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If you executed a living will or durable power of attorney for health care before
               July 1, 1991, you may want to review it, since a new law has gone into effect
               which gives you more options and information.  Even  if  you decide not to
               update it, the old documents are still legal

               We must document in your medical record whether or not you have executed
               a living will and/or DPAHC. We will abide by your advance directives. Care
               will be provided to you regardless of whether or not you have executed a living
               will  or DPAHC.  It is our policy to honor advance directives to the extent
               permitted by law and to support a patient’s right to actively participate in
               making health care decisions.

               An ethics committee is available to serve in an advisory capacity when ethical
               issues, such as the withdrawal or withholding of life-sustaining treatments
               arise during the care  of patients with or  without an advance directive.
               Discussion shall involve the patient and/or designated representatives, the
               home care staff involved in the patient’s care and the patient’s physician.

               Unless the physician has written a specific Do Not Resuscitate (DNR) order,
               it is our policy that every patient will receive cardiopulmonary resuscitation
               (CPR). If you do not wish to be resuscitated, you, your family or your DPAHC
                                                                           PLEASE PROVIDE YOUR AGENCY’S
               must request DNR orders from your physician. These orders are documented
                                                                           POLICY ON ADVANCE DIRECTIVES
               in your medical record and routinely reviewed; however,  you may revoke
                                                                           (FROM YOUR POLICES & PROCEDURES MANUAL)
               your consent to such an order at any time.

               AGENCY POLICY ON ADVANCE DIRECTIVES

               Our agency complies with the Patient Self-Determination Act of 1990, which
               requires us to:
                 Provide you with  written information describing your rights to make
                   decisions about your medical care;

                 Document advance directives prominently in your medical record and
                   inform all staff;

                 Comply with requirements of state law and court decisions with respect to
                   advance directives; and
                 Provide care to you regardless  of whether or not you have executed  an
                   advance directive.




















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