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What are advance directives and what are the implications for nursing care?

What are advance directives and what are the implications for nursing care?

Advance directives are legal documents that allow patients to put their healthcare wishes in writing, or to appoint someone they trust to make decisions for them, if they become incapacitated (Abdelmalek, Goyal, Narula, Paulino, & Thomas-Hemak, 2013; Watson, 2010).

What are the three parts of an advance directive?

Advance directives generally fall into three categories: living will, power of attorney and health care proxy.

What is the nurse’s role in advance directives?

Providing help with filling out advance directive forms. Listening to patients talk about their values and concerns. Helping patients and their families understand their treatment options. Making sure patients understand the end-of-life care decisions they make.

What is the role of nurses with advance directives?

Nurse involvement in ACP can have significant benefits for patients, as they are able to clarify their preferences, make their wishes known, and reduce future burden for families. Psychosocial and relational elements of care are critical to patient satisfaction.

What does advance care planning include?

Advance care planning includes: Getting information on types of life-sustaining treatments available. Deciding what types of treatment you would or would not want should you be diagnosed with a life-limiting illness. Sharing your personal values with loved ones.

Can an RN perform advanced care planning?

Nurses are in a unique position to promote advanced care planning (ACP) discussions with patients and families. Nurses can work in tandem with providers and patients to advocate for and promote ACP.

What is required for a client to make an advance directive?

Making Your Advance Care Wishes Known. There are two main elements in an advance directive—a living will and a durable power of attorney for health care. There are also other documents that can supplement your advance directive. You can choose which documents to create, depending on how you want decisions to be made.

What you should know about advance directives?

An advance directive is a legal form that helps your doctors and family members understand your wishes about medical and mental health care. It can help them decide about treatments if you are too ill to decide for yourself. For example, if you are unconscious or too weak to talk.

How to complete advance directives?

Keep the originals in a safe but easily accessible place.

  • Give a copy to your doctor.
  • Give a copy to your health care agent and any alternate agents.
  • Keep a record of who has your advance directives.
  • Talk to family members and other important people in your life about your advance directives and your health care wishes.
  • How to start the conversation about advance directives?

    – Record that the conversation was voluntary, – Summarize what was discussed, – Explain advance directives, – Record the length of the conversation, – Record who was present.

    Why is advance directive important?

    – Advanced directives give you the ability to make life and death decisions. – Advanced directives allow decisions to be made in a timely manner. – Advanced directives help you to protect your family from fighting. – Advanced directives allow you to protect your family from guilt.