Advance Directives in Yakima Laurie Oswalt, M.Div. Director of Spiritual Care/Ethics and End-of-Life...
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Transcript of Advance Directives in Yakima Laurie Oswalt, M.Div. Director of Spiritual Care/Ethics and End-of-Life...
Advance Directives in
YakimaLaurie Oswalt, M.Div.
Director of Spiritual Care/Ethics and End-of-Life EducationYakima Valley Memorial Hospital
Starting with Gunderson
•Next: Honoring Choices Pacific Northwest
•What We’re Doing in Yakima
Education
Tracking
Process
Process for Receiving and Inputting 5 Wishes into computerized Health
Information Exchange: YVMH Inpatient YVMH Facilities
(Phreesia, when applicable) NonYVMH Inpatient NonYVMH Clinics All Home Health/Hospices All Nursing Homes/Retirement Homes
Education Of Five Wishes and ProcessStaff (departments & orientation)Physicians (all entities & orientation)Patients (in-house tv?, lobby flyers, in-room wall holders)Community (churches, monthly gatherings at YVMH, senior centers, senior living, public schools, Five Wishes parties)
Tracking Advance Directive Utilization
At death (we will look at HIE):Did patient have AD?Did we follow it?
Memorial’s Focus on Advance Directives in
Yakima
WHY FIVE WISHES?
• Valid in 42 States
• Customizable
• Addresses Biggest Fears
• Cost-Effective
• User-Friendly
• Previous Advance Directive
• Not a DNR in the Home
Advance Directive
•Durable Power of Attorney for Healthcare• Wish 1
• Living Will• Wishes 2-5
Durable Power of Attorney for Healthcare
Durable Power of Attorney for Healthcare
•General vs. Durable Power of Attorney
Durable Power of Attorney for Healthcare
• Decision-Maker Order in Washington State:
Durable Power of Attorney for Healthcare
• Decision-Maker Order in Washington State:1. Legal Guardian
Durable Power of Attorney for Healthcare
• Decision-Maker Order in Washington State:1. Legal Guardian
2. Durable Power of Attorney for Healthcare
Durable Power of Attorney for Healthcare
• Decision-Maker Order in Washington State:1. Legal Guardian
2. Durable Power of Attorney for Healthcare
3. Children of Patient OVER 18—all must agree
Durable Power of Attorney for Healthcare
• Decision-Maker Order in Washington State:1. Legal Guardian
2. Durable Power of Attorney for Healthcare
3. Children of Patient OVER 18—all must agree
4. Parents
Durable Power of Attorney for Healthcare
• Decision-Maker Order in Washington State:1. Legal Guardian
2. Durable Power of Attorney for Healthcare
3. Children of Patient OVER 18—all must agree
4. Parents
5. Siblings—all must agree
Living Will
• The Decisions You Want to be Made on Your Behalf
Living Will
•Wish 2:
Medical Treatment
Living Will
•Wish 3:
Comfort
Living Will
•Wish 4:
How I Want to be Treated by Others
Living Will
•Wish 5:
What I Want Others to Know
What to do Next
What to do Next
• Signatures
What to do Next
• Signatures
• Make Copies—give it to others (family, DPOAHC)
What to do Next
• Signatures
• Make Copies—give it to others (family, DPOAHC)
• Make a File
What to do Next
• Signatures
• Make Copies—give it to others (family, DPOAHC)
• Make a File
• Take it with You
Let’s Change our Culture
Remove Fear from End-of-Life
•Questions, Comments
Advance Directives in
YakimaLaurie Oswalt, M.Div.
Director of Spiritual Care/Ethics and End-of-Life EducationYakima Valley Memorial Hospital