Description of an Advance Directive Regarding kidney failure peritoneal- or haemodialysis
This can include blood products too. When you take a decision to accept donor blood, or prefer only family members’ blood
Kidney Dialysis & Advance Directives
This legal document can stipulate the particular conditions to your healthcare provider and loved ones, when youSince 1991, an act (Patient Self Determination-Act) is in place which enables adults and adolescents of 18 years and above with the right to take future decisions now, concerning their preferable healthcare treatment. Their decisions will come into play when they are not able to communicate their wishes at such a time.
According to the above-mentioned law nursing homes, healthcare agencies and hospitals have to inform patients about their right having such a legal document, named an advance directive.
Advance directives: Two types
A healthcare proxy or durable power-of-attorney, for taking healthcare decisions. This will allow you to appoint an individual, like a wife, husband, another family-member or good friend, acting on your behalf when you are incapacitated and can’t take your own medical decisions. You must ask such an individual whether he / she will be willing to become your representative and stipulate which treatments you would prefer and which not. They also have to take into account values and goals in the short- as well as long term.
The second type is a living will. This will inform your doctor which kind of medical- and healthcare treatment you prefer or don’t want, in writing. This will get effective when you become incapable to communicate or to take medical decisions.
An Advance Directive: Kinds of decisions
Having this legal document allows you to accept all, accept some or refuse some or refuse all the types of treatments recommended by your healthcare professional, as stipulated in the document. Furthermore, you can opt to obtain pain medication for comfort, despite the fact that you for instance refused other kinds of treatments. Treatments can include:
- Tube feedings
Food or water administered into your stomach or intravenous
- CPR (Cardiopulmonary resuscitation)
Restoring your blood circulation and breathing, which can include: drugs, heart massaging, a respirator or ventilator, and / or electric shocks.
Required to fight against inflammation or infection
- Artificial respiration
This can be a ventilator or respirator to assist you to breathe via a tube in your throat
For example gall-bladder surgery or heart surgery
During end-stag would feel limited about your quality of life. You may for example opt to stop kidney dialysis when you are brain damaged due to a stroke or in case you became dependent on other people, due to Alzheimer’s disease. On the other hand you can also stipulate that you accept to live in all circumstances.
Important points to take into consideration
- Advance directive forms
These forms are available at the majority of centres for senior citizens, certain healthcare professionals and your local or state bar association.
- No law requirement
The law don’t require you to have such an advance directive.
- List your own treatments
You are allowed to make a list of preferable treatments and those you don’t want, without a form. However, a medical provider and/or a court may refuse to accept it.
- A Lawyer not required
You don’t need a lawyer for an advance directive. On the other hand you may prefer to speak to either a social worker or lawyer to comprehend the laws applicable in your state.
- Consult with your doctor
You may want to speak with your healthcare provider prior to making such an advance directive. Your doctor can discuss different treatment options and whether he/she has any objections to carry out the options.
- Inform the necessary individuals
Inform the required individuals about such an advance directive. Tell your doctor, family and friends that you have an advance directive. This can be filed in your medical file.
- Requirements of State laws
It is possible that state laws may need your advance directive to be notarized or witnessed. This service can be rendered by banks or certain businesses that have notaries.
- Changing an advance directive
In case you want to change information in your advance directive, it will be necessary to inform every individual who has received a copy and then hand them your new document. In the case of cancellation, you will have to claim back all copies.
- When will it go into effect
Your advance directive only goes into effect when you become unable to speak for yourself or taking decisions regarding your health.
- Healthcare quality
Your healthcare quality won’t be affected by an advance directive
- Health- or life insurance
Your advance directive won’t have any effect on either health- or life insurance.
- Organ donation
If you wish to become a tissue- or organ donor, you can stipulate it in the advance directive. Inform you family of your wishes, to enable them to carry it out.
- Religious views
Discuss your religious views with both your religious advisor and family to enable them to comprehend your specific religion’s opinions concerning advance directives.