dr. heidi sykora rn, dnp, gnp-bc, apnp nurse practitioner
DESCRIPTION
Protecting Your Health Care Wishes. Dr. Heidi Sykora RN, DNP, GNP-BC, APNP Nurse Practitioner. Milwaukee Center for Independence. - PowerPoint PPT PresentationTRANSCRIPT
Dr. Heidi Sykora
RN, DNP, GNP-BC, APNPNurse Practitioner
Protecting Your Health Care Wishes
Milwaukee Center for
IndependenceSince 1938, the Milwaukee Center for Independence has been assisting individuals and families with special needs and barriers to achievement reach their highest level of independence.
MCFI is a nonprofit organization that serves more than 15,000 people in more than 50 programs each year. They include newborns, working-age adults, people with mental illness and the frail elderly. We do that through our four core program areas: Children's Programs, Long-term Care, Behavioral Health and Employment Services.
Attendees will:1. Understand the difference between a
Financial Will, Living Will and Power of Attorney for Health Care
2. Learn how to become a self-advocate for a person-centered health care plan
3. Discuss steps for completion and execution of Advance Directives including the Power of Attorney for Health Care and Living Will
4. Describe the use of the Five Wishes document to guide individual choice of personal care and medical treatment
Objectives
Documents that provide direction
regarding health care decisions when you are unable to make your own decisions
Advance Directives
Two Parts:
1. Power of Attorney for Health Care Identifies a person to make health care
decisions when you are not able to
Advance Directives
Two Parts:
2. Living Will Instructions to your physician
and loved ones regarding choices when you are unable to communicate your wishes It is important to have a discussion with
your physician about your choices
Advance Directives
The Health Care Living Will directs health care
decisions NOT financial decisions. The financial will is a separate document. The POWER OF ATTORNEY FOR FINANCES AND
PROPERTY can be found at: http://www.dhs.wisconsin.gov/forms/advdirectives/F00036.pdf
Health Care Living Will
Any competent adult may witness EXCEPT: Relative by blood, marriage or adoption Person who has financial interest in the
estate of the individual A person who is directly financially responsible
for the declarant’s health care. An individual who is a health care provider,
other than a chaplain or a social worker
Who Can Witness?
A document to guide the completion
of ADVANCE DIRECTIVES More detailed than the Wisconsin Power
of Attorney and Living Will documents Recognized in 42 states including
Wisconsin Individual form costs $5 (provided free
today for participants) Can be completed on line
Five Wishes
The Person I Want To Make Care Decisions For Me
When I Can't Power of Attorney for Health Care also known as
“POA, Health Care Agent, Proxy or Surrogate” Must be competent adult to designate
health care agent Only activated with the signature of two physicians
or one physician and one psychologist when an individual is unable to make his/her own decisions
Wish 1
For an individual to designate a Health Care Power of Attorney (POA) (aka HealthCare Agent) they must be competent and they must designate a competent adult to be the POA.
An individual who is of sound mind and has attained age 18 may voluntarily executea Power of Attorney for Health Care. An individual for whom an adjudication of incompetence and appointment of a guardian of the person is in effect under State Statute Chapter 880 is presumed not to be of sound mind.
Wish 1
Gives Health Care Agent right to make all
health care decisions if you are unable must be activated
Admission to nursing home, hospice or assisted living
Authorize medical procedures May place limitations on Health Care Agent
Wish 1
The Kind Of Medical Treatment I Want Or Don't
Want Also known as Living Will
Life support measures Instructions for
Feeding Tube
Wish 2
My Wish For How Comfortable I Want To Be
Physical Psychological Environmental
Wish 3
My Wish For How I Want People To Treat Me
Psychological Spiritual Dignity
Wish 4
My Wish For What I Want My Loved Ones To
Know Remembrance Forgiveness Care after death Funeral
arrangements
Wish 5
http://www.agingwithdignity.org/forms/5wishes.pdf
http://www.dhs.wisconsin.gov/forms/advdirectives/F00060.pdf
Forms Available
Advance Directives are documents that direct health care
when you are unable to express your wishes.
Wisconsin has two forms comprising Advance Directives: The Health Care Power of Attorney and The Living Will. The forms can be accessed at no cost on line.
Summary
Five Wishes is a document that is more detailed and
includes physical health care choices as well as personal psychological and spiritual expressions. The form is available on line at the cost of $5 each.
The Advance Directives must be witnessed by two people who are not a relative or health care provider.
Summary
Your physician must be given a copy of your
Advance Directives which becomes a part of your medical record.
Advance Directives can be changed at anytime by destroying previous forms and completing a new form.
Summary
Advanced Directives are activated only when you are
not able to make your own decisions. In Wisconsin, this is determined by either two physicians or one physician and 1 psychologist.
Under certain conditions, your physician can override
your advanced directives, so it’s important to discuss your decisions with your physician.
Summary
Questions?