TLC - Advance Directives

Advance Directives training was held on August 15, 2017.  This training dealt with the following information and can be viewed by clicking on each part.

Advance Directive Training

Welcome - Karen Winkowski, administrator, Harford County Office on Aging
Speaker: April C. Ishak, Esq., Stark & Keenan, PA

Part 1 Advance Directive Overview
Accommodating patient preferences while avoiding pitfalls

  • What is an advance directive?
  • Examples of advance directives
  • Requirements for a written advance directive
  • Requirements for an oral advance directive

Part 2 How Does an Advance Directive Work?

  • Out-of-state advance directives
  • When does an advance directive become effective?
  • Where does an advance directive terminate?
  • Who should have an advance directive?
  • Who should have a copy of the advance directive?

Part 3 Advance Directive Options

  • Living wills
  • Conditions
  • Terminal condition
  • Persistent vegetative state
  • End-stage condition
  • Three options for each condition
  • Goal of advance directive and living will
  • Healthcare agent’s authority
  • What happens if a patient has no advance directive?

Part 4 Other considerations

  • Potential conflicts
  • Pre-existing disability
  • Medically ineffective treatment
  • How do DNR (do not resuscitate) and MOLST (medical order for life sustaining treatment) forms affect advance directives?
  • MOLST
  • Resolving conflicts and avoiding problems
  • Questions and answers
  • Conclusion