Difference between revisions of "Advance Directives (15:VI)"

Line 44:

In the absence of an AD, if the adult has not appointed a Representative, then the health care provider will seek consent from a Temporary Substitute Decision-Maker (TSDM), as set out in s 16 of the HCCFA.

== B. Making an Advance Directive ==

An AD must include or address any prescribed matter and indicate that the adult knows the following:

*a health care provider may not provide any health care for which the adult refuses consent in the AD; and

*a person may not be chosen to make decisions on behalf of the adult in respect of any health care for which the adult has given or refused consent.

For more information, refer to [[Introduction to Adult Guardianship (15:II)#2. Health Care Consent | section II.B.2: Mental Capacity; Health Care Consent]] in this chapter.

== C. Changing, Revoking or Ending an Advance Directive ==

An adult with capacity is able to revoke or change an AD at any time. According to s 19.6 of the HCCFA, an adult who has made an AD may change or revoke the AD as long as the adult is capable of understanding the nature and consequences of the change or revocation.

A change must be made in writing. The amended AD must also be signed and witnessed by two capable adults (unless one witness is a lawyer or notary).

A revocation may be made by expressing an intention to revoke an AD and then making another document, including a subsequent AD. Alternatively, an AD may be revoked by destroying the AD with the intention to revoke it.

== D. Examples of Advance Directive Provisions ==

Examples of directives made in an AD might include consenting or refusing consent to the following:

*CPR (if cardiac or respiratory arrest occurs);

*artificial nutrition through intravenous or tube feedings;

*prolonged maintenance on a respirator (if unable to breathe adequately alone);

*blood cultures, spinal fluid evaluations, and other diagnostic tests; and/or

*blood transfusions.

'''NOTE:''' The adult should have their AD added to their doctor’s patient files, their hospital records, and any other relevant agencies. If the AD is revoked or altered, the adult should advise each of these agencies or provide them with the new or revised AD.

=== 1. Do Not Resuscitate Orders (“DNR Orders”) ===

Do Not Resuscitate Orders are a common form of AD which instruct medical professionals not to perform CPR. This means that doctors, nurses, emergency medical personnel, or other healthcare providers will not attempt emergency CPR if a person’s breathing or heartbeat stops. DNR orders may appear in a patient’s advance directive document.

However, DNR orders can also be made in a hospital or personal care home, and noted on that person’s chart, or be made by persons at home. Hospital DNR Orders tell the medical

@@ Line 44: / Line 44: @@
 In the absence of an AD, if the adult has not appointed a Representative, then the health care provider will seek consent from a Temporary Substitute Decision-Maker (TSDM), as set out in s 16 of the HCCFA.
+== B. Making an Advance Directive ==
+An AD must include or address any prescribed matter and indicate that the adult knows the following:
+*a health care provider may not provide any health care for which the adult refuses consent in the AD; and
+*a person may not be chosen to make decisions on behalf of the adult in respect of any health care for which the adult has given or refused consent.
+For more information, refer to [[Introduction to Adult Guardianship (15:II)#2. Health Care Consent | section II.B.2: Mental Capacity; Health Care Consent]] in this chapter.
+== C. Changing, Revoking or Ending an Advance Directive ==
+An adult with capacity is able to revoke or change an AD at any time. According to s 19.6 of the HCCFA, an adult who has made an AD may change or revoke the AD as long as the adult is capable of understanding the nature and consequences of the change or revocation.
+A change must be made in writing. The amended AD must also be signed and witnessed by two capable adults (unless one witness is a lawyer or notary).
+A revocation may be made by expressing an intention to revoke an AD and then making another document, including a subsequent AD. Alternatively, an AD may be  revoked by destroying the AD with the intention to revoke it.
+== D. Examples of Advance Directive Provisions ==
+Examples of directives made in an AD might include consenting or refusing consent to the following:
+*CPR (if cardiac or respiratory arrest occurs);
+*artificial nutrition through intravenous or tube feedings;
+*prolonged maintenance on a respirator (if unable to breathe adequately alone);
+*blood cultures, spinal fluid evaluations, and other diagnostic tests; and/or
+*blood transfusions.
+'''NOTE:''' The adult should have their AD added to their doctor’s patient files, their hospital records, and any other relevant agencies. If the AD is revoked or altered, the adult should advise each of these agencies or provide them with the new or revised AD.
+=== 1. Do Not Resuscitate Orders (“DNR Orders”) ===
+Do Not Resuscitate Orders are a common form of AD which instruct medical professionals not to perform CPR. This means that doctors, nurses, emergency medical personnel, or other healthcare providers will not attempt emergency CPR if a person’s breathing or heartbeat stops. DNR orders may appear in a patient’s advance directive document.
+However, DNR orders can also be made in a hospital or personal care home, and noted on that person’s chart, or be made by persons at home. Hospital DNR Orders tell the medical

Difference between revisions of "Advance Directives (15:VI)"

Navigation menu

Search