预先指令
Your rights to make decisions about medical treatment
![hands holding patient's hand and arm](/sites/default/files/styles/max_width_006000_240/public/images/hands200x267.jpg?itok=cFgRlOQ5)
本部分解释了你做出医疗保健决定的权利,以及如果你不能为自己说话,你可以如何计划应该做什么.
Who decides about my treatment?
Your doctors will give you information and advice about treatment. You have the right to choose. You can say "Yes" to treatments you want. 你可以对任何你不想要的治疗说“不”——即使这种治疗可能会让你活得更长.
How do I know what I want?
你的医生必须告诉你你的身体状况以及不同的治疗方法. Many treatments have "side effects.你的医生必须向你提供有关药物治疗可能给你带来的严重问题的信息. 通常,不止一种治疗方法可能对你有帮助,人们对哪种治疗方法最好有不同的看法. 你的医生可以告诉你哪些治疗方法对你有效,但你的医生不能为你选择. That choice depends on what is important to you.
What if I'm too sick to decide?
If you can't make treatment decisions, 你的医生会让你最亲近的亲戚或朋友帮助你决定什么对你最好. Occasionally there will be disagreement about what course to take. 这就是为什么如果你不能为自己说话,提前说出你想要发生什么是很有帮助的. 你可以使用几个“预先指示”来表明偏好或指定你想代表你说话的人. 根据皇冠hga025法律的一种预先指示,当你不能做医疗决定时,你可以指定某人来做. This form is called an Advance Health care Directive.
Who can fill out this form?
You can if you are 18 years or older and of sound mind. You do not need a lawyer to fill it out.
Who can I name to make medical treatment decisions when I'm not able to do so?
你可以选择一个你信任的成年亲戚或朋友作为你的“代理人”,如果你病得太重而不能自己做决定的话,他会为你说话.
How does this person know what I want?
After you choose someone, talk to that person about what you want. 你也可以在“预先医疗指示”中写下你什么时候愿意或不愿意接受治疗. 和你的医生谈谈你想要什么,并给你的医生一份表格的副本. Give another copy to the person named as your agent. 当你去医院或其他治疗机构时,带上一份复印件. 有时治疗决定很难做出,如果你的家人和医生知道你想要什么,这真的会帮助你. 当他们遵从你的意愿时,《皇冠hga020电脑版》也给予他们法律保护.
What if I don't have anybody to make decisions for me?
你可以使用另一种预先指示来写下你对治疗的愿望. 这通常被称为“生前遗嘱”,因为它在你还活着但无法为自己说话的时候生效. 《皇冠hga025自然死亡法案》允许你签署生前遗嘱,也就是“声明”. Anyone 18 years or older and of sound mind can sign one. 当你签署一份声明时,它告诉你的医生你不想要任何只会延长你死亡时间的治疗. 如果你得了绝症,预计很快就会死亡,所有维持生命的治疗都会停止, or if you were permanently unconscious. You would still receive treatment to keep you comfortable.
The doctors must follow your wishes about limiting treatment, or turn your care over to another doctor who will. Your doctors are also legally protected when they follow your wishes.
![provider in front of computer talking to patient](/sites/default/files/styles/max_width_006000_240/public/images/advanceddirective250x182.jpg?itok=ofjt8ut1)
Are there other living wills I can use?
Instead of using the Declaration in "The California Natural Death Act," you can use any of the available living will forms. You can use an "Advance Health Care Directive" without naming an agent. Or you can just write down your wishes on a piece of paper. 你的医生和家人可以用你写的东西来决定你的治疗方案. 但是,不符合《皇冠hga025自然死亡法案》要求的生前遗嘱,如果在遵循你的意愿方面出现分歧,就不能给你的医生提供足够的法律保护.
What if I change my mind?
只要您能够表达您的意愿,您可以随时更改或撤销任何这些文件.
Do I have to fill out one of these forms?
No, you don't have to fill out any of these forms if you don't want to. 你可以和你的医生谈谈,让他们把你说的话写在你的病历上. And you can talk with your family. But people will be clearer about your treatment wishes if you write them down. And your wishes are more likely to be followed if you write them down.
Will I still be treated if I don't fill out these forms?
绝对. You will still receive medical treatment. We just want you to know that if you become too sick to make decisions, someone else will have to make them for you. 记住:
“预先医疗指示”允许你指定你选择的人来为你做出治疗决定. 当你无法为自己说话时,这个人可以做出大多数医疗决定,而不仅仅是那些维持生命的治疗. Besides naming an agent, 你也可以用这个形式来表达你什么时候想要什么时候不想要某种特殊的待遇. If you don't have someone you want to name to make decisions when you can't, you can sign a "Natural Death Act Declaration.“这份宣言说,如果你身患绝症或永久昏迷,你不希望接受延长生命的治疗.
How can I get more information about advance directives?
Ask your doctor, nurse or social worker to get more information for you. If you have any questions about completing any of the advance directive forms, or if you need an advance directive form, you may contact The Office of 病人的经验 at 310-267-9113 . 您也可以要求提供额外的书面材料,标题为“制定预先指示”.“这本详细的小册子对任何想要准备预先指示的人都很有帮助.
Where can I download an 预先指令? (pdf)
我们皇冠hga025大学洛杉矶分校医疗中心的所有人都希望我们的病人了解他们做出医疗决定的权利. 皇冠hga025大学洛杉矶分校健康中心遵守皇冠hga025法律和法院关于预先指示的决定. 我们不会因您是否已执行预先指示而对您提供护理设置条件或以其他方式歧视您. 我们有正式的政策,以确保您对治疗的愿望将被遵循. 我们还有一个 伦理委员会 that can help if any questions arise about your treatment wishes.
您有责任向罗纳德·里根皇冠hga025大学洛杉矶分校医学中心招生办公室提供您的预嘱副本, 病人事务办公室或皇冠hga025大学洛杉矶分校的雷斯尼克神经精神病医院,这样就可以在你的医疗记录中存档.
皇冠hga025病人自决协会编写了上述案文, 由皇冠hga025公共卫生皇冠hga025采用来执行第101-508号公法.
A federal law requires us to give you this information. 我们希望这些信息能帮助你更好地控制你的医疗.