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Durable Power of Attorney for Health Care

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1. Durable Power of Attorney for Health Care

Durable Power of Attorney for Health Care Durable Power of Attorney for Health Care Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Durable Power of Attorney for Health Care Durable Power of Attorney for Health Care Aka: Durable Power of Attorney for Health Care , Durable Power of Attorney , Health Care Proxy From Related Chapters II. Definition Person assigned as decision-making proxy Determined when patient cognitively intact Activated if patient becomes incapacitated Carries out patient's expressed wishes in this case Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2018 FP Notebook

2. Durable Power of Attorney for Health Care

Durable Power of Attorney for Health Care Durable Power of Attorney for Health Care Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Durable Power of Attorney for Health Care Durable Power of Attorney for Health Care Aka: Durable Power of Attorney for Health Care , Durable Power of Attorney , Health Care Proxy From Related Chapters II. Definition Person assigned as decision-making proxy Determined when patient cognitively intact Activated if patient becomes incapacitated Carries out patient's expressed wishes in this case Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2015 FP Notebook

3. Transitions of Care for Children with Special Health Care Needs

Transitions of Care for Children with Special Health Care Needs Technical Brief Num Transition Care for Children With Special Health Needs ber 15Technical Brief Number 15 Transition Care for Children With Special Health Needs Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. 290-2012-00009-I Prepared by: Vanderbilt University Evidence-based Practice Center Nashville, TN (...) in this document are those of the author(s), who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. The information in this report is intended to help health care decisionmakers—patients and providers, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve

2014 Effective Health Care Program (AHRQ)

4. Palliative Care for Adults

such as a surrogate, proxy or durable power of attorney for health care. Serious Illness: In the context of palliative care, “serious illness” is defined as “a condition that carries a high risk of mortality, negatively impacts quality of life and daily function, and/or is burdensome in symp- toms, treatments, or caregiver stress.” (Kelly, 2015) A serious illness could be a terminal illness; a chronic, progressive, and probably life-shortening illness; or severe neurodegenerative diseases. A serious illness could (...) surrogates to provide the information needed to assess the patient’s ever- changing palliative care needs. Competency is a legal term referring to a decision made by a judge, although a clinician’s opinion carries a large amount of weight in a competency hearing. In contrast, decision-making capacity refers to a clini- cian’s determination, based on clinical examination, whether a patient is able to make medical decisions for himself/herself relative to the discussion. Most state power of attorney

2020 Institute for Clinical Systems Improvement

5. End-of-Life Care for People Experiencing Homelessness

or she expects his or her illness to follow in the future. Some patients may have a perception that “short and sweet” is preferable to “endless suffering,” which may be related to inequalities in care and poor allocation of resources in impoverished communities. This may also be an appropriate time to initiate discussion of advance directives and whether or not the patient has identified a surrogate decision maker or durable power of attorney for health care. Because advance directives vary by state (...) in his or her own treatment. 4. Offer assistance in completion of advanced directives, including medical power of attorney, living will, and DNR. 5. Consider the necessity of executing financial and mental health care powers of attorney and drawing up a last will and testament for the proper disposal of the patient’s possessions and financial resources. 6. Develop educational materials for use by members of the health care team in assisting patients in completing advance directives. 7. Distribute

2018 National Health Care for the Homeless Council

6. Culturally Competent Care: Primary and Preventive Health Care for Lesbian and Bisexual Women

in some areas may have parental obligations), durable power of attorney, and health care proxy status.[14] Physicians should refer patients to a specialist for a full fertility evaluation. Of note, the psychosocial development of children raised by same-sex parents is not different from that of children with heterosexual parents, and the American Academy of Pediatrics supports efforts to legalize adoption for the non-biologic parent in a same-sex couple.[5,14,15] Health behaviors Overweight (...) Culturally Competent Care: Primary and Preventive Health Care for Lesbian and Bisexual Women Culturally Competent Care: Primary and Preventive Health Care for Lesbian and Bisexual Women – Clinical Correlations Search Culturally Competent Care: Primary and Preventive Health Care for Lesbian and Bisexual Women March 2, 2011 6 min read By Elizabeth P. Gurney, MD Faculty Peer Reviewed In the United States, population-based studies estimate that 1-4% of women self-identify as lesbian or bisexual

2011 Clinical Correlations

7. Planning the Transition to End-of-Life Care in Advanced Cancer (PDQ®): Health Professional Version

Planning the Transition to End-of-Life Care in Advanced Cancer (PDQ®): Health Professional Version Planning the Transition to End-of-Life Care in Advanced Cancer (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US (...) ); 2002-. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): ; 2002-. Search term Planning the Transition to End-of-Life Care in Advanced Cancer (PDQ®) Health Professional Version PDQ Supportive and Palliative Care Editorial Board . Published online: March 6, 2019. Created: July 15, 2014 . This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about planning for end-of-life care in advanced cancer. It is intended

2015 PDQ - NCI's Comprehensive Cancer Database

8. Palliative Care

the Health Care Team 28 Clinical Documentation 30 Performance Improvement Initiatives 32 Implementation Guidelines 34 Glossary of Terms Relevant to Palliative Care 36 Acronyms 37 Appendices 38 2INTRODUCTION Key Messages z Best practice palliative care is delivered in parallel with life-sustaining trauma care, throughout the continuum from injury through recovery. z The unit of care is the patient and family. z Core trauma palliative care can and should be provided by trauma center teams even (...) to, trauma surgeons, emergency medicine physicians, nurses, therapists, and social workers. These providers have the expertise on the prognosis and needs of patients with sudden injury. They already practice many aspects of palliative care, including the identification of a health care proxy, advance care planning, communication around prognosis and goals of care, pain and symptom management, and emotional and informational support for families. A minority of patients and families will require more

2017 American College of Surgeons

9. Palliative Care in the Outpatient Setting

on the Spiritual Well-Being Scale, and a higher proportion of patients completing funeral arrangements after a year of follow-up; however, between-group comparisons for consideration of durable power of attorney or plans for disposition of possessions after death were not significant. 24 Another study also reported a statistically significant benefit for overall spiritual well-being on the Functional Assessment of Chronic Illness Therapy (FACIT) tool in favor of the intervention after one month; however (...) Palliative Care in the Outpatient Setting ©Institute for Clinical and Economic Review, 2016 Palliative Care in the Outpatient Setting A Comparative Effectiveness Report Final Report April 27, 2016 Completed by: Institute for Clinical and Economic Review ©Institute for Clinical and Economic Review, 2016 Page i AUTHORS: Courtney Cunningham, MPH Program Director Karin Travers, DSc Research Director Rick Chapman, PhD, MS Director of Health Economics Anne Loos, MA Research Associate Erin Lawler, MA

2017 California Technology Assessment Forum

10. Palliative Care

arrangements after a year of follow-up; however, between-group comparisons for consideration of durable power of attorney or plans for disposition of possessions after death were not significant. 24 Another study also reported a statistically significant benefit for overall spiritual well-being on the Functional Assessment of Chronic Illness Therapy (FACIT) tool in favor of the intervention after one month; however, this effect did not persist at weeks eight or 27. 25 Caregiver Outcomes We identified only (...) Palliative Care ©Institute for Clinical and Economic Review, 2016 Palliative Care in the Outpatient Setting A Comparative Effectiveness Report Final Report April 27, 2016 Completed by: Institute for Clinical and Economic Review ©Institute for Clinical and Economic Review, 2016 Page i AUTHORS: Courtney Cunningham, MPH Program Director Karin Travers, DSc Research Director Rick Chapman, PhD, MS Director of Health Economics Anne Loos, MA Research Associate Erin Lawler, MA Program and Communications

2016 California Technology Assessment Forum

11. Mild cognitive dysfunction of caregivers and its association with care recipients' end-of-life plans and preferences. Full Text available with Trip Pro

that everything possible be done to keep them alive and were less likely (AOR = 0.75, p = 0.04) to have a living will or a health care proxy/durable power of attorney. Worse caregiver cognitive screening scores were associated with higher likelihood of patients' reporting that they wanted everything done to save their lives and a lower likelihood of having a living will or other type of advanced care plan. Future studies should confirm these findings in other populations and determine the mechanisms that may (...) Mild cognitive dysfunction of caregivers and its association with care recipients' end-of-life plans and preferences. Little is known about the association between cognitive dysfunction among informal caregivers and patients' plans and preferences for patients' end of life care. We report on the frequency of cognitive dysfunction among both patients and caregivers and examine associations between caregivers' cognitive screening scores and end of life plans and preferences of patients

2018 PLoS ONE

12. Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

that their physicians understood their end-of-life wishes. Patients should be advised to designate a healthcare agent through the completion of a healthcare proxy (or a durable power of attorney for health care). Healthcare proxy execution requirements vary from state to state. It is also important that members of the care team provide appropriate support to patients as their illness progresses, engaging patients in goals-of-care discussions and giving them ample opportunity to complete medical orders for life (...) Association Advocacy Coordinating Committee Originally published 8 Aug 2016 Circulation. 2016;134:e198–e225 You are viewing the most recent version of this article. Previous versions: Abstract The mission of the American Heart Association/American Stroke Association includes increasing access to high-quality, evidence-based care that improves patient outcomes such as health-related quality of life and is consistent with the patients’ values, preferences, and goals. Awareness of and access to palliative

2016 American Heart Association

13. Predictors of Advance Care Planning Documentation in Patients With Underlying Chronic Illness Who Died of Traumatic Injury. (Abstract)

injury.We used death records and electronic health records to identify decedents with chronic life-limiting illness who died of traumatic injury between 2010 and 2015 and to evaluate factors associated with documentation of living wills, durable powers of attorney, or physician orders for life-sustaining treatment.Only 22% of decedents had ACP documentation at time of injury. Among those without preinjury ACP documentation, 4% completed ACP documentation after injury. In multipredictor analyses (...) Predictors of Advance Care Planning Documentation in Patients With Underlying Chronic Illness Who Died of Traumatic Injury. Advance care planning (ACP) is difficult in the setting of a life-threatening trauma but may be equally important in this context, especially with increasing numbers of trauma victims being elderly or having multimorbidity.Identify predictors of absent ACP documentation in the electronic health records of patients with underlying chronic illness who died of traumatic

2019 Journal of Pain and Symptom Management

14. Patient Perspectives on Advance Care Planning via a Patient Portal. Full Text available with Trip Pro

Patient Perspectives on Advance Care Planning via a Patient Portal. Patient portals can offer patients an opportunity to engage in the advance care planning (ACP) process outside of clinical visits.To describe patient perspectives on use of patient portal-based ACP tools.Interviews with patients who used portal-based ACP tools. The tools included an electronic Medical Durable Power of Attorney (MDPOA) form to designate a medical decision maker, a patient-centered educational web page, online (...) messaging, and patient access to completed advance directives stored in the electronic health record (EHR).Regional health-care system with a common EHR.Semistructured interviews with purposefully sampled patients who used the ACP tools. Questions explored motivations for using the tools and perceptions about how the tools fit into ACP. Analysis followed a grounded hermeneutic editing approach.From 46 patients (mean age: 49, 63% female), 4 key themes emerged: (1) individualized explorations of the ACP

2019 American Journal of Hospice and Palliative Medicine

15. Design and Implementation of Patient Portal-Based Advance Care Planning Tools. Full Text available with Trip Pro

Design and Implementation of Patient Portal-Based Advance Care Planning Tools. Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA).MDPOA documentation and System Usability Scale were assessed.Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging

2019 Journal of pain and symptom management

16. HIV, viral hepatitis and STIs - a guide for primary care

HIV, viral hepatitis and STIs - a guide for primary care HIV , VIRAL HEPATITIS & STIs SUPPOR TING THE HIV, VIR AL HEPATITIS AND SEXUAL HEALTH WORKFOR CE A GUIDE FOR PRIMARY CARE PROVIDERS HIV, VIRAL HEPATITIS & STIsHIV, VIRAL HEPATITIS AND STIs – A GUIDE FOR PRIMARY HEALTH CARE i HIV , VIRAL HEPATITIS & STIs SUPPOR TING THE HIV, VIRAL HEPATITIS AND SEXUAL HEALTH W ORKFOR CE A GUIDE FOR PRIMARY CAREii HIV, VIRAL HEPATITIS AND STIs – A GUIDE FOR PRIMARY HEALTH CAREHIV, VIRAL HEPATITIS AND STIs (...) – A GUIDE FOR PRIMARY HEALTH CARE iii HIV , VIRAL HEPATITIS & STIs A GUIDE FOR PRIMARY CARE 2014 EDITION EXPERT REFERENCE GROUP (EDITORIAL OVERSIGHT) Dr Michael Burke Nepean Sexual Health & HIV Clinic Ms Tracey Cabrie Victorian Infectious Diseases Service, Melbourne Health Associate Professor Ben Cowie Victorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital, University of Melbourne Professor Greg Dore The Kirby Institute, UNSW Australia Dr Seamus Duffy Tuggerah Medical Centre Dr

2014 Clinical Practice Guidelines Portal

17. Advance Care Planning: Contemporary Issues and Future Directions Full Text available with Trip Pro

Advance Care Planning: Contemporary Issues and Future Directions Advance care planning (ACP) is widely considered an essential step toward achieving end-of-life care that is consistent with the preferences of dying patients and their families. ACP comprises a living will and a durable power of attorney for health care (DPAHC); these tools enable patients to articulate and convey their treatment preferences when they are still cognitively intact. In this article, we describe the strengths (...) , weaknesses, and correlates of ACP in the United States, with attention to race and socioeconomic disparities therein. We then discuss other public policies and community programs designed to increase both the number of older adults who articulate their preferences for end-of-life care, and efficacy of ACP for ensuring that patients' end-of-life treatment preferences are met. We describe the characteristics, strengths, and limitations of Physician Orders for Life Sustaining Treatment (POLSTs

2017 Innovation in Aging

18. Kate A Levin: Low uptake of advance directives and the cost to public health

for better health and health care for an aging population. JAMA 2016;316:1643–44. 4 Adults with Incapacity (Scotland) Act 2000. http://www.legislation.gov.uk/asp/2000/4/contents 5 UN. United Nations General Assembly A/61/611 Convention on the Rights of Persons with Disabilities. New York: UN, 2006. http://www.un.org/esa/socdev/enable/rights/ahc8adart.htm 6 Levin KA, Carson J, Crighton E. Measuring the impact of a public awareness campaign to increase Welfare Power of Attorney registrations in Scotland (...) for discharge.” One reason for remaining in hospital beyond this point is a lack of advance directive, which gives durable power of attorney to a surrogate decision maker. In Scotland, a person can only make welfare and healthcare decisions for an incapacitated individual if they have been granted appropriate powers, usually as a guardian or power of attorney (POA). 4 Registering a POA ensures a person’s human rights are preserved, 5 and avoids putting families through the lengthy process of obtaining

2017 The BMJ Blog

19. Integrating Palliative Care and Modern Palliative Care Tools Into the Care of Patients With Pancreas Cancer

aids Detailed Description: Each patient undergoing treatment at Johns Hopkins for metastatic pancreas cancer will receive palliative care support during their course to include: palliative care consultation early in their treatment course; patient decision aids that give survival, treatment benefits and risks; suggestions to complete such tasks as advance directives, durable power of medical attorney, wills, family and spiritual reviews as recommend by the American Society of Clinical Oncology (...) on the iPad) to review the diagnosis, prognosis, specific benefits and risks with the proposed chemotherapy. This will then give transition "prompts" to encourage thinking about advance directives, durable power of medical attorney, use of hospice, and doing a life review. We will also offer a hospice information visit when patient has - in the projection of the team or treating physician - 3 to 6 months to live. The palliative care team will meet at least monthly with each of the enrolled patients

2013 Clinical Trials

20. Lawyers have no business in the field of advance care planning

. At all. Death is not a medical emergency or a legal matter. It’s a natural process that we have altered through technology. This can all be avoided by some pretty simple steps — like talking to your loved ones, filling out your own medical durable power of attorney (here’s a ), disseminating them to everyone involved from family to physicians. And then talking some more. My ER doc friends tell me there is no document that comes close to the help of a well-informed family at the bedside (...) Lawyers have no business in the field of advance care planning Lawyers have no business in the field of advance care planning Lawyers have no business in the field of advance care planning | | March 23, 2017 66 Shares When I was a practicing attorney, my colleagues and I would sit around at lunch, arguing about whose sandwich was better. Alone in our world of books and “right and wrong,” (as in “I’m right, and you’re wrong”), we spent hours creating problems to solve so we could make money

2017 KevinMD blog

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