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MedStar NRH Patient Guide - Discharge

MedStar NRH Patient Guide - Discharge

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Published by MedStarNRH
The discharge section of the patient guidebook. This section reviews the discharge and billing processes.
The discharge section of the patient guidebook. This section reviews the discharge and billing processes.

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Published by: MedStarNRH on Jun 05, 2013
Copyright:Attribution Non-commercial


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 Your Guide to MedStar NRH
Admissions 1
Making Decisions about Your Medical Care
Information for Patients
Information about an Advance Directive is given to you in compliance with a federal law called thePatient Self Determination Act. This law is designedto protect your rights to make decisions about yourmedical care, including the right to accept or refusetreatment.
 As an adult, you have these rights
• You have the right to choose what medical treat-ment you do or do not want both now and in thefuture.• You have the right to appoint someone to make your medical decisions for you if you cannot makethose decisions for yourself.• You have the right to tell your doctor, nurse,family or friends about your decisions or you canput your wishes in writing.• You can change your mind about your medicalcare at any time.
Why should I be involved in decisionsabout my medical care?
Decisions about your care affect your health andwellbeing. You are the best one to make decisionsabout the type of care you want or do not want.
How can I be involved in decisionsabout my medical care?
• Talk with your family, friends, doctor, nurse, casemanager or social worker about decisions youwant to make.• Ask questions about your care.• Let those involved in your care know about yourwishes.• Talk to those involved with your care about what you want should you become unable to makedecisions for yourself.• You can write your wishes down in an AdvanceDirective.
What is an Advance Directive?
An Advance Directive is a document in which youwrite your wishes for the type of care you want if  you are not able to make decisions for yourself.There are two kinds of Advance Directive.In a Living Will, you note what kind of medical care you want or do not want if you become unable tomake treatment decisions. Usually, a Living Willapplies to when a person is in a terminal condition.In a Durable Power of attorney for Health Care, you appoint a person to make decisions about yourmedical care if you are not able to do so yourself.You can combine these two kinds of AdvanceDirectives into one document.
Who will make treatment decisions forme if I do not have an AdvanceDirective?
If you do not appoint someone or leave specificinstructions about your wishes, D.C. law allows your relatives to make decisions for you.
Who must follow what I say in myAdvance Directive?
As long as your wishes are legal, anyone involved in your care must follow your wishes or try to findsomeone who will.
What if my doctor and I do not agreeabout my care?
Your doctor will treat you according to what he orshe believes is best for you. If you do not agree with your doctor about your treatment, you may want tofind another doctor.
 Advance Directive
 Your Guide to MedStar NRH
Admissions 2
What should I say in my AdvanceDirective?
You can note your wishes about any aspect of yourcare in your Advance Directive. You can also note your feelings regarding your care should you be in aterminal condition. For example:Do you want treatment to try to restart your heartor breathing (resuscitation)?Do you want to be put on a breathing machine(ventilator or respirator) if you cannot breathe on your own?Do you want to be kept as comfortable and free of pain as possible, even if such care prolongs yourdying or shortens your life?If you appoint someone to make decisions for you,it is important to talk with that person about yourwishes.
Must I have an Advance Directive?
No, but it is a good idea to have one so that yourdoctor, family and others know what you want if  you ever become unable to make treatment deci-sions for yourself.
How do I write an Advance Directive?
Ask your doctor, nurse, case manager or socialworker for an Advance Directive form. Our formmeets the requirements of D.C., Maryland, andVirginia law. If you follow the directions on it, yourAdvance Directive should be legal. You may alsohave a lawyer help you write an Advance Directive.
What should I do with my AdvanceDirective?
You should give a copy of your Advance Directive to your doctor, family, and anyone else who might beinvolved in making decisions about your treatment.If you have appointed someone to make decisionsabout your care, he or she should also be given acopy of the Advance Directive.
What if I want to change my AdvanceDirective?
You can change or cancel your Advance Directive atany time. You can write a new one, destroy the oldone, or tell those involved in your care that youhave changed your mind. It is very important to let your doctor know if your wishes have changed.
What if I need more information aboutAdvance Directives?
Ask your Case Manager or Social Worker for moreinformation.This information is distributed in accordance withthe Patient Self Determination Act (42 U.S.C.Sections 1395 and 13969(a)(A).
 Your Guide to MedStar NRH
Planning for Your Discharge
From the day of your admission to MedStar NRH, your rehab team will begin working with you toplan for your discharge. The decision about when your discharge will be is based on meeting one of the following:• You have met all of your rehabilitation goals.• Your rehabilitation goals can be met in a lessintensive setting, such as in an outpatient center,through home health services, or at a skillednursing facility.• You are unable to participate fully in your rehabili-tation program.• There is lack of progress toward your rehabilita-tion goals.You will be assigned a Case Manager or SocialWorker at admission. He or she will assist you withplanning for your discharge.The next few pages include ‘Commonly AskedQuestions’ about planning for discharge, a homeaccessibility questionnaire, a sample supply list anda listing of home care providers that serve themetro area. We hope the following information willhelp you work effectively with your rehab team as you plan for returning home.
Dis 1
Discharge 1

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