ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE IMPORTANCE ADVANCE

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ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE

ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE

IMPORTANCE • ADVANCE DIRECTIVES MAKE YOUR WISHES KNOWN EVEN WHEN YOU CANNOT SPEAK FOR

IMPORTANCE • ADVANCE DIRECTIVES MAKE YOUR WISHES KNOWN EVEN WHEN YOU CANNOT SPEAK FOR YOURSELF. INDIANA RECOGNIZES THE FOLLOWING: • TALKING DIRECTLY TO YOUR PHYSICIAN AND FAMILY • ORGAN AND TISSUE DONATION • HEALTH CARE REPRESENTATIVE • LIVING WILL DECLARATION OF LIFE-PROLONGING PROCEDURES DECLARATION • PSYCHIATRIC ADVANCE DIRECTIVES • OUT OF HOSPITAL DO NOT RESUSCITATE DECLARATION AND ORDER • PHYSICIAN ORDERS FOR SCOPE OF TREATMENT (POST) • POWER OF ATTORNEY

TALKING TO YOUR PHYSICIAN AND FAMILY • PHYSICIAN WILL RECORD YOUR WISHES IN YOUR

TALKING TO YOUR PHYSICIAN AND FAMILY • PHYSICIAN WILL RECORD YOUR WISHES IN YOUR MEDICAL CHART • PHYSICIAN OR MEDICAL CHART MAY NOT BE AVAILABLE WHEN NEEDED • DISCUSS WISHES WITH YOUR FAMILY • FAMILY MAY NOT BE AVAILABLE WHEN NEEDED • ADVANCE DIRECTIVES MAY REQUIRE FURTHER DOCUMENTATION • PROVIDE EACH PROVIDER WITH A COPY OF ADVANCE DIRECTIVES

ORGAN AND TISSUE DONATION • MAKE YOUR WISHES KNOWN TO YOUR FAMILY • MAKE

ORGAN AND TISSUE DONATION • MAKE YOUR WISHES KNOWN TO YOUR FAMILY • MAKE YOUR WISHES KNOWN TO YOUR PHYSICIAN • MAKE SURE THAT YOU HAVE INDICATED ORGAN DONATION ON YOUR DRIVER’S LICENSE

HEALTH CARE REPRESENTATIVE • A PERSON YOU CHOOSE TO RECEIVE HEALTHCARE INFORMATION AND MAKE

HEALTH CARE REPRESENTATIVE • A PERSON YOU CHOOSE TO RECEIVE HEALTHCARE INFORMATION AND MAKE HEALTHCARE DECISIONS FOR YOU WHEN YOU CANNOT • MUST COMPLETE APPOINTMENT OF HEALTHCARE REPRESENTATIVE DOCUMENT THAT NAMES YOUR CHOSEN REPRESENTATIVE • MUST BE IN WRITING, SIGNED BY YOU AND WITNESSED BY ANOTHER ADULT

LIVING WILL • WRITTEN DOCUMENT THAT PUTS INTO WORDS YOUR WISHES IN THE EVENT

LIVING WILL • WRITTEN DOCUMENT THAT PUTS INTO WORDS YOUR WISHES IN THE EVENT THAT YOU BECOME TERMINALLY ILL AND UNABLE TO COMMUNICATE. • LISTS SPECIFIC CARE YOU WANT OR DO NOT WANT DURING A TERMINAL ILLNESS. • OFTEN INCLUDES DIRECTIONS FOR CPR, ARTIFICIAL NUTRITION, VENTILATOR USAGE AND BLOOD TRANSFUSIONS • MUST HAVE TWO ADULT WITNESSES AND SIGNED BY YOU

PSYCHIATRIC ADVANCE DIRECTIVES • WRITTEN DOCUMENT EXPRESSING YOUR PREFERENCES AND CONSENT TO TREATMENT MEASURES

PSYCHIATRIC ADVANCE DIRECTIVES • WRITTEN DOCUMENT EXPRESSING YOUR PREFERENCES AND CONSENT TO TREATMENT MEASURES FOR A SPECIFIC DIAGNOSIS • SETS FORTH THE CARE AND TREATMENT OF A MENTAL ILLNESS DURING PERIODS OF INCAPACITY

OUT OF HOSPITAL DO NOT RESUSCITATE • USED TO STATE YOUR WISHES IN THE

OUT OF HOSPITAL DO NOT RESUSCITATE • USED TO STATE YOUR WISHES IN THE EVENT OF INCAPACITATION IN A PREHOSPITAL SETTING • CAN BE CANCELLED BY YOU AT ANYTIME

PHYSICIAN ORDERS FOR SCOPE OF TREATMENT • DIRECT PHYSICIAN ORDER FOR A PERSON WITH

PHYSICIAN ORDERS FOR SCOPE OF TREATMENT • DIRECT PHYSICIAN ORDER FOR A PERSON WITH AT LEAST ONE OF THE FOLLOWING: • ADVANCED CHRONIC PROGRESSIVE ILLNESS • ADVANCED CHRONIC PROGRESSIVE FRAILTY • CONDITION FROM WHICH THERE IS NO RECOVERY • DEATH WILL OCCUR WITHIN A SHORT PERIOD WITHOUT LIFE PROLONGING PROCEDURES • MEDICAL CONDITION THAT RESUSCITATION WOULD BE UNSUCCESSFUL • MUST BE SIGNED AND DATED BY YOU AND YOUR PHYSICIAN TO BE VALID

POWER OF ATTORNEY • LEGAL DOCUMENT AUTHORIZING REPRESENTATIVE FOR FINANCIAL MATTERS, HEALTHCARE AUTHORITY OR

POWER OF ATTORNEY • LEGAL DOCUMENT AUTHORIZING REPRESENTATIVE FOR FINANCIAL MATTERS, HEALTHCARE AUTHORITY OR BOTH • DOCUMENT MUST: • NAME THE ATTORNEY IN FACT (REPRESENTATIVE) • LIST THE SITUATIONS THAT GIVE THE ATTORNEY IN FACT THE POWER TO ACT • LIST THE POWERS YOU WANT TO GIVE • LIST THE POWERS YOU DO NOT WANT TO GIVE • CONFIRM WITH YOUR CHOSEN REPRESENTATIVE THAT THEY ARE WILLING TO SERVE • MUST BE IN WRITING AND SIGNED IN THE PRESENCE OF A NOTARY PUBLIC

REFERENCE • ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE. (2013, JULY 1). RETRIEVED OCTOBER 4,

REFERENCE • ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE. (2013, JULY 1). RETRIEVED OCTOBER 4, 2016, FROM HTTPS: //SECURE. IN. GOV/ISDH/FILES/ADVANCEDDIRECTIVES. PDF