Summary: UVA OUTPATIENT GUIDE TO
ADVANCE DIRECTIVES AND RESUSCITATIVE STATUS
o There is a resource guide "End-of-Life Care and Decision Making
Resource Guide" available to clinics who deal with end-of-life issues. All
materials on the subject should be contained in the guide.
o In many cases the best time to talk about end-of-life wishes is before a crisis. This assures
that physicians as well as family members know the patient's wishes. If a discussion is held, the
patient's wishes should be noted in the medical record.
o When a hospitalized patient presents for a procedure/treatment, all end-of-life materials will
be found in the front of the chart in the red page protector.
o Consider adding information to your demographics sheet or flow sheet about the patient's
advance directive information so that asking the question can be a routine part of care.
Advance Directives (AD) (Policy #142)
·An individual's legal way to document wishes for medical care in advance of incapacity from
illness or injury.
·Consists of two distinct parts - Living Will (documents wishes concerning medical treatment)
and Durable Medical Power of Attorney (names another person to make health care decisions
called an agent)
·The powers of a agent can include: consent or refusal of any surgery, medical care or