Checkpoint: Patient Self-Determination Act

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CheckPoint: Patient Self-Determination Act

Discuss, in 250 to 300 words, the effect of the Patient Self-Determination Act on health care delivery. Consider how you think records management procedures have had to respond to this piece of legislation.

In accordance with Federal Law, the Patient Self- Determination Act provides every competent adult and emancipated minor to be informed that he or she has the right to make his or her own decisions, including the right to decide what medical care or treatment to accept, reject, or discontinue.

The effect of the Patient Self-Determination Act has given each patient the right to choose what he or she believes what is best for him or her. Advance directives protect his or her right when making a decision. The act also protects the health care institutions when the agency has to decide what is best for the patient.

Advance directives are:

Durable Power of Attorney for Health Care, in case the patient becomes mentally incapacitated. A draft for a durable power of attorney will be written. This is a document appointing an agent to act for an individual in the event of incompetence and take effect immediately. The agency can not make the decision for the patient unless he or is can not make the decision.

Do Not Resuscitate (DNR) Order, the patient request not to be given CPR (cardiopulmonary resuscitation) if the patient heart stop or stop breathing.

Living Will, a legal document explaining the medical treatments or life support treatments he or she wants in case the patient becomes terminally ill.

Organ or Tissue Donor, the patient has authorized the hospital to remove organs and tissues. Medical suitability for donation is determined at the time of death.


The Law of Advance Directives Legal Documents Can Ease End-of-Life Decisions by Karen Markus
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