refer to "an advance directive", what are life prolonging measures, treatments?
What is an advance directive?
An advance directive is a legal document. It tells your dr. and family what kind of medical intendance you want to have if y'all can't tell them yourself. This could happen if you:
- Are in a coma.
- Are seriously injured.
- Are terminally ill.
- Have severe dementia.
If yous are admitted to the hospital, the infirmary staff will probably talk to you most advance directives.
Path to improved well beingness
A good accelerate directive describes the kind of treatment yous would want, depending on how ill you are. It could draw what kind of intendance you want if you have an affliction that you lot are unlikely to recover from. Information technology could also describe the care you lot desire if you lot are permanently unconscious. Advance directives commonly tell your doctor that yous don't want certain kinds of handling. They can also say that you lot desire a sure handling no matter how ill you are.
Advance directives could include:
Living will
A living volition is one type of accelerate directive. It is a written, legal document. It describes the treatments you lot would desire if you were terminally sick or permanently unconscious. These could be medical treatments or treatments that will help you live longer. A living will doesn't let you lot select someone to make decisions for you.
Durable power of attorney for wellness care
A durable power of attorney (DPA) for health care is another kind of advance directive. A DPA states whom you lot have chosen to brand health care decisions for yous. It becomes active any time you are unconscious or unable to make medical decisions (and may exist called Medical Ability of Attorney, or MPOA). A DPA is generally more useful than a living will. But a DPA may not be a practiced choice if you don't have another person you lot trust to brand these decisions for you lot.
Laws about accelerate directives are different in each land. Living wills and DPAs are legal in near states. These accelerate directives may not be officially recognized by the law in your country. But they can still guide your loved ones and medico if yous are unable to make decisions almost your medical care. Ask your doc, lawyer, or state representative near the laws in your state.
Physician orders for life-sustaining treatment (POLST)
A POLST is for people who have been diagnosed with a serious illness. It is filled out by your doctor. It doesn't replace your other advance directives. Instead it stays with you lot to ensure y'all get the medical treatment you want.
Do not resuscitate society
A do-not-resuscitate (DNR) order can also be part of an advance directive. Hospital staff try to aid any patient whose heart has stopped or who has stopped breathing. They do this with cardiopulmonary resuscitation (CPR). A DNR is a request not to have CPR if your heart stops or if you stop breathing. Yous can use an advance directive class or tell your doctor that you don't want to exist resuscitated. Your doctor volition put the DNR order in your medical chart. Doctors and hospitals in all states accept DNR orders. They do non have to be part of a living will or other advance directive.
Other possible end-of-life issues that may be covered in an advance directive include:
- Ventilation – if, and for how long, you lot desire a car to take over your animate.
- Tube feeding – if, and for how long, yous want to be fed through a tube in your tummy or through an IV.
- Palliative care (comfort care) – keeps y'all comfortable and manages pain. This could include receiving pain medicine or dying at dwelling.
- Organ donation – specifying if you want to donate your organs, tissues, or body for other patients or for research.
Should I accept an accelerate directive?
Creating an advance directive is a good idea. Information technology makes your preferences about medical care known before you lot're faced with a serious injury or affliction. This will spare your loved ones the stress of making decisions about your care while you are sick. Any person 18 years of age or older can prepare an advance directive.
People who are seriously or terminally ill are more likely to take an advance directive. For example, someone who has terminal cancer might write that they exercise not want to be put on a respirator if they cease animate. This activity tin reduce their suffering. Information technology can increment their peace of listen and give them more than control over their death.
Even if yous are in proficient wellness, you might desire to consider writing an advance directive. An accident or serious affliction tin happen suddenly. If you already have a signed accelerate directive, your wishes are more likely to be followed.
How can I write an advance directive?
Y'all can write an advance directive in several ways:
- Use a class provided past your dr..
- Write your wishes down past yourself.
- Telephone call your health section or land section on aging to get a form.
- Call a lawyer.
- Use a figurer software parcel for legal documents.
Advance directives and living wills do not have to be complicated documents. They can be short, simple statements about what you want done or non done. Recall, anything you lot write by yourself or with a figurer software parcel should follow your state laws. You may also want your doctor or a lawyer to review what you accept written. They tin make sure your directives are understood exactly as you intended. When you are satisfied with your directives, accept the orders notarized. Then give copies to your family and your medico.
Things to consider
Tin can I change my advance directive?
You may alter or cancel your accelerate directive at any fourth dimension, equally long as you are of sound heed to do then. This means you tin think rationally and communicate your wishes conspicuously. Once more, your changes must be fabricated, signed, and notarized co-ordinate to the laws in your state. Make certain that your doctor and family members are aware of the changes.
If you lot change your mind, you lot tin also brand your changes known while yous are in the infirmary. Tell your physician and any family unit or friends who are present exactly what y'all want to happen. Usually, wishes that are fabricated in person will be followed in identify of the ones made earlier in writing. Be sure your instructions are clearly understood past everyone you have told.
Questions to ask your doctor
- I'1000 not sick. Do I need an advance directive?
- What kinds of things should I include in my advance directive?
- How do I go about getting an advance directive?
- Exercise I have to pay a lawyer to draw 1 up?
- What happens if I change my mind on the kind of care I want to receive?
Resources
National Institute on Aging, Accelerate Care Planning: Healthcare Directives
U.S. National Library of Medicine: Advance Directives
Copyright © American Academy of Family unit Physicians
This information provides a full general overview and may non use to everyone. Talk to your family doctor to observe out if this information applies to you lot and to get more data on this bailiwick.
Source: https://familydoctor.org/advance-directives-and-do-not-resuscitate-orders/
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