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Advance Directive
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Resources for Health Care Professionals
The
California Health Care Decisions Law went into effect on July 1, 2000. The California Coalition for Compassionate Care has prepared training materials for health care professionals, institutions and consumers to address these changes in the law. Each of the following documents are described below and can be downloaded from this page:
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Implementing the Health Care Decisions Law (A Slide
Presentation)
This off-the-shelf, 50-minute slide presentation is designed
for healthcare providers and educators to use to train healthcare
professionals regarding the requirements of the law and the use of
advance directives. Using the story of Myrtle Anderson, the
presentation covers decision-making capacity, the role of
surrogate decision-makers, the authority of the health care agent,
the advance health care directive, oral directives, and the role
of health care providers. To use this presentation, you will need
the following:
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For Organizations
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Advance Directive Policy Development
Tool
This document outlines a list of considerations to be
included in any facility policy on advance directives. New
requirements from the Health Care Decisions Law are included. Click here for a copy of the
Advance Directive Policy
Development Tool.
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For Organizations and Healthcare Providers
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Determining the Appropriate
Decision-Maker
This document provides a step-by-step process that takes into
account the requirements of the 2000 law. Click here for a copy of
Determining the
Appropriate Decision-Maker.
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For Healthcare Providers
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Guide for Assessing Medical Decision-Making Capacity
Assessing decisional capacity is an important aspect of the
advance healthcare directive law. This document provides a brief
overview of what this process entails. Click here for a copy of the
Guide for Assessing Medical Decision-Making Capacity.
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For Healthcare Providers
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Health Care Decisions Law Fact Sheet for Professionals
This document provides an overview of the new law from the
perspective of healthcare providers. Click here for a copy of the
Health
Care Decisions Law Fact Sheet.
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For Consumers
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Health Care Decisions Law Fact Sheet
for Consumers
This document provides an overview of the new law from the
perspective of the consumer. Click here for a copy of the
Health
Care Decisions Law Fact Sheet for Consumers.
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For Consumers
(Spanish)
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Advance Directive Fact Sheet in
Spanish
This
fact sheet was created by, and is used with permission from, the
Community Health Network of San Francisco's Primary Care Advance
Directives Subcommittee and the Providers at Maxine Hall Health
Center. Please feel free to print and copy the fact sheet for
distribution in the community . (For
more information on the fact sheet or the Network, contact
415-206-8000). Click here for a copy of the
Advance
Directive Fact Sheet in Spanish.
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For Consumers
(Chinese)
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Advance Directive Fact Sheet in Chinese
This
fact sheet was created by, and is used with permission from, the
Community Health Network of San Francisco's Primary Care Advance
Directives Subcommittee and the Providers at Maxine Hall Health
Center. Please feel free to print and copy the fact sheet for
distribution in the community . (For
more information on the fact sheet or the Network, contact
415-206-8000). Click here for a copy of the
Advance
Directive Fact Sheet in Chinese.
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Wendland Case
On August 8, 2001, in the case of the Conservatorship of the Person of Robert Wendland, the California Supreme Court placed new limits on situations in which life support may be withdrawn from minimally conscious patients who are not terminally ill. A conservator who wants to withhold artificial nutrition and hydration or any other form of life support must present "clear and convincing evidence" that the patient would not want the treatment in question or that it is not in the patient's best interests to receive that treatment.
The Coalition has prepared a brief summary of the Wendland decision with several recommendations for how this should influence health care practice.
Summary and Recommendations (click here)
The Center for Humane and Ethical Medical Care (CHEC), Santa Monica-UCLA Medical Center, has produced a 15-minute video entitled, Who Will Speak for Robert? The Importance of Having an Advance Health Care Directive. This video is meant chiefly for lay audiences, including young adults, as a 15-minute stimulus to further discussions about advance directives. For more information, please e-mail pbhatla@mednet.ucla.edu or click here for an order form.
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Advance Directive Forms
There
are a variety of advance health care directive forms available to
write down your wishes and select a surrogate decision-maker.
Following are several examples and instructions on how to get
them.
- Download a simple, free form in
English, Spanish or Chinese. (Thank you to Coalition member Sandy Chen Stokes, RN, MSN for translating the form into Chinese.) Please note, these forms are not copyrighted and maybe used without permission.
- Low Literacy Advance Directive forms are available from the
Institute for Healthcare Advancement in English, Spanish, Chinese (with
and without English translation) and Vietnamese.
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Five Wishes
is
a user-friendly advance directive that addresses the medical,
personal, emotional and spiritual wishes of seriously ill
persons. Five Wishes has been translated into 20
different languages and is now available in a bilingual form
with English plus the second language side by side on the
same page. Available from Aging With Dignity
for $5 per copy. Click here for
order
information or call 1-888-594-7437.
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The
California Medical Association has an Advance Health Care
Directive Kit available in English or Spanish for $5 that
includes a form, wallet card and answers to commonly asked
questions about advance directives. Click here for
order information or call
1-800-882-1262.
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Caring Connections
has state-specific forms that can be downloaded from its website
at
www.caringinfo.org.
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Senior Legal
Hotline offers free legal advice by phone on this (or any other)
subject to anyone over 60 in Northern California. They also have
their own forms in English and Spanish, with detailed
instructions and wallet cards available. Call 800-222-1753 or
916-551-2140, or visit their website at
www.seniorlegalhotline.org
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California Hospital Association's Consent Manual contains
a copy of a suggested form in both English and Spanish. Manuals can be ordered by calling (800) 494-2001 or from
the website,
www.calhealth.org.
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Health Care Decisions Week
The California Coalition for Compassionate Care identifies a week each fall to encourage Californians to make decisions about their medical care before serious illness or injury.
Designated by the California Legislature, Health Care Decisions Week is intended to help Californians think about the kind of care they would want if they become seriously ill or incapacitated, talk with their loved ones and doctors and write down their wishes in an advance directive document.
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National Healthcare Decisions Day
National Healthcare Decisions Day is an initiative to
encourage patients to express their wishes regarding health care
and for providers and facilities to respect those wishes,
whatever they may be.
Join with other Americans across the country on April 16,
2008, to talk about your future health care decisions and
complete an advance directive.
For more information, go to
www.nationalhealthcaredecisionsday.org.
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This web page was last updated on
2/11/08.
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