Advance Directive For Mental Health Care Page 12
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13After I sign one or more advance directives, should I continue to discuss the
issue of my care?
Yes. Sit down with the person you have chosen as patient advocate. The
clearer picture he or she has of your wishes, the better. If some time has passed
since you signed the document, discuss the issue again.
When should I review an advance directive?
Since medicines and treatments are constantly changing, and since there
may be changes in your outlook, it would be wise to review your advance
directive once a year. Upon review, you can decide to keep the document, write
a new one, or have no advance directive at all.
If you decide to keep the advance directive, you can put your initials and the
date on the bottom. The document does not expire until you decide to cancel it.
What should I do if I write a new advance directive?
Whether you choose a different person to be your patient advocate or
change your wishes for care, try to get back copies of the old document and
destroy them. Give everyone you want copies of the new document.
What are the responsibilities of health care facilities?
Hospitals, nursing homes, hospice organizations and home health agencies
receiving federal funds have an obligation to inform incoming patients of their
rights to consent to or refuse treatment, including the right to have advance
directives.
A health care facility cannot force you to sign an advance directive, or
refuse to care for you if you have signed one.
If given an advance directive, the hospital or nursing home must make it
part of your medical record.
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