7-1 Discussion: Using Advance Directives in Treatment (Laws and Ethics) response post

instructions- Imagine you are a case manager at a mental health residential facility. Samantha, a resident in your caseload, has asked to have an advance directive in the event that she is incapable of making a decision, such as a psychiatric crisis. She is concerned about making sure that she is given the correct medication, as she is allergic to Haldol. She also has a family member she would like the facility to call on to make decisions about her care in the event of a crisis.

When responding to your classmates, suggest ethical and/or legal issues that might arise with this patient regarding the advance directives processes they have communicated.

Respond to Phylicia’s initial post

To develop Samantha’s advance directive, involve her directly to discuss her concerns and specific wishes. As her case manager, facilitate these discussions to capture her preferences accurately. Her healthcare provider should also be involved in addressing medical considerations, such as her allergy to Haldol and her preferred treatments. The involvement of a legal advisor is vital to ensure that the directive complies with legal standards and is enforceable, providing a crucial layer of protection for Samantha’s rights. Samantha’s designated family member, who she wants as her decision-maker, should be consulted to confirm their willingness and understanding of their role.

Draft the advance directive to include Samantha’s medication preferences, the details of her designated decision-maker, and instructions for handling psychiatric crises. Ensure the draft is reviewed by legal and medical professionals to confirm that it aligns with legal requirements and medical standards. This step ensures that all aspects of Samantha’s wishes are considered and clearly articulated.

Once the directive is finalized, have Samantha sign it in the presence of a witness or notary, depending on legal requirements. Distribute copies of the signed document to Samantha, her designated decision-maker, and the healthcare facility. It is crucial to incorporate the directive into her medical records and inform relevant staff members of its existence and contents. This thorough process will help ensure that Samantha’s preferences are respected and followed during a crisis.


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