ADVANCED DIRECTIVES
Not a Revocation of Advance Directives or Medical Power of Attorney
All patients have the right to participate in their own health care decisions and to make Advance Directives or to execute Powers of Attorney that authorize others to make decisions on their behalf based on the patient’s expressed wishes when the patient is unable to make decisions or unable to communicate decisions. Integrity Wellness Center respects and upholds those rights.
However, unlike in an Acute Care Hospital settings, Integrity Wellness Center does not routinely perform “high risk” procedures. Most procedures performed in this facility are considered to be of minimal risk. Of course, no surgery is without risk. You will discuss the specifics of your procedure with your physician who can answer your questions as to its risks, your expected recover, and care after your surgery.
Therefore, it is our policy, regardless of the contents of any Advance Directive or instructions from a health care surrogate or attorney in fact, that if an adverse event occurs during your treatment at this facility, we will initiate resuscitative or other stabilizing measure and transfer you to an Acute Care Hospital for further evaluation. At the Acute Care Hospital, further treatment measure already begun will be ordered in accordance with your wishes, Advance Directive or Health Care Power of Attorney. Your agreement with this policy by your signature below does not revoke or invalidate any current Health Care directive or Health Care Power of Attorney.
If you do not agree to this policy, we are pleased to assist you to reschedule the procedure.
Please check the appropriate box in answer to these questions. Have you executed an advanced health Directive, a living Will,
a Power of Attorney that authorizes someone to make health care decision for you?
o Yes, I have an Advanced Directive, Living Will or Health Care Power of Attorney
o No, I do not have an Advanced Directive, Living Will or Health Care Power of Attorney
o I would like to have information on Advanced Directives
If you checked the first box “YES” to the question above, you may provide us a copy of that document so that it may be made a part of you medical record.
o A copy of Advanced Directives was provided to the facility
o A copy of Advanced Directives was not provided to the facility