Documenting plans for care – the advanced care directives

CPD Hours: 1
Current as at 27 October 2021
As outlined in the South Australia Resuscitation Planning Policy Framework, the 7 Step Pathway is a clear and transparent, step-by-step process to assist clinicians and patients to make decisions about resuscitation and other life-sustaining treatment, and to develop and document a Resuscitation Alert, Resuscitation Plan - 7 Step Pathway Form for care in the event of a rapid, acute and life-threatening deterioration.

Tags:

“Gain an understanding of what needs to be considered when planning for advanced care”

Course Content

As outlined in the South Australia Resuscitation Planning Policy Framework, the 7 Step Pathway is a clear and transparent, step-by-step process to assist clinicians and patients to make decisions about resuscitation and other life-sustaining treatment, and to develop and document a Resuscitation Alert, Resuscitation Plan – 7 Step Pathway Form for care in the event of a rapid, acute and life-threatening deterioration.

Resuscitation planning must be aligned with the values, needs and wishes of the individual and their family/carer in regard to their cultural, spiritual and psychosocial needs and the circumstances, environment and place in which they wish to die as far as is practicable and in accordance with best medical care and proper professional standards as per the Good medical practice: a code of conduct for doctors in Australia and the Consent to Medical Treatment and Palliative Care Act 1995.

A standardised trigger (screening) system must be used to identify a person who may be at or approaching the end-of-life and who may benefit from a Resuscitation Alert, Resuscitation Plan. In South Australia, aspects of end-of-life decision-making, including substitute decision-making, are governed by:

  • The Advance Care Directive Act 2013;
  • The Consent to Medical Treatment and Palliative Care Act 1995 (the Consent Act);
  • The Guardianship and Administration Act 1993; and
  • Common law.

The Resuscitation Plan – 7 Step Pathway aligns and promotes compliance with:

  • National Safety and Quality Health Service Standards
  • National Consensus Statement: essential elements for safe and quality end-of-life care
  • SA Consent to Medical Assessment or Treatment Where Patient Consent Cannot Be Obtained Policy Directive
  • Consent to Medical Treatment and Health Care Policy Guideline
  • Advance Care Directive Policy Directive
  • SA Advance Care Directive Act 2013
  • SA Consent to Medical Treatment and Palliative Care Act 1995 (Consent Act).

Learning Outcomes

In this session, you will:

  • Gain an understanding of what needs to be considered when planning for advanced care
  • Discuss the perspectives of the healthcare staff when involved with advanced care planning
  • Understand the legislative context within which specific documentation is embedded
  • Gain clarity on the roles of these documents in advanced care planning processes

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