At Baptist, we respect your thoughts and treatment preferences. Once your doctor has recommended a course of treatment, you can ensure your wishes will be carried out and that your family will not be faced with making difficult decisions. This can be done by advance directive.
What is an Advance Directive?
Advance Directives are documents written in advance of the time when you are unable to make healthcare decisions for yourself. You have a right to make important legal decisions related to your care, and Baptist can help.
Baptist Health System employees and physicians will abide by your advance directives in accordance with the law. The lack of advance directives will not hamper your access to care.
Types of Advance Directives
Here are four types of advance directives recognized under Texas law:
- Declaration for Mental Health Treatment
- Directive to Physicians and Family (Living Will) and Medical Power of Attorney
- Out-of-Hospital Do Not Resuscitate (DNR)
Additional Information on Advance Directives
- Changes to your Advance Directive
- Ethics Consultation
- Helpful Links
- How to Deal with an Approaching Death
- Legal Aspects
Changes to Advance Directives
Advance Directives can be changed or cancelled at any time. If you wish to create or change an advance directive, ask our staff during your stay.They can provide forms and help explain what you need to do.
Patients and families may face ethical questions that create conflict during the course of care.The Baptist Health System has a formal process in place to address ethical issues and dilemmas in your care. Should you or your family desire an ethics consultation, please ask your nurse to contact the Hospital Ethics Consultation Team.
Advance Directive Quiz
Texas Hospitals Association
Texas Department of Aging and Disability Services
National Healthcare Decisions Day
How to Deal With An Approaching Death
When a person enters the final stages of the dying process, two different dynamics are at work. On the physical plane, the body begins the final process of shutting down. The other dynamic includes the emotional, spiritual, and mental processes that surround the end of life. Learn the signs and how to deal with an approaching death.
Legal Aspects of Advance Directives
An Advance Directive may be either notarized or appropriately witnessed.Neither this hospital nor your physician may require you to execute an advance directive as a condition for admittance or receiving treatment in this or any other hospital. The fact that you have executed an advance directive will not affect any insurance coverage that you may have.
If you become unable to make your own health care decisions and do not have a legal guardian or designated agent, then certain family members and others can make medical treatment decisions on your behalf. The State of Texas designates specific persons to act in this capacity and you may seek this specific information from the hospital or from the State of Texas.
Directive to Physicians and Family or Surrogates Living Will and Medical Power of Attorney
Directive to Physicians and Family or Surrogates (Living Will)
A “living will” allows you to tell your physician in advance the type of care you desire should you become unable to make your own health care decisions. This may include telling your physician not to use artificial methods to prolong the process of dying if you are terminally ill.
If you sign a directive, ask your physician to make it part of your medical record. If you become unable to sign a written directive, you can issue a directive verbally or by other means of non-written communication, in the presence of your physician.
If you have not issued a Directive to Physicians and become unable to communicate after being diagnosed with a terminal or irreversible condition, your attending physician and legal guardian, or your agent or certain family members in the absence of a legal guardian or agent can make your decisions concerning withdrawing, withholding or providing life-sustaining treatment. Your attending physician and another physician not involved in your care also can make decisions to withdraw or withhold life-sustaining treatment if you do not have a legal guardian and certain family members are not available.
A directive becomes effective only after you have been diagnosed with a terminal or irreversible condition.While a woman is pregnant, Texas Law does not allow the provisions of her Directive to Physicians to go into effect.
Medical Power of Attorney
A Medical Power of Attorney allows you to designate someone you trust – an agent – to make health care decisions on your behalf should you become unable to make them yourself.
This Power of Attorney is not valid unless it is signed in the presence of two competent adult witnesses or a Notary.
Witnesses CANNOT include:
Download Forms for Medical Power of Attorney & Living Will (En Español)
Declaration for Mental Health Treatment
A Declaration for Mental Health Treatment allows you to tell healthcare providers your choices for mental health treatment in the event that you become incapacitated. It applies to mental hospital treatment only.
Unlike the living will and medical power of attorney, which do not expire, the DMHT expires 3 years from the date that you sign it. If you are incapacitated on that date, the document continues in effect until you are again able to make your own decisions.
Download Declaration for Mental Health Treatment
Preparing for your Hospital Visit – Do I need to bring my current Advance Directive?
Yes. If you have already formulated an Advance Directive, be sure to bring a copy with you. A copy of this Advance Directive will be placed in your Medical Record for reference.
Out-of-Hospital Do Not Resuscitate (DNR)
An Out-of-Hospital DNR Order allows you to refuse certain life-sustaining treatments in any setting outside of a hospital. Among these settings are home health, hospice, nursing homes, ambulances, and hospital emergency rooms. This advance directive must be issued in conjunction with your attending physician and signed by two witnesses or a Notary.
Download Out-of-Hospital Do Not Resuscitate