The Oregon Clinic, West Hills Gastroenterology Colonoscopy Constipation Preparation Instructions (Gatorade/miralax) Page 10
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14Advance Directive Information Sheet
The advance directive is a simple way to put your wishes about health care decisions in
writing. It is a document in which you give instructions about your health care and what
you want done or not done if you cannot speak for yourself. This document helps guide
families and medical personnel in deciding the course of medical treatment to delay
death. It usually spells out how aggressive medical treatment should be administered.
In Oregon, the Health Care Decision Act (ORS 127.505-127.995) allows an individual to
name a person to direct your health care when you cannot do so. This person is called
your “health care representative”. Your representative must agree to serve in this role
and must sign the necessary forms.
The following are included within the advance directive:
o living will
o medical power of attorney
o pre-hospital medical care directive
For further information on Advance Directives:
Oregon Health Decisions at 1-800-422-4805
Advance Directive forms are available upon request or can be downloaded from:
Completing an advance directive is completely voluntary. If you do not want an
advance directive you do not need to complete the forms.
TOC WHGI Endoscopy Center Advanced Directive Policy
Life-sustaining efforts will be initiated and maintained on all patients who may have a
cardiac/respiratory event while at TOC WHGI Endoscopy Center. If available,
copies of any advanced directives will accompany the patient being transferred to
another facility.
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