Advance Directives

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White Paper
AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE WHITE PAPER A17 SUBJECT: A Practitioner’s Guide to Advance Care Planning Discussions in the Post-Acute and Long-Term Care Setting INTRODUCED BY: Ethics subcommittee and Advance Care...
August 14, 2017
The 90-year-old woman in the San Diego-area nursing home was quite clear, said Dr. Karl Steinberg. She didn’t want aggressive measures to prolong her life. If her heart stopped, she didn’t want CPR. But when Steinberg, a palliative care physician,...
October 14, 2016
A study of elderly patients' end-of-life forms found that 69% had at least one section left blank, and 14% indicated the patient wanted comfort measures only, but also that they wanted be sent to the hospital, receive intravenous fluids, and/or...
October 4, 2016
Physicians' Orders for Life-Sustaining Treatments, or POLST, forms often are seen as a way to honor the end-of-life wishes of frail elderly individuals when they no longer can speak for themselves. A study published last week in the Journal of the...
Beginning January 1, 2016, the Centers for Medicare & Medicaid Services (CMS) began reimbursing for time spent discussing advance care planning with patients. The two new current procedural technology (CPT) advanced care planning codes (ACP) (...
White Paper
1. Introduction Many residents of nursing facilities and other long-term care settings are cognitively impaired and thus may be incapable of making decisions about their medical care. Clinicians providing care for these residents must rely on...
June 10, 2015
U.S. Sens. Mark R. Warner (D-VA) and Johnny Isakson (R-GA) introduced legislation today designed to give people with serious illness the freedom to make more informed choices about their care, and the power to have those choices honored.
Resolution and Position Statements
Position Statement P97 Becomes Policy February 1997 Background Care at the end of life is an important issue to members of the American Medical Directors Association (AMDA). As primary care physicians, we help patients and their families cope with...
Resolution and Position Statements
Resolution E98 Becomes Policy March 1998 Ethical issues are part of everyday life in long term care settings. They include respecting individual rights and privacy in an institutional setting, issues of autonomy in states of dependency, informed...