Question

All of the following are considered advanced directives and a part of Advanced care planning: Select all that apply.

*Physician order

*POLST

*Durable Power of Attorney for Health Care

*Living Will

*TPOPP

Answer 1

The most common types of advance directives are the living will and the durable power of attorney for health care (sometimes known as the medical power of attorney).

LIVING WILL

The living will is a legal document used to state certain future health care decisions only when a person becomes unable to make the decisions and choices on their own. The living will is only used at the end of life if a person is terminally ill (can't be cured) or permanently unconscious. The living will describes the type of medical treatment the person would want or not want to receive in these situations. It can describe under what conditions an attempt to prolong life should be started or stopped. This applies to treatments including, but not limited to dialysis, tube feedings, or actual life support (such as the use of breathing machines).

Before your health care team uses your living will to guide medical decisions, 2 physicians must confirm that you are unable to make your own medical decisions and you are in a medical condition that is specified by your state law as terminal illness or permanent unconsciousness.

There are many things to think about when writing a living will. These include:

• If you want the use of equipment such as dialysis machines (kidney machines) or ventilators (breathing machines) to help keep you alive.
• Do not resuscitate orders (instructions not to use CPR if breathing or heartbeat stops).
• If you want fluid or liquid (usually by IV) and/or food (tube feeding into your stomach) if you couldn't eat or drink.
• If you want treatment for pain, nausea, or other symptoms, even if you can't make other decisions (this may be called comfort care or palliative care).
• If you want to donate your organs or other body tissues after death.

It is important to know that choosing not to have aggressive medical treatment is different from refusing all medical care. A person can still get treatments such as antibiotics, food, pain medicines, or other treatments. It is just that the goal of treatment becomes comfort rather than cure.

You may end or take back a living will at any time.

DURABLE POWER OF ATTRONEY FOR HEALTH CARE

It is also known as medical power of attorney.In this you name a person legally who will make all your decisions regarding healthcare if you become unable to do so.A person's physician must certify that the person is now not able to take his healthcare decisions.

If you become unable to make your own health care decisions, your proxy or agent can speak with your health care team and other caregivers on your behalf and make decisions according to the wishes or directions you gave earlier.If you have not given any wish for some condition your agent will make the call.

This law varies from state to state.

POLST( physician order for life sustaining treatment)- it is not a advance directive.

Physician order- it is not a advance directive.

TPOPP(Transportable physician order for patients preference)- It is an endorsed program under POLST. It is not an advance derictive.