As we approach the end of our lives, through aging or through severe illness, we may wish to communicate with our loved ones and the professionals who care for us about our desires for that care.

Each of us, regardless of age and infirmity, has a right to instruct or direct professionals in the care they give us.  Our wishes regarding being fed by artificial means, being resuscitated, having surgery, taking medications, etc. should be followed by our caregivers, both professional and familial, whenever possible.  
 
It is difficult to handle issues of choice when the patient cannot communicate because of physical or mental impairments.  For that reason laws have been passed which allow each of us to express our desires in writing.  In addition, those same laws allow us to designate a person to express our wishes and make decisions on our behalf.  The person who is designated cannot overrule our instruction but can deal with specific decision that may need to be made.  

Golden Age Home will honor and uphold all advanced directives established by each individual resident.  When a question occurs, the resident and/or responsible party will be consulted and will maintain ultimate control and decision-making.  

In the event of an emergency and a resident becomes incapable of communication or is incompetent and the responsible party/family cannot be reached, appropriate medical professionals will be contacted and provided a copy of any advanced directives.

In the Golden Age Home Nursing facility, code status is established at the time of admission. Without an Out of Hospital Do Not Resuscitate order, CPR (Cardiopulmonary resuscitation) will be started. The Personal Care facility’s policy is not to initiate CPR (Cardiopulmonary resuscitation), but to contact emergency medical services via 9-1-1.

If a resident has not executed or issued advanced directives, the responsible party/family will be notified if a question occurs. However, in the event of an emergency, the appropriate medical professionals are contacted first and then the responsible party/family.


Downloadable Forms 

Out of Hospital DNR | PDF

This document is used to let health care providers and EMS know that the resident is not to be resuscitated. This means that CPR will not be administered. Family members cannot override the instructions given by the resident or individual. However, if a DNR was not completed by the individual the law provides for an eligible relative or surrogate to compete it on the resident’s behalf.

Directive to Physicians and Family or Surrogates | PDF

Also known as the Living Will, this document allows the patient to direct the physician in the care expected. Family members cannot overrule the instruction given in this directive.

 

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