Huth J
J Post Anesth Nurs. 1995 Dec;10(6):336-9.
Since the Patient Self-Determination Act was enacted in 1991, asking patients whether they have advance directives (eg, a Living Will and a Durable Power of Attorney for Health Care Decisions) has become part of the admission procedures at health care facilities. However, questions may still remain about what exactly is the role of the health care provider in this part of the admission process. In many health care settings, the nurse has the responsibility to ask the patient about advance directives. If this occurs during preparation for surgery or other medical procedures, it adds responsibility for the nurse in an already hectic time. This article defines advance directives and examines their place in the admission process. The article further addresses to what extent health care providers are responsible for discussing patients' rights and advance directives and suggests methods that may facilitate the nurse's role in this responsibility.
自1991年《患者自主决定法案》颁布以来，询问患者是否有预先指示（如生前遗嘱和医疗保健决策持久授权书）已成为医疗机构入院程序的一部分。然而，对于医疗保健提供者在这一入院过程中的具体角色，可能仍存在疑问。在许多医疗保健环境中，护士有责任询问患者有关预先指示的情况。如果在准备手术或其他医疗程序时进行询问，这会在本就忙碌的时期给护士增加责任。本文定义了预先指示，并审视了它们在入院过程中的地位。文章还进一步探讨了医疗保健提供者在多大程度上有责任讨论患者的权利和预先指示，并提出了一些可能有助于护士履行这一职责的方法。
