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Advance Directive

Aka: Advance Directive, Advanced Directive
  1. See Also
    1. Advance Care Planning
  2. Definition
    1. Documents patient's healthcare preferences
    2. Determined while patient cognitively intact
    3. Implementation varies by state
  3. Mnemonic: CODE
    1. Communicate who discussion was held with
    2. Orders are summarized in documentation
    3. Decision maker (proxy or power of attorney) determined
    4. Extra Instructions (Living Will, health care directive)

Advance Directives (C0001683)

Definition (MEDLINEPLUS)

What kind of medical care would you want if you were too ill or hurt to express your wishes? Advance directives are legal documents that allow you to convey your decisions about end-of-life care ahead of time. They provide a way for you to communicate your wishes to family, friends and health care professionals, and to avoid confusion later on.

A living will tells how you feel about care intended to sustain life. You can accept or refuse medical care. There are many issues to address, including

  • The use of dialysis and breathing machines
  • If you want to be resuscitated if breathing or heartbeat stops
  • Tube feeding
  • Organ or tissue donation

A durable power of attorney for health care is a document that names your health care proxy. Your proxy is someone you trust to make health decisions if you are unable to do so.

NIH: National Cancer Institute

Definition (NCI) A legal document that states the treatment or care a person wishes to receive or not receive if he or she becomes unable to make medical decisions (for example, due to being unconscious or in a coma). Some types of advance directives are living wills and do-not-resuscitate (DNR) orders.
Definition (MSH) Declarations by patients, made in advance of a situation in which they may be incompetent to decide about their own care, stating their treatment preferences or authorizing a third party to make decisions for them. (Bioethics Thesaurus)
Definition (PSY) Declaration of personal wishes through legal documents or written instructions pertaining to future medical care if one becomes incapacitated.
Concepts Intellectual Product (T170)
MSH D016223
English Advance Directives, Directive, Advance, Directives, Advance, Advance directives, Advanced directives, advance directives, Advance Directive, advance directive
German Patientenverfügungen
French Déclarations anticipées, Directives anticipées, Directives préalables, Décisions anticipées
Swedish Patientfullmakt
Czech pacientova přání ohledně budoucí terapie
Portuguese Diretivas Antecipadas, Diretivas Antecipadas (Ética Médica), Diretrizes Antecipadas, Decisões Antecipadas, Determinações Prévias (Ética Médica), Diretivas de Futuro, Ordens Antecipadas
Spanish Directivas de Adelanto (Etica Medica), Directivas de Adelanto (Ética Medica), Directrices Anticipadas, Directivas Anticipadas
Finnish Etukäteen kirjatut hoitotoivomukset
Russian PREDVARITEL'NYE UKAZANIIA BOL'NOGO, UKAZANIIA BOL'NOGO O PROVEDENII LECHENIIA, SDELANNYE ZABLAGOVREMENNO, ПРЕДВАРИТЕЛЬНЫЕ УКАЗАНИЯ БОЛЬНОГО, УКАЗАНИЯ БОЛЬНОГО О ПРОВЕДЕНИИ ЛЕЧЕНИЯ, СДЕЛАННЫЕ ЗАБЛАГОВРЕМЕННО
Japanese 医師への事前指示文書, 事前指示, アドバンスディレクティブ, 患者による選択
Polish Dyrektywa wyprzedzająca, Oświadczenie woli pacjenta, Oświadczenie woli
Italian Disposizioni del paziente
Dutch Volmacht, Volmachten
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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