Page 9 - CHI ST LUKES VINTAGE HOSPITAL PATIENT GUIDE
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What Are Advance                                  Questions About                            An advance directive is NOT                 ADVANCE DIRECTIVES
Directives?                                       Advance Directives?                        used to determine a patient’s
                                                                                             access to care, treatment,
Advance Directives are legal                       Call 832-534-5110 to discuss              or services.
documents, known as “Directive                     your Advance Directives. Be sure
To Physicians” that allow you                      to have your Advocate with you            ADVANCE DIRECTIVE FORMS
to give direction to medical                       when you call.
personnel, family, and friends                                                               Advance directive forms are available
concerning your future care                        Get more information and                  at CHI St. Luke’s Health–The Vintage
when you cannot speak for                          Advance Directives forms when             Hospital Admitting Department, and
yourself or are unable to make                     you visit CaringInfo.org                  from the Texas Department of Aging and
your own decisions. According                                                                Disability Service. (www.dads.state.tx.us/
to the Texas Advance Directives               beliefs. The legal document that must be       news_info/publications/handbooks/index.
Act you have the legal right                  completed to appoint someone as your           html#handbooks)
to specify what treatments                    decision-maker for healthcare decisions is
your would or would not                       the “Medical Power of Attorney.”               Copies of completed advance directive
want. This right includes                     If you are an outpatient, we advise you to     forms should be given to your physicians,
treatment decisions involving                 discuss your advance directive preferences     healthcare facilities, family and friends.
the withholding/withdrawal                    with your physician.                           Please review your advance directive
of life-sustaining procedures                 In the event of cardiopulmonary arrest, all    documents regularly to ensure that these
(including resuscitative                      outpatients will be resuscitated with two      documents are current with your wishes.
measures) in the event of                     exceptions:
a terminal or irreversible                                                                        •	 Honoring your healthcare	
condition. You do not need a                  Patients who present a valid, written and              decisions is important to us.
lawyer in order to complete                   signed Out-of-Hospital Do Not Resuscitate
advance directives. Your                      Order or                                            •	 Ensure your wishes are 	
Advance Directives include:                   Patients who are wearing an identification             followed by putting your
                                              device approved by the State of Texas will             Advance Directives in writing,
LIVING WILL                                   not be resuscitated.                                   and giving the document to
                                                                                                     your healthcare providers.
A living will is a legal document that a      If you change your mind about the
person uses to make known his or her          healthcare decisions in your advance
instructions regarding life prolonging        directive, you can revise or revoke (cancel)
medical treatments. This includes your        it. Your advance directive is valid until you
wishes about CPR if your heart stops          revise or revoke it. Be sure to notify your
beating, a ventilator if you stop breathing   physician that you have done so.
or a feeding tube or IV if you cannot
eat or drink.                                 Our objective is to support healthcare or
                                              treatment decisions made by the patient (or
MEDICAL POWER OF ATTORNEY                     by an individual legally authorized to make
                                              such decisions on the patient’s behalf) in
The Health Insurance Portability and          accordance with accepted medical, ethical
Accountability Act of 1996 (HIPAA) gives      and legal principles and the wishes of
you the right to have one or more persons     the patient, if known.
act as your representative to make decisions
about the uses and sharing of health
information about you. You can limit the
amount of information that the authorized
representative can decide about and you
can cancel this at any time. The person you
name as your decision-maker
has the authority to make any
and all healthcare decisions
for you in accordance
with your wishes and
your religious and moral

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