Question

1. Discuss ONE SPECIFIC type of advance directives. Who may initiate it, who does it serve, what is the purpose of having it, how does it serve the patient or client, what are the responsibilities of the nurse? 2. Discuss the role and contributions to the health care team of ONE TYPE OF ADVANCE PRACTICE NURSE: NP - Nurse Practitioner: CRNA - Certified Registered Nurse Anesthetist; CNM - Certified Nurse Midwife; CNS--Clinical Nurse Specialist; or NE-Nurse Educator 3. Discuss the United States ranking in the world among high income countries and the reasons for that ranking.

Answer 1

1. There are two main types of advance directive — the “Living Will” and the “Durable Power of Attorney for Health Care.”

A medical or health care power of attorney is a type of advance directive in which you name a person to make decisions for you when you are unable to do so.

Power of attorney: It authorizes someone to make medical decisions on your behalf if you become incompetent. A power of attorney for health care, also known as a medical power of attorney, is a legal document in which you name a person to be a proxy (agent) to make all your health care decisions if you become unable to do so. Before a medical power of attorney can be used to guide medical decisions, a person's physician must certify that the person is unable to make their own medical decisions. Advance directives were not routinely addressed in the family practice. Most patients preferred to initiate the discussion of advance directives. However, patients who considered the subject extremely important wanted their family doctors to initiate the discussion.

Advance directives are widely considered to be essential tools in protecting patient autonomy, particularly at the end of life.

It helps others know what type of medical care you want. An advance directive also allows you to express your values and desires related to end-of-life care. You might think of it as a living document—one that you can adjust as your situation changes because of new information or a change in your health.

As a patient, you have the right to make your own informed decisions about medical care and to communicate these decisions to healthcare providers. ... An advance directive is a legal document that allows you to state your choices for medical treatment before you actually need such care.

Nurses foster the process of advance directives by providing education, promoting the exploration and identification of values, and documenting clients' expressed wishes.care directives in a living will are protected from liability. Nursing responsibilities regarding advance directives include: Provide written information regarding advance directives. Ensure that the advance directives reflect the client's current decisions.