The Patient Self-Determination Act (PSDA) Assignment Paper

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?

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Support your analysis with a minimum of one peer-reviewed article.

300 WORDS, NO PLAGISRISM PLEAS

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.

300 WORDS, NO PLAGISRISM PLEAS

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.

300 WORDS, NO PLAGISRISM PLEAS

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.

300 WORDS, NO PLAGISRISM PLEAS The Patient Self-Determination Act (PSDA) Assignment Paper

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ADDITIONAL INFORMATION 

The Patient Self-Determination Act (PSDA)

Introduction

The Patient Self-Determination Act (PSDA) is a law that gives patients the right to make decisions about their health care. It was passed in 1990 and has been expanded several times since then. The PSDA applies to hospitals, but not all hospitals have adopted it—and even if they do, many have chosen not to honor it fully.

What is the Self-Determination Act?

The Patient Self-Determination Act (PSDA) was passed in 1990, and it requires hospitals to ask patients about their end-of-life preferences. If a patient does not have an advance directive, the hospital must ask family members or friends to make decisions for them.

The law applies to all hospitals that receive Medicare and Medicaid funding (that’s about 90 percent of all US facilities), so if your health provider has a contract with one of these programs, it must abide by PSDA guidelines when treating you as well as any other member of your household.

What Does It Mean to Self-Determine?

The PSDA gives patients the right to:

• Make decisions about their medical care, including who will be present during a procedure and whether or not they want treatment.

• Refuse unwanted medical treatment.

• Choose their own doctor or health care team members, if available through Medicare/Medicaid programs (e.g., Medicaid).

• Have someone they trust present during procedures performed by doctors who are not part of their regular staff but have been trained by those same doctors’ organizations (e.g., ASHP).

The Patient Self-Determination Act in Practice

The Patient Self-Determination Act (PSDA) is a federal law that requires hospitals to provide patients with advance directives. Advance directives are legal documents that allow you to make decisions about your care in the event you become incapacitated or unable to communicate your wishes for treatment and care.

Hospitals must inform their patients of their rights under the PSDA, as well as provide them with information about how they can get more information about advance directives and sign up for an appointment at one of these facilities:

• The agency responsible for administering Medicaid benefits within each state;

• The state agency responsible for administering or paying for services provided by any hospital or skilled nursing facility;

• An institutionally affiliated facility within a state if it has been designated as such by the Department of Health and Human Services; or

Hospitals and the PSDA

Under the Patient Self-Determination Act (PSDA), hospitals are required to ask patients if they want to fill out a self-determination form. The form must be in plain language and include information on how it works. In addition, hospitals must provide patients with a copy of the form and help them fill it out—including answering questions about their health care needs and what kinds of treatment would be most helpful for them. Hospitals also have an obligation under PSDA:

• To keep copies of any documents related to your care on file at least until you die or leave the hospital;

• To keep copies of all forms provided by you on file at least until after you become inactive;

What’s Next for Self-Determination?

The Patient Self-Determination Act (PSDA) is not a law, but it is a set of guidelines that has been enacted by Congress. The PSDA outlines how patients should be treated in the healthcare system and what they can expect from their doctors and hospitals.

The PSDA is only enforceable in the United States, so if you are living outside of this country, your rights under the PSDA may vary depending on where you live. In addition to being limited to U.S.-based patients, there are also restrictions on what kind of information doctors can share with each other if they work together across state lines—for example, doctors cannot share patient records without written consent from both parties or unless absolutely necessary for medical care (such as when there’s no other option).

People with serious illness have a right to decide their care.

The Patient Self-Determination Act (PSDA) is a law that gives people with serious illness the right to decide their care. It means patients have the right to be involved in decisions about their own healthcare, including whether or not they want treatment and what kind of treatment.

Patients are also entitled to be informed about all aspects of their treatment and any changes that might happen during it. The PSDA was passed by Congress in 1990 as part of Medicaid Reform Act, which gave states increased flexibility over how they delivered Medicaid services.*

Conclusion

The Patient Self-Determination Act (PSDA) is a federal law that gives patients and their families more autonomy over healthcare decisions. The PSDA requires hospital staff to work with patients who want to make their own health care decisions. It also allows people with serious illness to make independent decisions about treatment options and end-of-life care. This can be very empowering for people who have been told what they can or cannot do by others in the medical system.

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