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Advance directives were created in response to the increasing sophistication and prevalence of medical technology. [3] [4] Numerous studies have documented critical deficits in the medical care of the dying; it has been found to be unnecessarily prolonged, [5] painful, [6] expensive, [7] [8] and emotionally burdensome to both patients and their families.
Wishes 1 and 2 are both legal documents. Once signed, they meet the legal requirements for an advance directive in the states listed below.Wishes 3, 4, and 5 are unique to Five Wishes, in that they address matters of comfort care, spirituality, forgiveness, and final wishes.
The advance directive should be reviewed regularly and reflect changes in the client's current marital situation (e.g. marriage or divorce). For the agent to view the medical records of the client, the client should sign a HIPAA (Health Insurance Portability and Accountability Act) release form. [7] [8] [9] [10]
The Patient Self-Determination Act (PSDA) was passed by the United States Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990.Effective on December 1, 1991, this legislation required many hospitals, nursing homes, home health agencies, hospice providers, health maintenance organizations (HMOs), and other health care institutions to provide information about ...
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For example, just one month after the Supreme Court ruling in Cruzan, the Society for the Right to Die had received some 300,000 requests for advance directive forms. [ 14 ] According to an article in The New York Times , the Cruzan case also helped increase support for the federal Patient Self-Determination Act , which became effective just ...
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