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Advance directives Many people, including nurses, have specific ideas about what health care they want, or do not want, at the end of life. Advance directives are a means to allow people to convey their wishes for end of life care.

Nurses must review and verify the patient's advance directive status with their first patient contact because an emergency life threatening situation like a cardiac or respiratory arrest can occur at any time with little or no time to review these documents at that time.

Advance directives generally fall into three categories: living will, power of attorney and health care proxy. LIVING WILL: This is a written document that specifies what types of medical treatment are desired. A living will can be very specific or very general.

At any age, a medical crisis could leave you unable to communicate your own health care decisions. Planning now for your future health care can help ensure you get the medical care you want and that someone you trust will be there to make decisions for you.

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).

A client asks the RN about the purpose of an advance directive. What is the RN's most appropriate response? ?It allows you to document your wishes about your health care.? ?It provides instructions for your care, should you become terminally ill.?

It is a physician's order (also referred to as a medical order) that outlines a plan of care respecting the patient's wishes concerning care at life's end. 2) Who should use a MOST? A MOST is primarily intended for patients who have an advanced chronic progressive illness.

Ascertain whether the patient has named a health care proxy (e.g., orally or through a formal legal document). If the patient has not, ask who the patient would want to have make decisions should he or she become unable to do so.

False. Advance directives are legally recognized documents and doctors must respect your known wishes, but doctors can always refuse to comply with your wishes if they have an objection of conscience or consider your wishes medically inappropriate.

Reviewing and changing advance directivesYou can change your directives at any time. If you want to make changes, you must create a new form, distribute new copies and destroy all old copies. Specific requirements for changing directives may vary by state.