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CNA-NIC F25 CH 2.12
Discuss the Patient Self Determination Act (PSDA) and advance directives
| Question | Answer |
|---|---|
| Patient Self Determination Act abbreviation | PSDA |
| when was the patient self determination act passed | in 1990 |
| how was the patient self determination act passed | as an amendment to OBRA |
| patient self determination act | federal law requires all healthcare agencies receiving Medicare and Medicaid funds to give adults, during admission or enrollment, information about their rights relating to advance directives |
| ADVANCED DIRECTIVES | legal documents that allow people to decide what kind of medical care they wish to have in the event they are unable to make those decisions themselves. |
| if that person is ill or disabled advanced directives can | designate someone else to make medical decisions for a person |
| rules about how to execute these documents | vary from state to state |
| what are examples of advanced directives | living wills and durable powers of attorney for health care |
| LIVING WILL | outlines the medical care a person wants, or does not want, in case he becomes unable to make those decisions |
| example of a living will | a person may specify that certain measures are to be taken or withheld if he is in a coma |
| why is it called a living will | because it takes effect while the person is still alive |
| what is another name for a living will | a directive to physicians , health care declaration or medical directive |
| DURABLE POWER OF ATTORNEY FOR HEALTH CARE | is a signed, dated, and witnessed legal document that appoints someone to make the medical decisions for a person in the event he becomes unable to do so |
| what is another term for a durable power of attorney for health care | a health care proxy |
| what can a durable power of attorney for heath care do | can include instructions about medical treatment the person wants to avoid |
| what is a misunderstanding about durable power of attorney for health care | indicates legal issues, people may think this means that someone can take control of a persons money , property exc. this document however deals only with medical isseus |
| DNR | do not resuscitate |
| DNR | do not resuscitate order is another way to honor wishes about heath care - instructs medical professionals not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. |
| CPR | cardiopulmonary resuscitation |
| CPR refers to medical procedures when | the heart and lungs have stopped working |
| when are DNRs generally used | used by people who are in the final stages of a terminal illness or who have a very serious condition |
| DNI | do not intubate |
| DNI | do not intubate order means that no breathing tube will be placed in the person, even though some measures and medications may be used such as chest compressions and cardiac medication |
| how many advanced directives can be used | these different types of advance directives may be used together or a person may elect to use only one type or none at all |
| is having an advance directive legally required | no |
| why are advance directives important | a good way to make sure a persons wishes regarding medical care are known |
| what are advanced directives | legal documents that must be honored |
| when can an advanced directive be changed | can be changed or cancelled at any time , either in writing , orally or both |
| According to the patient self determination act rights relating to advanced directives must be given upon admission and include #1 | the right to participate in and direct healthcare decisions |
| According to the patient self determination act rights relating to advanced directives must be given upon admission and include #2 | the right to accept or refuse treatment |
| According to the patient self determination act rights relating to advanced directives must be given upon admission and include #3 | the right to prepare an advance directive |
| According to the patient self determination act rights relating to advanced directives must be given upon admission and include #4 | information on the facilities policies that govern these rights |
| the PSDA requires that facilities give new residents ___ | the facilities policies on handling advanced directives |
| (advanced directive) each facility must ask residents | what advanced directives they have and obtain copies of these documnets |
| (advanced directives) facilities must also | offer education to the staff about advanced directives |
| what does the PSDA prohibit | discriminating against a patient who does not have an advanced directive |
| are living wills and wills different | yes |
| a living will | is a type of advance directive that states the medical care a person wants, or does not want, in case she becomes unable to make those decisions |
| a will | is a legal document that details how a person wants her possessions to be distributed after her death. |
| if a resident tells an NA she wants to prepare a will, what do you do | the NA should notify the nurse |
| what is a common rule that facilities have in regards to residents preparing wills | many facilities have a rule that staff should not witness a will, even if a resident asks the person to do so |
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