ADVANCE DIRECTIVES & CONSIDERATIONS
Every family confronted with a life-limiting illness faces unique challenges. While there is no formula we can provide to eliminate suffering and pain, there are steps that individuals and families can take that will make the transition less difficult. While we hope the first step that families will take in this journey will be to call Hospice, we have made available the following helpful information for your convenience.
Health Care Proxy
Illness or injury can prevent a patient from consulting with their physician and making their own medical decisions. Appointing someone you trust as your health care agent to make these decisions if you become unable is one way to protect yourself. You have the right to appoint someone as your health care agent by filling out a form called a Health Care Proxy.
You may download our form by clicking below on the file option of your preference:
The New York State Health Department offers easily understood information about the laws governing health care proxies and frequently asked questions and answers.
A Do-Not-Resuscitate (DNR) Order instructs medical staff not to try to revive a patient if breathing or heartbeat have stopped.
The New York State Health Department offers questions and answers about the do-not-resuscitate (DNR) law, and the 1991 amendments to the law.
Getting Your Affairs In Order
We have a simple form that may help patients organize their personal and financial information. It is not comprehensive in nature and some individuals may require a more detailed approach.
You may download our form by clicking below on the file option of your preference:
Patient Bill of Rights & Responsibilities
Hospice Chautauqua County, Inc. recognizes that patients and families have the right to individualized care to address the physical and emotional stress brought about by illness, the right to dignity and as much independence of choice as possible, and the right to an active role in the development of the plan for care, based on personal needs and preferences.
You may download our form by clicking below on the file option of your preference:
