Start the Discussion: The Importance
of Advance Directives
Presented by:
Rebecca A. Levy, Esq.
Mary M. Petti, MPA, RN
Octo...
Please hold all questions until
the end of the slide
presentation. There will be
plenty of time for questions.
The Patient Self Determination Act
(PSDA)
• Passed by Congress in 1990
• Effective December 1, 1991
• Applies to Hospitals...
PSDA Patients’ Rights Include
• The right to facilitate their own
healthcare decisions
• The right to accept or refuse
med...
PSDA Requires Certain Facilities to:
• Inquire whether the patient already has an
advance healthcare directive and make no...
What is an Advance Directive?
• An advance directive is a legal
document that you can complete on
your own that can help e...
When does an Advance Directive go
into effect?
• An advance directive goes into effect when
you are unable to make medical...
Types of Advance Directives
• Health Care Proxy
Directive/Power of
Attorney
 Allows you to choose
who will make
decisions...
Who can I appoint as my healthcare
representative?
• Spouse/Domestic Partner
• Family Member (adults only)
• Friends
• Rel...
Where do I get an advance directive
form?
• WWW.state.nj.us/health/advancedirecti
ve/document
• Five Wishes booklet prepar...
What do I need to do?
• Study and understand the terminology
used in discussing treatments and end-
of-life decisions
• Id...
Have the discussion…
• With your healthcare
agent/representative
• With your spouse/partner
• With your family members/lov...
Complete the Form
• Sign the form
• Get signatures of two witnesses (may
not be witnessed by your healthcare
representativ...
What do I do with my advance
directive?
• Keep the original in an easily accessible
place in your home (Not the safe depos...
Still have questions?
• Mary Petti, RN
• Patient Relations, 908-277-8928
• Spend some time preparing your
advance directiv...
What is POLST?
• Practitioner Orders for Life
Sustaining Treatment
• 12/21/2011 legislation that
enables patients to indic...
What is the POLST Form?
• Standardized form for practitioner
orders
• Signed by a physician or advanced
practice nurse
• P...
Who Should Have a POLST Form?
• Seriously ill patients
• Medically frail persons with limited life
expectancy
• Those livi...
POLST
Questions?
Upcoming SlideShare
Loading in …5
×

Start the Discussion: The Importance of Advance Directives

2,170 views

Published on

We will discuss the importance of planning ahead about end-of-life decisions, provide useful information about how to prepare advance directives, and distribute sample forms.

Published in: Health & Medicine, Business
1 Comment
0 Likes
Statistics
Notes
  • Great post! Thanks for the info, it’s easy to understand. BTW, if anyone needs to fill out a Oregon Advance Directive pdf, I found a blank form here
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

No Downloads
Views
Total views
2,170
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
11
Comments
1
Likes
0
Embeds 0
No embeds

No notes for slide

Start the Discussion: The Importance of Advance Directives

  1. 1. Start the Discussion: The Importance of Advance Directives Presented by: Rebecca A. Levy, Esq. Mary M. Petti, MPA, RN October 24, 2012
  2. 2. Please hold all questions until the end of the slide presentation. There will be plenty of time for questions.
  3. 3. The Patient Self Determination Act (PSDA) • Passed by Congress in 1990 • Effective December 1, 1991 • Applies to Hospitals, Nursing Homes, home health agencies, hospice providers and HMOs • Does not apply to individual doctors
  4. 4. PSDA Patients’ Rights Include • The right to facilitate their own healthcare decisions • The right to accept or refuse medical treatment • The right to make an advance healthcare directive
  5. 5. PSDA Requires Certain Facilities to: • Inquire whether the patient already has an advance healthcare directive and make note of this in their medical records • Give the patient written information about preparing an advance directive (specifically the patient’s rights under law) • Provide education to their staff and affiliates about advance healthcare directives
  6. 6. What is an Advance Directive? • An advance directive is a legal document that you can complete on your own that can help ensure your preferences for various medical treatments are followed if you become unable to make your own healthcare decisions.
  7. 7. When does an Advance Directive go into effect? • An advance directive goes into effect when you are unable to make medical/treatment decisions on your own behalf. • An advance directive is not effective for a competent adult patient who is able to communicate his/her own wishes for medical care.
  8. 8. Types of Advance Directives • Health Care Proxy Directive/Power of Attorney  Allows you to choose who will make decisions on your behalf if you become incapacitated • Instruction Directive (“Living Will”)  Provides specific instructions for how your representative should make decisions
  9. 9. Who can I appoint as my healthcare representative? • Spouse/Domestic Partner • Family Member (adults only) • Friends • Religious/Spiritual Advisor • Any adult EXCEPT your physician, employees/administrator of a healthcare institution where you are a patient/resident unless they are related to you.
  10. 10. Where do I get an advance directive form? • WWW.state.nj.us/health/advancedirecti ve/document • Five Wishes booklet prepared by Aging with Dignity
  11. 11. What do I need to do? • Study and understand the terminology used in discussing treatments and end- of-life decisions • Identify someone you would like to be your healthcare agent/representative and get their agreement to assume that role if you become unable to make decisions for yourself
  12. 12. Have the discussion… • With your healthcare agent/representative • With your spouse/partner • With your family members/loved ones • Using the form, make your choices for treatment clear
  13. 13. Complete the Form • Sign the form • Get signatures of two witnesses (may not be witnessed by your healthcare representative) • New Jersey does not require notarization (but may be notarized)
  14. 14. What do I do with my advance directive? • Keep the original in an easily accessible place in your home (Not the safe deposit box) • Give copies to:  Your healthcare agent/representative  Your Primary Care Physician or Summit Medical Group  The hospital or extended care facility if you are admitted there  Fill out the wallet card and carry it with you
  15. 15. Still have questions? • Mary Petti, RN • Patient Relations, 908-277-8928 • Spend some time preparing your advance directive. It could become a great gift to your loved ones in the future.
  16. 16. What is POLST? • Practitioner Orders for Life Sustaining Treatment • 12/21/2011 legislation that enables patients to indicate their preferences regarding life-sustaining treatment
  17. 17. What is the POLST Form? • Standardized form for practitioner orders • Signed by a physician or advanced practice nurse • Provides instructions for health care personnel to follow for a range of life prolonging interventions
  18. 18. Who Should Have a POLST Form? • Seriously ill patients • Medically frail persons with limited life expectancy • Those living in a nursing home or hospice • Those afraid of losing the capacity to make their own healthcare decisions in the near future
  19. 19. POLST Questions?

×