advance directive


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Related to advance directive: Durable power of attorney

ad·vance di·rec·tive

a legal document giving instructions as to the type and degree of medical care to be administered in the event that the person signing the document becomes mentally incompetent during the course of a terminal illness, or becomes permanently comatose (that is, persistent vegetative state).
See also: living will.

State legislatures have enacted so-called Death with Dignity Laws to protect the rights of patients to refuse medical care, including life-prolonging and palliative care in terminal illness, as well as to clarify the role of physicians and indemnify them against the accusation of euthanasia or physician-assisted suicide when they withhold such care in compliance with patients' wishes. These laws spell out strict procedural requirements, including the need for the signing of an advance directive to be duly witnessed, and make it easier to revoke an advance directive than to establish one. When an advance directive provides instructions for the types of care the patient does or does not want to receive, it is known as a living will. When it names another person to make such decisions, it is known as a durable power-of-attorney for health care decisions. An advance directive can contain both types of instruction. An agent making end-of-life decisions on behalf of a patient is required to follow the patient's instructions, interpreting them when necessary in the light of the patient's personal philosophy, religious beliefs, and ethical values, and with due consideration for the likelihood that the patient will regain competency or will recover.

advance directive

n.
A legal document in which the signer gives directions or designates another person to make decisions regarding the signer's health care if the signer becomes incapable of making such decisions.

advance directive

Etymology: Fr, avancer, to move forward; L, dirigere, to direct
an advance declaration of treatment preferences in case a person is unable to communicate his or her wishes. See durable power of attorney for health care, living will.

Advance Directive

A verbal or written statement or statements by an individual which delineate not only those medical treatments that he/she does not want in the event that he/she becomes incapable of making an informed decision in the future, but also those that he/she finds acceptable.

advance directive

Advance medical directive, self-determination Medical ethics Instruction(s) that provide a mentally competent person with a
Advance directive types
Living will,
in which the person outlines-usually in writing, specific treatment guidelines to be followed by health care providers
Health care proxy
Power of attorney for healthcare decision making, proxy to make the health care decisions. The person designates a trusted individual to make medical decisions in the event of inability to make such decisions
  vehicle for directing his/her own treatment in the event of serious illness and/or loss of mental ability to communicate those wishes; in an AD, the person indicates in advance, how treatment decisions are to be made with regard to the use of artificial life support. See DNR orders, Durable powers of attorney, Euthanasia, Living will.

ad·vance di·rec·tive

(ăd-vans' dĭr-ek'tiv)
A legal document with written instructions signed by the patient (or the patient's designee if the patient cannot sign) stating the type of care measures and services that are or are not to be provided to prolong life in the event of a life-threatening illness.
Synonym(s): durable power of attorney (1) .

ad·vance di·rec·tive

(ăd-vans' dĭr-ek'tiv)
Legal document giving instructions as to the type and degree of medical care to be administered in the event that the person signing the document becomes mentally incompetent during the course of a terminal illness, or becomes permanently comatose.
References in periodicals archive ?
In terms of terminology within the New Zealand context, an advance care plan may be considered an advance directive or may be aligned with other existing advance directives and be legally binding (MOH, 2011).
To understand the benefits and limitations of advance directives to direct decisions about the care of critically ill patients in the Intensive Care Unit (ICU).
When the data were broken down by the usual type of end-of-life care (and costs) in each region, advance directives were associated with less-aggressive care (and lower costs) only in regions where more-aggressive care (and higher costs) were the norm.
Psychiatric advance directives (PADs) offer one strategy to reduce mandated interventions (Swanson et al.
Though acknowledging that "even explicit statements may need interpretation," Brudney classifies the choices expressed in advance directives as actual expressions of self-determination that should trump the other values that might influence bedside choices.
Under the old law the advance directive was not in effect until a person was considered terminally ill or persistently unconscious as well as incapacitated.
Earlier research has concluded that advance directive discussions are too bureaucratic and focused on DNR decisions and that families and new residents are too emotionally overwrought at admissions to consider end-of-life treatment decisions (Bradley et al.
In recognition of Elder Law Month and Older American's Month, the Elder Law Section, along with Department of Elder Affairs Secretary Carole Green and the Statewide Public Guardianship Office, in May hosted advance directives workshops throughout the state.
For information about Living Will and Advance Directive talk to your primary care provider, local Health Dept, or local hospital to obtain the very simple forms needed.
Under an advance directive it is not be possible to refuse basic care in the form of food and drink by mouth or pain relief.
Despite the article in CLINICAL PSYCHIATRY NEWS, there is a growing body of evidence that the presence of a durable power of attorney for health care, or advance directive, is in the best interest of optimal care ("Advance Directives May Undermine Good Care," June 2004, p.

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