Salinas Valley Memorial Hospital utilizes an Advance Directive for Healthcare
form that incorporates a Durable Power of Attorney for Healthcare and
Living Will information. A Durable Power of Attorney lets you name a person
as your agent to make decisions on your behalf should you be unable to do so.
Specially trained volunteers are available to assist patients and visitors
with Advance Directives. Call 755-0772 to schedule an appointment.
Download the Advance Directive forms:
"5 Wishes" is a legal document allowing you to identify healthcare
wishes at a time of serious illness. The document presents the opportunity
to identify issues related to physical, emotional and spiritual well-being
as it pertains to your medical needs.
Download 5 Wishes:
Physician's Order for Life Sustaining Treatment
The Physician's Order for Life Sustaining Treatment (POLST) is a physician
based order that is to be completed with your medical team to assist with
end of life care. Reminder: This document is available for review only;
if interested in its completion, please ask your doctor/medical team.
Download The Physician's Order for Life Sustaining Treatment (POLST):
Making the Right Decision for You
The first step is to think about what is important to you in your life.
- Understand what each type of treatment can and cannot do and choose the
treatment(s) you want. If you don't want treatment, that's okay,
too. The final decision will be based on your health and expected outcome
of your treatment.
- Accidents do happen and injury and illness can strike at any time.
- An Advance Directive is important for any age person and can be changed
at any time.
You can choose from three categories of care when your life is in danger:
- Life Supporting — Keeps your lungs breathing and your heart beating
when they can't work on their own. This includes CPR, which tries
to restart your heart and lungs if they have stopped and artificial respirators,
which pump air into your lungs.
- Life Sustaining — Keeps you alive longer than you would be without
the treatment when you have an incurable illness. These types of treatments
include dialysis or tube feeding.
- Life Enhancing — Keeps pain under control. No Life Supporting or
Life Sustaining treatments are given. Treatments include pain medication
or hospice care.
If you need more information about treatment options available, be sure
to speak with your physician.
Do You Want CPR?
If your heart and lungs stop working, would you want CPR (cardio-pulmonary
resuscitation)? If not, be sure to speak to your physician and family
about a Do Not Resuscitate (DNR) Order. Caution: Do Not Resuscitate Orders
and Advance Directives may not be recognized by emergency personnel on
an emergency call or in an emergency room. Make sure your family and physician
know your wishes.
Choosing Your Durable Power of Attorney
This person you designate as your Durable Power of Attorney:
- Sees that your wishes are carried out.
- Is allowed to make choices about your health care.
- Has no control over your finances and cannot be held accountable for your bills.
Remember to choose someone who Is at least 18 years old, knows what is
important to you and you trust to represent and stand up for your wishes.
Advance Care Planning and a Living Will lets you define the treatment choices
you want. It is used only should you be unable to express your desires.
It is important that you consider your treatment options so you can make
the right decision for you.
Completing the Advance Directive Forms
After you choose options and you know who will speak on your behalf, complete
an Advance Directive to ensure that everything is legal. Forms are available
at the Main Reception Desk at Salinas Valley Memorial Hospital. All forms
must be filled out completely, signed and witnessed to be legal. Witnesses
can be a notary public or, in our hospital, Service League Volunteers
are here to provide this service. Send copies to the following:
- Your physician
- Your designated agent
- Family members
- Hospital (bring with you when you are being admitted)
Keep the original in an unlocked place where it can be easily accessed
in case of an emergency.