ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE

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 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 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 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 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 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 event of incapacitation in a pre- hospital setting Can be cancelled by you at anytime

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 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, 2016, from https://secure.in.gov/isdh/files/advanceddirectives.pdf