• J Am Coll Emerg Physicians Open · Jun 2020

    Advance directives in the emergency department.

    • Eileen F Baker and Catherine A Marco.
    • University of Toledo College of Medicine and Life Sciences Toledo Ohio.
    • J Am Coll Emerg Physicians Open. 2020 Jun 1; 1 (3): 270-275.

    AbstractAdvance directives are documents to convey patients' preferences in the event they are unable to communicate them. Patients commonly present to the emergency department near the end of life. Advance directives are an important component of patient-centered care and allow the health care team to treat patients in accordance with their wishes. Common types of advance directives include living wills, health care power of attorney, Do Not Resuscitate orders, and Physician (or Medical) Orders for Life-Sustaining Treatment (POLST or MOLST). Pitfalls to use of advance directives include confusion regarding the documents themselves, their availability, their accuracy, and agreement between documentation and stated bedside wishes on the part of the patient and family members. Limitations of the documents, as well as approaches to addressing discrepant goals of care, are discussed.© 2020 The Authors. JACEP Open published by Wiley Periodicals, Inc. on behalf of the American College of Emergency Physicians.

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