What relationship does an ethics committee have in enforcing the advance directives of the patients in their care?
The Patient Self-Determination Act
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The Patient Self-Determination Act (PSDA) was implemented to allow patients to state “Do Not Resuscitate” (DNS), or to assign a surrogate decision maker in the event the individual is unable to make the decision. What relationship does an ethics committee have in enforcing the advance directives of the patients in their care?
Support your analysis with a minimum of one peer-reviewed article.
The Patient Self-Determination Act (PSDA) is a federal law, and compliance is mandatory. It is the purpose of this act to ensure that a patient’s right to self-determination in health care decisions be communicated and protected. Through advance directives–the living will and the durable power of attorney–the right to accept or reject medical or surgical treatment is available to adults while competent, so that in the event that such adults become incompetent to make decisions, they would more easily continue to control decisions affecting their health care. Without advance directives and the proper adherence to such directives, former President Richard Nixon and former First Lady Jacqueline Kennedy Onassis might still be alive today, in persistent vegetative states. This article examines the history of the act, its importance to each individual, the clinical, ethical and legal issues, and the role of health care professionals in effectively implementing and ensuring compliance of the PSDA.
The Patient Self-determination Act (PSDA) of 1990 mandates that individuals receiving medical care must be given written information about their rights under state law to make decisions about medical care, including the right to accept or refuse medical or surgical treatment. The law applies to all health care facilities providing services and receiving federal reimbursement including nursing homes, home health agencies, clinics, and hospitals. This article discusses the impact of this legislation on ambulatory surgery facilities.
