PDF-ADVANCE DIRECTIVE YOU DO NOT HAVE TO FILL OUT AND SIGN THIS FORM PART A IMPORTAN

It can control critical decisions about your health care Before signing consider these important facts Facts About PART B Appointing a Health Care Representative You have the right to name a person to direct your health care when you cannot do so Th. 1 CD6 SE Fig 1 CD XT SE Fig 1 CD8 SE Fig 1 CD ransport brPage 3br 325 1015 Reading 325 325 Fig 3 17 59 57 Fig 2 1 1 1 brPage 4br Cyrus CD 6 SE 2 CD 8 SE 2 CD XT SE 2 CD T TRANSPORT User Instructions 1 IMPORTANT Read before operating this equipme Training Outline . Learning Objectives. Staff Responsibilities. Deciding Whether to Complete a VA Advance Directive,. a . State-Authorized Advance Directive, or Both. Appointing a Health Care Agent. Information for Providers. West Virginia Mental Health Planning Council. This information was developed to raise awareness of Psychiatric Advance Directives. It is not intended to provide legal or medical advice.. Training Outline . Learning Objectives. Staff Responsibilities. Deciding Whether to Complete a VA Advance Directive,. a . State-Authorized Advance Directive, or Both. Appointing a Health Care Agent. Eilionóir Flynn & Piers Gooding. Centre for Disability Law & Policy. National University of Ireland Galway. Ireland’s Assisted Decision-Making. Bill . & Advance Directives. Eilionóir Flynn. Why conversations matter. 2. Conversations matter. 90%. . of people say that talking with their loved ones about future health care decisions is . important . Only . 27% . actually have . 3. Source: The Conversation Project National Survey . ADVANCE HEALTH CARE DIRECTIVE FORMPAGE 2 of 7home phone work phonePART 1 POWER OF ATTORNEY FOR HEALTH CARE11 DESIGNATION OF AGENT I designate the following individual as my agent to make REFUSING TO HONOR MY HEALTH CARE CHOICESI understand that circumstances beyond my control may cause me to be admitted to a health care institution whose policy is to decline to follow advance directiv Only 25% of Americans…. have . put their medical care wishes in writing.. Anna’s story. Anna’s experience. Advance care planning. Facing the unexpected. Family members disagree. Finding an advance healthcare directive. What is Advance Care Planning. It is a regulatory requirement that we inquire about the presence of an Advance Directive and offer assistance in completing one for each inpatient admission.. At CMC, we are dedicated to providing assistance with the documentation, storage, retrieval, and honoring of patients’ advance care planning as it is essential for providing quality that reflects the goals and values of our patients.. This is the Health Care Directive of: Name Address Province Telephone Part 1 – Designation of a Health Care Proxy You may name one or more persons who will have the power to make decisions abo PS-X-MHS-442 (Rev. 3-04) You can write down your wishes about donating your bodily organs and tissues following your death. You can select a physician to have primary or main Part 5: Signature and Wit Do you want to be kept alive by machines?. Does anyone know your wishes for your care?. Who will make decisions for you?. Imagine…. Your mother has slipped into a coma. You and your siblings need to make some decisions about her medical care.. A . process. of learning about the types of decisions that might need to be made, considering those decisions, your values and priorities . ahead of time. , then letting others know—both your loved ones and your healthcare providers—about your preferences.