The Patient Self-Determination Act gives the patient the right to make their own decisions about their health care. The medical facilities are required to provide the patient with informed consent information about these rights and the state laws on legal choices before they can be seen by the physician. Some examples of these types of advance directives are DNR (Do Not Resuscitate) Order, Durable Power of Attorney for Health Care, Health Care Proxy, Living Will, and Organ or Tissue Donation.
Facilities use three different themes to help implement the PSDA. The first one is assignment of duties which means someone is assigned to make sure it is carried out. This
is very important because it can improve the patient’s quality of care and satisfaction. If this is not handled correctly it will affect those with dementia, that are old or poor, especially the ethnic and racial minorities. Another one is centrality which is how far a facility will go to make it their mission to have the PSDA their center part of their delivery of quality care. The third one is advocacy which is how far a facility is willing to go to encourage the use of advance directives.
Facilities now need to educate their admitting staff as well as the nurses and other staff members how to mandate the PSDA so that they can teach their patients as well as witness proxies being signed on their own. There should always be someone on site that can answer any questions a patient might have on advance directives