Advanced Directives

Advanced Directives

MakatiMed respects a patient’s right to state and ensure his or her healthcare preferences ahead of time. You can make your decisions in advance, while you are healthy and composed. This helps your doctor(s) and loved ones carry out your medical preferences when you become unable to express or communicate them.

WHAT IS AN ADVANCE DIRECTIVE?
An Advance Directive is a patient’s instructions to his or her doctors and other healthcare workers, as well as his or her family and loved ones the type of care preferred should he or she become unable to make medical decisions.

WHAT IS A LIVING WILL?
A Living Will is a document that describes the type of medical treatment you want in certain situations. It comes into effect if you are terminally ill or permanently unconscious and is unable to express / communicate your medical wishes.

WHAT IS A DNR ORDER?
A Do Not Resuscitate (DNR) order is one type of advance directive. This allows you to decide NOT to undergo cardiopulmonary resuscitation (CPR) or other treatments which will try to revive you if your heart stops or if you stop breathing.

WHAT IS DECLARATION TO WITHDRAW OR WITHHOLD TREATMENT?
This is another form of Advance Directive by a patient, or relative of a patient, to withhold or withdraw life-sustaining procedures that will prolong the dying process. This declaration is made by a patient (or a relative of a patient) who is suffering from an incurable disease or injury or any other health circumstance where there is a high possibility that death will occur whether or not life-sustaining procedures are utilized, and where the application of such procedures will only serve to prolong the dying process.

WILL OTHER TREATMENTS BE DISCONTINUED WHEN A PERSON ISSUES A DNR ORDER?
A Do Not Resuscitate (DNR) order only means that cardiopulmonary resuscitation (CPR) will not be performed. It does NOT change the rest of the medical care plan. No other treatments will be discontinued unless the doctor and patient and / or family decide they want a treatment stopped (as in the case of declaration to withdraw or withhold treatment). Some treatments may also not be started if the patient, family, and physicians decide this ahead of time.

HOW DO I MAKE SUCH A DECISION?
Decisions such as these are difficult and you need to discuss these with your loved ones and caregivers, your doctor, and other members of the healthcare team. You may also want to talk with your clergy or religious leader, or any other trusted spiritual or emotional advisor.

REMEMBER THAT YOU CAN CHANGE YOUR DECISION AT ANY TIME BY TALKING TO YOUR DOCTOR.
If you decide that you do want a Do Not Resuscitate (DNR) order, you need to:

  • Tell your doctor so he or she can write a DNR order in your medical record
  • Consider whether you want to make the DNR order permanent. You can record this on paper, a wallet card or medical jewelry (bracelet or necklace) that you wear

WHAT IS A DURABLE POWER OF ATTORNEY FOR HEALTHCARE?
A Durable Power of Attorney is another type of Advance Directive. This document states who you choose to speak on your behalf about healthcare decisions if you cannot do so yourself.

SHOULD I BRING MY ADVANCE DIRECTIVE DOCUMENTS?
It is a good idea to have a copy of your Advance Directives with you for each hospital admission. Remember to tell your healthcare team and give a current copy to all involved, including your doctor.

WHO NEEDS AN ADVANCE DIRECTIVE?
Everyone is entitled to have an advance directive. It is important that your doctor and loved ones know about your healthcare wishes. The best time to put your wishes in writing is when you are in good health. These documents will help your doctor and family to know and honor your choices.
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HOW CAN I MAKE OR CHANGE MY ADVANCE DIRECTIVE?
You can change or make a new Advance Directive at any time. Simply disregard the old one and create a new written advance directive. If you have questions or need help to put your choices in writing, you may contact Patient Relations Office at locals 3034 and 3038.