The Importance Of Advance Care Directives ( Acd ) Essay

The Importance Of Advance Care Directives ( Acd ) Essay

Length: 925 words (2.6 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

The legal term of consent reflects a person’s agreement to something; while informed consent means that a patient has full knowledge of the possible consequences of the proposed treatment and has the right to accept or decline (Queensland Health, 2011). Informed consent is provided and gained during a conversation between a client and the treating health professional and is critical to providing patient-centred care (Freegard, Isted & Russell, 2012). This essay will aim to discuss the use of advance care directives (ACD) in healthcare using several ethical principles and theories such as respect for autonomy, beneficence verses maleficence and paternalism. It will also compare the professional and ethical frameworks of nurses and paramedics on the issue of ACD’s and informed consent.
Queensland Health (2011) states that in the nursing profession, certain principles must be fulfilled in order for informed consent to be considered valid. They state that the patient must be deemed to have the capacity to make a decision about the proposed issue at that specific time, and not be under the influence of any alcohol or drugs. They state that the patient must consent voluntarily and the decision be made free of manipulation or undue influence by family or the nurse. They suggest that the discussion must involve two-way communication between the patient and the nurse and be clear, rational and sensitive to the situation. The nurse must provide the patient with sufficient information about the proposed issue in a language that the patient can clearly comprehend (Queensland Health, 2011). When providing care, both nurses and paramedics must ensure that the patient has adequate knowledge and have a necessary understanding of the procedure, to...


... middle of paper ...


...SDM) is appointed or there is insufficient time to contact the SDM, the health care professionals (HCP) must comply with the binding provisions. They state that the SDM’s must abide by a refusal stated in an ACD, if they believe it would be what the patient would of wanted in the current circumstances. They suggest that the SDM will then refuse on the patient’s behalf, and their consent/refusal is legally valid. Also if a patient has indicated health care that they would accept in their ACD, and if the treatment is clinically appropriate, the ACD is an indication of their consent (SA Health, 2014). ACD’s are normally written when a person is in good health, and are not always honoured as it is not unusual for a person to change their mind as their illness progresses; and therefore patient’s still retain the option of nullifying the document (Farrell & Dempsey, 2014).

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Essay about Personal Decision Making : Advance Directives

- Advance Directives It is most important part of ethical decision making. Advance directives are the legal documents that are used by the patient to record future events if in case the patient lacks ability to make any kind decision regarding his/her health. There will be bunch of documents like living will, durable power of attorney for health care, advance health care directive or health care directive, Physician Orders for Life Sustaining Treatment (POLST) form, mental health advance directive, etc....   [tags: Ethics, Health care, Decision making]

Better Essays
1124 words (3.2 pages)

Essay about Advance Directives : An Ethical Dilemma

- Advance Directives: An Ethical Dilemma The ethical controversies between patients and families and health care providers, regarding advanced directives dilemma of research and conflict with providers of care towards end of life choices, or accidental injuries leading to comatose state with patients who had never made or signed their advance directives, deciding on how they preferred to be cared for when those times came. This complex issue has in the past to present resulted in countless lawsuits, against healthcare providers by families who believed that no matter the state, meaning whether comatose, or in situations where a loved one had no choice in deciding for them, families have alway...   [tags: Health care provider, Patient]

Better Essays
1091 words (3.1 pages)

Psychiatric Advance Directives versus Recipient Rights Essay

- Introduction and Scenario Description When a patient enters the hospital, he or she expects the health care professionals to treat him or her with respect and fairness. The hospitals, clinics, and other healthcare settings should deserve and be reputed with a strong set of ethical principles and respect in the face of the law. To John, a 35 year old schizophrenic who is experiencing a crisis situation, his mental health depends greatly on his health care team. He wrote an advance directive that states which medications he would prefer to receive and that he wants his parents to be involved in his care, but he currently exhibits paranoia against his parents....   [tags: ethical and legal dilema]

Better Essays
898 words (2.6 pages)

Essay on Advanced Directives

- Advanced Directives CONTENTS I. INTRODUCTION 4 II. Will Your Advance Directive be Honored. 4 III. What are Advanced Directives 5 IV. Advanced Directives Fall Short 5 V. Who Decides 7 VI. Why are Advanced Directives not Followed 8 VII Conclusion 9 BIBLIOGRAPHY 10 Introduction This paper presents an in-depth discussion about the issues involved in honoring a patient's advance directive. Ethical considerations surrounding the issue as they relate to the nursing profession are addressed....   [tags: Papers]

Free Essays
1713 words (4.9 pages)

An Advance Directive For Patients With Severe Mental Illness Essay

- An Advance Directive (AD) also known as Psychiatric Advanced Directives (PADs) is a document that specifies a person’s future preferences for treatment, should he or she lose the mental ability to make treatment decisions (MCA 2005). The significance of advance decision-making is endorsed by the Codes of Practice for both the updated Mental Health Act 1983 and the Mental Capacity Act 2005. However its relevance and appropriate use has generated significant debates in many westernised cultures (Brock DW 1993) Henderson C et al (2004) concluded that the use of joint crisis plans (a form of PAD) reduced compulsory admissions and treatment in patients with severe mental illness....   [tags: Psychology, Psychiatry, Mental health]

Better Essays
1320 words (3.8 pages)

Enduring Advanced Health Directives Protect A Represented Person Essay

- Enduring Advanced Health Directives protect a represented person. According to Alexander (1998) Enduring Advanced Health Directives are less restrictive than Guardianship and Administration (Conservatorship). According to Guardianship and Administration Regulations (2005) An Enduring Guardian is appointed or advance health directive is documented to deal with the aspects that do not include financial and estate management, these relate to the represented person’s personal and health affairs. Tait and Carney (1995) discusses how an alternative to Government Guardianship organisations is identifying a person chosen by the represented person to provide alternative medical consent....   [tags: Decision making, Risk, Legal terms]

Better Essays
1160 words (3.3 pages)

Cash Advance Loan Companies Essay

- Having hundreds of online loan companies giving short term capital advances, finding a capital advance mortgage company is straightforward and straightforward after you are usually tight having online and computers. Ever since economic become softer down, your pay day loan trade may be raising at a immediate pace substantially in the united states. With plenty of and a great deal of Americans looking at short-run funds in order to tide about capital emergencies, your financial area provides identified the following being an excellent chance to make a effective buck at your price of your borrowers....   [tags: Financial Debts, Capital Advances]

Better Essays
1110 words (3.2 pages)

The Importance of Scientific Education Essay

- The Importance of Scientific Education In the 21st century, many people believe science to be one of the most important subjects that students must be taught. Scientific education is important to this world due to the effects of it. Science teaches people important factors of certain subjects, and those can be further developed and expanded into new ideas. Science itself is many different regions of study compiled and meshed together. Among the numerous lot of study, health is considered to be one of the most important topics in the scientific world....   [tags: The Importance of Education]

Better Essays
677 words (1.9 pages)

Advance Health Directive ( Ahd ) Did Or Could Have Influenced The Patient 's Care

- Advance Health Directive 
 Discuss about how an Advance Health Directive (AHD) did or could have influenced the patient’s care. 
 Introduction Advance Health Directive (AHD) is a formal way through which people make decision about their future healthcare in the event of them losing their decision-making capacity.1 AHD often involved the medical treatment that a patient wishes to receive as well as the appointment of an attorney to make future healthcare decision on behalf of the patient.1 AHD is part of Advance Care Planning (ACP), which is also known as the living will process through which people, in consultation with their family, friends and health professionals, make decisions about t...   [tags: Medicine, Health care, Decision making]

Better Essays
1052 words (3 pages)

Analyzing The Journal Of Advance Nursing Essay examples

- Anthony Denis published a review of statistical methods in the Journal of Advance Nursing in 1995 analyzing the increased of publications, quality and quantity methods used, and the most common statistical errors and misunderstanding compared to the medical ones. For example, an investigation was done by Gore et al. (1977) and published in the British Medical Journal, around 52% included, at least, one error. White (1979) in the British Journal of Psychiatry reported more that 45% of statistical errors....   [tags: Statistics, Statistical hypothesis testing]

Better Essays
1419 words (4.1 pages)