legal issues&health care2003

18
United Way Helps Here! Kansas Legal Services is a statewide legal services organization that seeks to help the impoverished with legal problems. KLS makes a difference by providing quality legal representation. Areas of practice include Domestic & Family Law, Landlord Tenant, Consumer Protection, Elder Law, Juvenile Law, Education Law, Disability, etc. Our focus is on the most venerable; the abused, the neglected, the elderly, the disabled & children. If you, or someone you know needs help, please call 800-723-6953 800-723-6953

Upload: paul-shipp

Post on 06-May-2015

356 views

Category:

Health & Medicine


4 download

DESCRIPTION

Issues related to power of attorney's, DNR's, and living wills.

TRANSCRIPT

Page 1: Legal Issues&Health Care2003

United Way Helps Here!

Kansas Legal Services is a statewide legal services

organization that seeks to help the impoverished with legal problems. KLS makes

a difference by providing quality legal representation.

Areas of practice include Domestic & Family Law,

Landlord Tenant, Consumer Protection, Elder Law,

Juvenile Law, Education Law, Disability, etc. Our focus is on the most venerable; the abused, the neglected, the

elderly, the disabled & children.If you, or someone you know needs help,

please call800-723-6953800-723-6953

Page 2: Legal Issues&Health Care2003

888-353-888-353-53375337

The Elder Law Hotline is a phone number that anyone over the age of sixty (60) can call to get FREE legal advice on any number legal issues. If it is possible for us to help you over the phone we will do so, however, if you prefer to meet with an attorney in your area you can, just make the request. We also provide free legal services for the elderly for items such as powers of attorney, transfer on death deeds, simple wills, & living wills. We can sometime represent the elderly in divorces, PFA’s, collection and landlord tenant cases.

Page 3: Legal Issues&Health Care2003

1. The Power of Attorney for Health Care Decisions

2. The Living Will Declaration

3. Do Not Resuscitate Directives/Orders

Page 4: Legal Issues&Health Care2003

A Power of Attorney for Health Care Decisions is sometimes called the Healthcare Power of Attorney. It is a signed and witnessed (or notarized) legal document that allows a person to designate an agent to make health care decisions for them during a period of disability or incapacity. The person who holds the power of attorney is called the healthcare agent. Sometimes it is made to be durable.

Page 5: Legal Issues&Health Care2003

1. Health Care Agent – The individual someone designates to make healthcare decisions when the individual cannot make or communicate those decisions.

2. Health Care Decisions – We can define this as a group, but in the context of the types of decisions that can be made by the Health Care Agent.

3. Durable – Next slide.

Page 6: Legal Issues&Health Care2003

Capable of withstanding wear and tear or decay, a durable fabric. Able to perform or compete over a long period, as by avoiding

or overcoming injuries. Lasting; stable.

In the context of healthcare durable means that the person you designate as your

healthcare agent can still be your agent after you are out of it.

Page 7: Legal Issues&Health Care2003

What is the difference between these two patients? What decisions can the patient on the right make that the one of the left cannot make? What simple decisions can the patient on the left be faced with? (be

practical).

Page 8: Legal Issues&Health Care2003

The decisions made by the healthcare agent have the same force and effect as if they were made by the patient. The agent may not use the Power of

Attorney to revoke or invalidate a previously existing Living Will Declaration. It is the duty of the attending physician to determine in accordance with the law,

when the patient no longer has the capacity to make decisions for themselves (unless the Power of

Attorney for Health Care Decisions states otherwise). If the patient decides to revoke or change a

Healthcare Power of Attorney the patient should do it in writing, and have the revocation witnessed or

notarized.

Page 9: Legal Issues&Health Care2003

A Living Will declaration is a signed and notarized (or witnessed) document that allows a terminally ill patient to state in advance that their dying should not be artificially prolonged. K.S.A. 65-28,101 et seq. This decision may be made only by the patient. A living will cannot be made by a healthcare agent.

Page 10: Legal Issues&Health Care2003

Please remember that The Living Will is a

declaration. It only describes your wishes. It

does not serve the same purpose as a Do-Not-

Resuscitate Order. In an emergency,

resuscitation will be provided, regardless of a

Living Will, unless a DNR Order has also been

written and shared. It is the declarant’s

responsibility to notify the attending physician

of the existence of the declaration. The physician

should make a copy of the declaration part of the

patient’s medical records.

Page 11: Legal Issues&Health Care2003

The purpose of the living will is to notify your doctor that in the event your health is in such a condition where death will occur whether or not life sustaining procedures are utilized, and where application of life sustaining procedures will only serve to artificially prolong the dying process.Sometimes called “Pulling the plug.”

Page 12: Legal Issues&Health Care2003

In a nutshell, a DNR Directive is a signed, dated and witnessed document that allows an adult to state in advance his/her decision that if his/her heart stops beating, or he/she stops breathing, that no medical procedure will be undertaken to restart the heart or breathing processes. The person executing a DNR directive must be a person who is an adult and competent when the document is signed. The document must also be signed by the attending physician as "medically appropriate" unless the person's church or religion recognizes treatment by spiritual means only. A DNR Directive is not effective unless it is signed by a physician.Patient’s give DIRECTIVES, Doctor’s give

ORDERS!

Page 13: Legal Issues&Health Care2003

Should either of these parents have a DNR?

Page 14: Legal Issues&Health Care2003

Does

Page 15: Legal Issues&Health Care2003
Page 16: Legal Issues&Health Care2003
Page 17: Legal Issues&Health Care2003

If a Do Not Resuscitate (DNR) is written, nothing will be done!

NO chest compressionsNO intubationNO defibrillationNO emergency drugs will be

administeredNO manual ventilation with a

resuscitation bag will be performed

In other words if you have a DNR Order, nothing will be done!

Page 18: Legal Issues&Health Care2003

United Way Helps Here!

Kansas Legal Services is a statewide legal services

organization that seeks to help the impoverished with legal problems. KLS makes

a difference by providing quality legal representation.

Areas of practice include Domestic & Family Law,

Landlord Tenant, Consumer Protection, Elder Law,

Juvenile Law, Education Law, Disability, etc. Our focus is on the most venerable; the abused, the neglected, the

elderly, the disabled & children.If you, or someone you know needs help,

please call800-723-6953800-723-6953