| DIALOG/PROGRESS NOTE TEXT |
{FLD:VA-ETHICS-LINK-HB-1004-02} requires that patients must be asked
- as part of hospital discharge planning when the patient is
discharged to a long-term care or rehabilitation facility in the
community;\\
- at the following encounters, unless there is documentation of advance
directive notification and screening within the last year:
- check-in for first primary care and mental health appointment(s);
- check-in at VHA Ambulatory Surgery Center;
- each admission to a VHA inpatient facility.
Also, all patients and CLC residents must be asked whether they want more
whether they have an advance directive or mental health advance directive
information about advance directives and whether they want assistance in
completing the advance directive forms. If so, the screener must direct
the patient to the requested assistance. This assistance may be provided
by social workers or others who are appropriately trained, and must be
available to patients in all clinical settings.
at certain encounters. Advance directives are sometimes known by other
names such as Living Will, Durable Power of Attorney for Health Care, or
Psychiatric Advance Directive. Screeners can use all of these terms to
inquire whether a Veteran has an advance directive. Encounters requiring
this screening include:\\
- all patients in Community Living Centers;\\
- admission to VA home care or hospice care;\\
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