PDF-Advance Health Care Directive Form InstructionsYou have the right to g

PSXMHS442 Rev 304 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. 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. 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. 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 . Introduction to Advance . Directive for Health Care. In 2004, the Health Care Decision Act was passed thus revising Tennessee law concerning health care decision making. What does the . Act do. ? . Training Outline . Learning Objectives. Honoring Veterans’ Health Care Preferences. What is Advance. Care Planning? What is an Advance Directive?. Decision-Making Capacity. VHA Handbook. 1004.02, . Rozanne Turner, M.Ed., BSN, RN. Clinical Programs, Priority Health. First and Last Steps® ACP Facilitator. Doug Dietzman, BS. Executive Director. Great Lakes Health Connect & Making Choices Michigan. 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. Indianapolis, Indiana 46204 March 1999 Revised May 2004 Revised Ju ly 1, 2013 _______________________________________________________________________________ ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE _ Directive This This is provided by the Alaska Legal Services Corporation, a statewide private nonprofit organization. Nothing contained in this publication is to be considered as the rendering of le As a VA patient you have a say in the health care you receive. Normally your doctor explains your WHAT YOU SHOULD KNOW ABOUT ADVANCE DIRECTIVES CONTINUED Your advance directive is used only when you 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..