II. Definition

  1. Documents patient's healthcare preferences
  2. Determined while patient cognitively intact
  3. Implementation varies by state

III. Approach: 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)

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Ontology: 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 spell out your decisions about end-of-life care ahead of time. They give you a way to tell your wishes to family, friends, and health care professionals and to avoid confusion later on.

A living will tells which treatments you want if you are dying or permanently unconscious. You can accept or refuse medical care. You might want to include instructions on

  • The use of dialysis and breathing machines
  • If you want to be resuscitated if your 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 for you if you are unable to do so.

NIH: National Cancer Institute

Definition (NCI_NCI-GLOSS) 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
LNC MTHU021127, LP133261-0, MTHU047657
English Advance Directives, Directive, Advance, Directives, Advance, advance directives, Advance Directive, 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, Diretrizes Antecipadas, Decisões Antecipadas, Diretivas Antecipadas (Ética Médica), Diretivas de Futuro, Determinações Prévias (Ética Médica), Ordens Antecipadas
Spanish Directivas Anticipadas, Directrices Anticipadas, Directivas de Adelanto (Ética Medica)
Finnish Etukäteen kirjatut hoitotoivomukset
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, Oświadczenie pro futuro, Dyrektywa na przyszłość
Norwegian Pasientfullmakter, Pasienterklæringer
Italian Disposizioni del paziente
Dutch Volmacht, Volmachten