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They can be instruction directives or proxy directives.
Canadian courts and statutes have also clarified that health care professionals must respect refusals made on behalf of incompetent persons, without valid instruction directives, by their legally authorized substitute decision-makers.
There are two kinds of advance directives: instruction directives, which establish what and/or how healthcare decisions are to be made; and proxy directives, which establish who is to make healthcare decisions.
Advance-care planning still remains a topic not sufficiently discussed by individuals, their families and their health care providers, with the vast majority of Canadians having neither proxy nor instruction directives.
Instruction directives contain information about what decisions should be made or how (e.g. about values, goals of therapy and preferences for care in a variety of clinical scenarios), whereas proxy directives indicate the individual(s) who will make decisions on behalf of the patient should the patient lose competence.
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Simmons and the incoming commissioner, Bernard Hogan-Howe, did discuss the issue, as the criticism grew, but the source said the commissioner had left it to Simmons to take the decision, and that there was no instruction or directive.
The __________ told us that the recommendation for DOD-wide guidance for using contractors on the battlefield which was in GAO 03-695 Military Operations: Contractors Provide Vital Services to Deployed Forces but Are Not Adequately Addressed In Military Plans (June 2003) was the driving force behind both the instruction and directive.
(MORE: Make That Scary but Essential Money List) This file should include your will, end-of-life instructions (advance directives and a medical power of attorney), living trusts, organ donation wishes, guardianship decisions, real estate records and your financial records for assets and debts.
We excluded informational notes including lab reports, radiology imaging reports, procedure reports, patient instructions, advance directives, and fall risk notes.
The best form of advance directive contains both instruction and proxy directives and ensures that the people who should be involved in care planning should include not only loved ones but healthcare professionals who are involved in the care of the patient.
117 Furthermore, statutes require respect for one or both of instruction and proxy directives in almost all jurisdictions.
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