatment, service or
procedure to diagnose or treat your physical or
mental condition.
2. Unless your agent reasonably knows your
wishes about artificial nutrition and hydration
(nourishment and water provided by a feeding
tube or intravenous line), he or she will not be
allowed to refuse or consent to those measures
for you.
3. Your agent will start making decisions for you
when your doctor determines that you are not
able to make health care decisions for yourself.
4. You may write on this form examples of the
types of treatments that you would not desire
and/or those treatments that you want to
make sure you receive. The instructions may
be used to limit the decision-making power
of the agent. Your agent must follow your
instructions when making decisions for you.
5. You do not need a lawyer to fill out this form.
6. You may choose any adult (18 years of age or
older), including a family member or close
friend, to be your agent. If you select a doctor
as your agent, he or she will have to choose
between acting as your agent or as your
attending doctor because a doctor cannot
do both at the same time. Also, if you are a
patient or resident of a hospital, nursing home
or mental hygiene facility, there are special
restrictions about naming someone who works
for that facility as your agent. Ask staff at the
facility to explain those restrictions.
7. Before appointing someone as your health care
agent, discuss it with him or her to make sure
that he or she is willing to act as your agent.
Tell the person you choose that he or she will
be your health care agent. Discuss your health
care wishes and this form with your agent. Be
sure to give him or her a signed copy. Your
agent cannot be sued for health care decisions
made in good faith.
8. If you have named your spouse as your health
care agent and you later become divorced
or legally separated, your former spouse can
no longer be your agent by law, unless you
state otherwise. If you would like your former
spouse to remain your agent, you may note
this on your current form and date it or
complete a new form naming your former
spouse.
9. Even though you have signed this form, you
have the right to make health care decisions
for yourself as long as you are able to do so,
and treatment cannot be given to you or
stopped if you object, nor will your agent have
any power to object.
10. You may cancel the authority given to your
agent by telling him or her or your health care
provider orally or in writing.
11. Appointing a health care agent is voluntary.
No one can require you to appoint one.
12. You may express your wishes or instructions
regarding organ and/or tissue donation on
this form.
3. Frequently Asked Questions
Why should I choose a health care agent?
If you become unable, even temporarily, to make
health care decisions, someone else must decide
for you. Health care providers often look to family
members for guidance. Family members may
express what they think your wishes are related to
a particular treatment. Appointing an agent lets
you control your medical treatment by:
• allowing your agent to make health care
decisions on your behalf as you would want
them decided;
• choosing one person to make health care
decisions because you think that person would
make the best decisions;
• choosing one person to avoid conflict or
confusion among family members and/or
significant others.
You may also appoint an alternate agent to take
over if your first choice cannot make decisions
for you.
Who can be a health care agent?
Anyone 18 years of age or older can be a health
care agent. The person you are appointing as your
agent or your alternate agent cannot sign as a
witness on your Health Care Proxy form.
How do I appoint a health care agent?
All competent adults, 18 years of age or older,
can appoint a health care agent by signing a form
called a Health Care Proxy. You don’t need a lawyer
or a notary, just two adult witnesses. Your agent
cannot sign as a witness. You can use the form
printed here, but you don’t have to use this form.
When would my health care agent begin to
make health care decisions for me?
Your health care agent would begin to make
health care decisions after your doctor decides that
you are not able to make your own health care
decisions. As long as you are able to make health
care decisions for yourself, you will have the right
to do so.
What decisions can my health care
agent make?
Unless you limit your health care agent’s authority,
your agent will be able to make any health care
decision that you could have made if you were
able to decide for yourself. Your agent can agree
that you should receive treatment, choose among
different treatments and decide that treatments
should not be provided, in accordance with your
wishes and interests. However, your agent can
only make decisions about artificial nutrition
and hydration (nourishment and water provided
by feeding tube or intravenous line) if he or she
knows your wishes from what you have said or
what you have written. The Health Care Proxy
form does not give your agent the power to make
non-health care decisions for you, such as
financial decisions.
Why do I need to appoint a health care agent
if I’m young and healthy?
Appointing a health care agent is a good idea
even though you are not elderly or terminally ill.
A health care agent can act on your behalf if you
become even temporarily unable to make your
own health care decisions (such as might occur if
you are under general anesthesia or have become
comatose because of an accident). When you
again become able to make your own health care
decisions, your health care agent will no longer be
authorized to act.
How will my health care agent
make decisions?
Your agent must follow your wishes, as well as
your moral and religious beliefs. You may write
instructions on your Health Care Proxy form or
simply discuss them with your agent.
How will my health care agent know
my wishes?
Having an open and frank discussion about your
wishes with your health care agent will put him or
her in a better position to serve your interests. If
your agent does not know your wishes or beliefs,
your agent is legally required to act in your best
interest. Because this is a major responsibility for
the person you appoint as your health care
4. Frequently Asked Questions, continued
agent, you should have a discussion with the
person about what types of treatments you
would or would not want under different types of
circumstances, such as:
• whether you would want life support initiated/
continued/removed if you are in a permanent
coma;
• whether you would want treatments initiated/
continued/removed if you have a terminal
illness;
• whether you would want artificial nutrition
and hydration initiated/withheld or continued
or withdrawn and under what types of
circumstances.
Can my health care agent overrule my
wishes or prior treatment instructions?
No. Your agent is obligated to make decisions
based on your wishes. If you clearly expressed
particular wishes, or gave particular treatment
instructions, your agent has a duty to follow those
wishes or instructions unless he or she has a good
faith basis for believing that your wishes changed
or do not apply to the circumstances.
Who will pay attention to my agent?
All hospitals, nursing homes, doctors and other
health care providers are legally required to
provide your health care agent with the same
information that would be provided to you and to
honor the decisions by your agent as if they were
made by you. If a hospital or nursing home objects
to some treatment options (such as removing
certain treatment) they must tell you or your
agent BEFORE or upon admission, if reasonably
possible.
What if my health care agent is not
available when decisions must be made?
You may appoint an alternate agent to decide for
you if your health care agent is unavailable, unable
or unwilling to act when decisions must be made.
Otherwise, health care providers will make health
care decisions for you that follow instructions
you gave while you were still able to do so. Any
instructions that you write on your Health Care
Proxy form will guide health care providers under
these circumstances.
What if I change my mind?
It is easy to cancel your Health Care Proxy, to
change the person you have chosen as your
health care agent or to change any instructions
or limitations you have included on the form.
Simply fill out a new form. In addition, you may
indicate that your Health Care Proxy expires on a
specified date or if certain events occur. Otherwise,
the Health Care Proxy will be valid indefinitely.
If you choose your spouse as your health care
agent or as your alternate, and you get divorced or
legally separated, the appointment is automatically
cancelled. However, if you would like your former
spouse to remain your agent, you may note this on
your current form and date it or complete a new
form naming your former spouse.
Can my health care agent be legally liable
for decisions made on my behalf?
No. Your health care agent will not be liable for
health care decisions made in good faith on your
behalf. Also, he or she cannot be held liable for
costs of your care, just because he or she is your
agent.
Is a Health Care Proxy the same as a
living will?
No. A living will is a document that provides
specific instructions about health care decisions.
You may put such instructions on your Health
Care Proxy form. The Health Care Proxy allows
you to choose someone you trust to make health
care decisions on your behalf. Unlike a living will,
a Health Care Proxy does not require that you
know in advance all the decisions that may arise.
Instead, your health care agent can interpret your
wishes as medical circumstances change and can
make decisions you could not have known would
have to be made.
Where should I keep my Health Care Proxy
form after it is signed?
Give a copy to your agent, your doctor, your
attorney and any other family members or close
friends you want. Keep a copy in your wallet or
purse or with other important papers, but not in
a location where no one can access it, like a safe
5. Frequently Asked Questions, continued
deposit box. Bring a copy if you are admitted to the
hospital, even for minor surgery, or if you undergo
outpatient surgery.
May I use the Health Care Proxy form to
express my wishes about organ and/or
tissue donation?
Yes. Use the optional organ and tissue donation
section on the Health Care Proxy form and be sure
to have the section witnessed by two people. You
may specify that your organs and/or tissues be
used for transplantation, research or educational
purposes. Any limitation(s) associated with your
wishes should be noted in this section of the proxy.
Failure to include your wishes and instructions
on your Health Care Proxy form will not be taken
to mean that you do not want to be an organ and/
or tissue donor.
Can my health care agent make decisions
for me about organ and/or tissue donation?
Yes. As of August 26, 2009, your health care agent
is authorized to make decisions after your death,
but only those regarding organ and/or tissue
donation. Your health care agent must make
such decisions as noted on your Health Care
Proxy form.
Who can consent to a donation if I choose
not to state my wishes at this time?
It is important to note your wishes about organ
and/or tissue donation to your health care agent,
the person designated as your decedent’s agent, if
one has been appointed, and your family members.
New York Law provides a list of individuals who
are authorized to consent to organ and/or tissue
donation on your behalf. They are listed in order
of priority: your health care agent; your decedent’s
agent; your spouse, if you are not legally separated,
or your domestic partner; a son or daughter 18
years of age or older; either of your parents; a
brother or sister 18 years of age or older; or a
guardian appointed by a court prior to the
donor’s death.
6. Health Care Proxy Form Instructions
Item (1)
Write the name, home address and telephone
number of the person you are selecting as your
agent.
Item (2)
If you want to appoint an alternate agent, write the
name, home address and telephone number of the
person you are selecting as your alternate agent.
Item (3)
Your Health Care Proxy will remain valid
indefinitely unless you set an expiration date or
condition for its expiration. This section is optional
and should be filled in only if you want your Health
Care Proxy to expire.
Item (4)
If you have special instructions for your agent, write
them here. Also, if you wish to limit your agent’s
authority in any way, you may say so here or discuss
them with your health care agent. If you do not
state any limitations, your agent will be allowed to
make all health care decisions that you could have
made, including the decision to consent to or refuse
life-sustaining treatment.
If you want to give your agent broad authority, you
may do so right on the form. Simply write: I have
discussed my wishes with my health care agent and
alternate and they know my wishes including those
about artificial nutrition and hydration.
If you wish to make more specific instructions, you
could say:
If I become terminally ill, I do/don’t want to receive
the following types of treatments....
If I am in a coma or have little conscious
understanding, with no hope of recovery, then I do/
don’t want the following types of treatments:....
If I have brain damage or a brain disease that
makes me unable to recognize people or speak and
there is no hope that my condition will improve, I
do/don’t want the following types of treatments:....
I have discussed with my agent my wishes
about____________ and I want my agent to make
all decisions about these measures.
Examples of medical treatments about which you
may wish to give your agent special instructions
are listed below. This is not a complete list:
• artificial respiration
• artificial nutrition and hydration
(nourishment and water provided by feeding
tube)
• cardiopulmonary resuscitation (CPR)
• antipsychotic medication
• electric shock therapy
• antibiotics
• surgical procedures
• dialysis
• transplantation
• blood transfusions
• abortion
• sterilization
Item (5)
You must date and sign this Health Care Proxy
form. If you are unable to sign yourself, you may
direct someone else to sign in your presence. Be
sure to include your address.
Item (6)
You may state wishes or instructions about organ
and /or tissue donation on this form. New York
law does provide for certain individuals in order
of priority to consent to an organ and/or tissue
donation on your behalf: your health care agent,
your decedent’s agent, your spouse , if you are
not legally separated, or your domestic partner, a
son or daughter 18 years of age or older, either of
your parents, a brother or sister 18 years of age or
older, a guardian appointed by a court prior to the
donor’s death.
Item (7)
Two witnesses 18 years of age or older must sign
this Health Care Proxy form. The person who is
appointed your agent or alternate agent cannot
sign as a witness.
8. ___________________________________________________________________________________
________________________________________ ___________________________________________
(5) Your Identification (please print)
Your Name ___________________________________________________________________________
Your Signature _________________________________________________ Date ________________
Your Address__________________________________________________________________________
(6) Optional: Organ and/or Tissue Donation
I hereby make an anatomical gift, to be effective upon my death, of:
(check any that apply)
■ Any needed organs and/or tissues
■ The following organs and/or tissues ____________________________________________________
■ Limitations ________________________________________________________________________
If you do not state your wishes or instructions about organ and/or tissue donation on this form, it will
not be taken to mean that you do not wish to make a donation or prevent a person, who is otherwise
authorized by law, to consent to a donation on your behalf.
Your Signature ___________________________ Date_______________________________________
(7) Statement by Witnesses (Witnesses must be 18 years of age or older and cannot be the health care
agent or alternate.)
I declare that the person who signed this document is personally known to me and appears to be of
sound mind and acting of his or her own free will. He or she signed (or asked another to sign for him or
her) this document in my presence.
Date____________________________________ Date_______________________________________
Name of Witness 1 Name of Witness 2
(print) __________________________________ (print) _____________________________________
Signature _______________________________ Signature __________________________________
Address _________________________________ Address ____________________________________
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