Care Planning in Residential Care - Revision history

Charmaine Spencer: /* Advance Care Planning - Advance Care Plan and Advance Care Directives */

2016-01-13T00:42:33Z

Advance Care Planning - Advance Care Plan and Advance Care Directives

← Older revision		Revision as of 00:42, 13 January 2016
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	An advance care plan is a written summary of a capable adult’s beliefs, values and wishes for future health care, in the event the adult is incapable when the health care is required. The plan may simply be a statement of wishes, or it may include an advance directive or a representation agreement in which the adult names another person to make health care decisions on behalf of the adult.		An advance care plan is a written summary of a capable adult’s beliefs, values and wishes for future health care, in the event the adult is incapable when the health care is required. The plan may simply be a statement of wishes, or it may include an advance directive or a representation agreement in which the adult names another person to make health care decisions on behalf of the adult.

	An advance directive is a legal document that provides consent or a refusal for certain types of health care ~~in advance of~~ the need for health care ~~arising~~. It is a capable adult's written instructions expressed directly to their health care provider, or to their representative if they have named one in a representation agreement.		An advance directive is a legal document that provides consent or a refusal for certain types of health care before the need for health care arises. It is a capable adult's written instructions expressed directly to their health care provider, or to their representative if they have named one in a representation agreement.

	Advance directives are legally binding documents and only apply to health care. To be a valid advance directive, it must comply with the requirements for the instructions, plus how it is signed and witnessed.([[{{PAGENAME}}#References\|11]]) Under the Health Care (Consent) and Care Facility (Admission) Act, an advance directive:		Advance directives are legally binding documents and only apply to health care. To be a valid advance directive, it must comply with the legal requirements for the instructions, plus comply with the law on how it is signed and witnessed.([[{{PAGENAME}}#References\|11]]) Under the Health Care (Consent) and Care Facility (Admission) Act, an advance directive:

	* must not be mandatory - an adult must not be required to have an advance directive as a condition of receiving any good or service. ([[{{PAGENAME}}#References\|12]])		* must not be mandatory - an adult must not be required to have an advance directive as a condition of receiving any good or service. ([[{{PAGENAME}}#References\|12]])

Charmaine Spencer: /* References */

2016-01-13T00:39:11Z

References

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	#ACE: Decisionmaking,		#ACE: Decisionmaking,
	#ACE : Decision Making.		#ACE : Decision Making.
	#Ministry of Health. (July 18, 2012) Advance care planning - frequently asked questions. Online: http://www2.gov.bc.ca/~~assets~~/~~gov~~/~~topic~~/~~2038E757D68E49D5DC8C3CD0061E8E1B~~/~~pdf~~/~~faqadvancecareplanning.pdf~~ (Last accessed: ~~May 1~~, ~~2014~~).		#Ministry of Health. (July 18, 2012) Advance care planning - frequently asked questions. Online: http://www2.gov.bc.ca/gov/content/family-social-supports/seniors/health-safety/advance-care-planning (Last accessed: January 9, 2016).
	#AGA, s. 3 (1)		#AGA, s. 3 (1)
	#Health Care (Consent) and Care Facility (Admission) Act, s. 19.91.		#Health Care (Consent) and Care Facility (Admission) Act, s. 19.91.

Charmaine Spencer: /* References */

2016-01-13T00:34:25Z

References

← Older revision		Revision as of 00:34, 13 January 2016
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	#AGA, s. 3 (1)		#AGA, s. 3 (1)
	#Health Care (Consent) and Care Facility (Admission) Act, s. 19.91.		#Health Care (Consent) and Care Facility (Admission) Act, s. 19.91.
	#Wahl, J., Dykeman, M.J., & Gray, B. (January 2014). Health Care Consent And Advance Care Planning In Ontario- Legal Capacity, Decision‐Making and Guardianship. Commissioned by the Law Commission of Ontario, p. 203 and 205. Online: http://www.lco-cdo.org/capacity-guardianship-commissioned-paper-ace-ddo.pdf [“ACE_ LCO”] (Last accessed: ~~May 1~~, ~~2014~~).		#Wahl, J., Dykeman, M.J., & Gray, B. (January 2014). Health Care Consent And Advance Care Planning In Ontario- Legal Capacity, Decision‐Making and Guardianship. Commissioned by the Law Commission of Ontario, p. 203 and 205. Online: http://www.lco-cdo.org/capacity-guardianship-commissioned-paper-ace-ddo.pdf [“ACE_ LCO”] (Last accessed: January 9, 2016).
	#HCCCFA, s. 19.91.		#HCCCFA, s. 19.91.
	#ACE_ LCO, p. 205.		#ACE_ LCO, p. 205.

Nate Russell: /* References */

2014-07-25T21:05:09Z

References

← Older revision		Revision as of 21:05, 25 July 2014
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	#The Residents Bill of Rights notes under “Commitment to care” that “An adult person in care has the right to a care plan developed: (a) specifically for him or her, and (b) on the basis of his or her unique abilities, physical, social and emotional needs, and cultural and spiritual preferences.”		#The Residents Bill of Rights notes under “Commitment to care” that “An adult person in care has the right to a care plan developed: (a) specifically for him or her, and (b) on the basis of his or her unique abilities, physical, social and emotional needs, and cultural and spiritual preferences.”
	#Antipsychotic drug review, pg. 18.		#Antipsychotic drug review, pg. 18.
	~~#Some of these examples are from the Antipsychotic drug review.~~
	#Ombuds, Best of Care, Part 1.		#Ombuds, Best of Care, Part 1.
	#ACE: Decisionmaking,		#ACE: Decisionmaking,

Nate Russell at 21:01, 25 July 2014

2014-07-25T21:01:48Z

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Nate Russell at 20:59, 25 July 2014

2014-07-25T20:59:19Z

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Nate Russell: /* Tick Box Forms */

2014-07-25T20:56:19Z

Tick Box Forms

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 The forms also generally make no attempt to place the person’s expression of wishes in the context of their current health condition, or to discuss the risks and benefits of treatment. Instead, they simply request that people express their future wishes about, for example, whether they want to be hospitalized and receive antibiotics, without grounding the application of that wish in likely hospitalizations relating to the patient’s present health condition. It has been pointed out that these level-of-care forms in particular seem to be used frequently as consents although they are being portrayed as advance directives. They are completed without the information required for a valid informed consent.
+==References==
 {{REVIEWED | reviewer = BC Centre for Elder Advocacy and Support, June 2014}}
 {{Legal Issues in Residential Care: An Advocate's Manual Navbox}}

Nate Russell at 18:17, 24 July 2014

2014-07-24T18:17:47Z

← Older revision		Revision as of 18:17, 24 July 2014
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	{{Legal Issues in Residential Care: An Advocate's Manual TOC}}		{{Legal Issues in Residential Care: An Advocate's Manual TOC\|expanded=chapter6}}

	When a person is being admitted to the residential care facility for more than 30 days, the operator is required to develop an individualized care plan for the person. ([[Chapter Six Legal Issues in Residential Care References\|45]])Sections 81 and 82 of the Residential Care Regulation sets out the components of a care plan. [[Chapter Six Legal Issues in Residential Care References\|46]]) The operator has a responsibility to ensure the care plan is properly implemented, reviewed if there is a substantial change in circumstances, and if there is no change, the plan must be reviewed at least once a year.		When a person is being admitted to the residential care facility for more than 30 days, the operator is required to develop an individualized care plan for the person. ([[Chapter Six Legal Issues in Residential Care References\|45]])Sections 81 and 82 of the Residential Care Regulation sets out the components of a care plan. [[Chapter Six Legal Issues in Residential Care References\|46]]) The operator has a responsibility to ensure the care plan is properly implemented, reviewed if there is a substantial change in circumstances, and if there is no change, the plan must be reviewed at least once a year.

Admin at 16:01, 18 July 2014

2014-07-18T16:01:09Z

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	~~{{DEMOWARNING}}~~
	{{Legal Issues in Residential Care: An Advocate's Manual TOC}}		{{Legal Issues in Residential Care: An Advocate's Manual TOC}}

Admin: /* Advance Care Planning - Advance Care Plan and Advance Care Directives */

2014-07-10T23:17:09Z

Advance Care Planning - Advance Care Plan and Advance Care Directives

← Older revision		Revision as of 23:17, 10 July 2014
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	==Advance Care Planning - Advance Care Plan and Advance Care Directives==		==Advance Care Planning - Advance Care Plan and Advance Care Directives==
	[[File:~~Advance~~ care ~~planning~~.jpg \| right \| frame \| link=\| <span style="font-size:60%;">Copyright www.shutterstock.com</span>]]		[[File:advance care.jpg \| right \| frame \| link=\| <span style="font-size:60%;">Copyright www.shutterstock.com</span>]]
	Advance care planning is the communication process between a capable adult, family or other key people in their lives, and health care providers to ensure that the adult’s beliefs, values and wishes for future health care are known in the event that the adult is incapable of making health care decisions when the health care is required. [[Chapter Six Legal Issues in Residential Care References\|55]]) Although advance care planning is supposed to be an ongoing process of communication, health care providers are often given the impression that it is a linear process and that once the documentation is done, the process is complete.		Advance care planning is the communication process between a capable adult, family or other key people in their lives, and health care providers to ensure that the adult’s beliefs, values and wishes for future health care are known in the event that the adult is incapable of making health care decisions when the health care is required. [[Chapter Six Legal Issues in Residential Care References\|55]]) Although advance care planning is supposed to be an ongoing process of communication, health care providers are often given the impression that it is a linear process and that once the documentation is done, the process is complete.