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(Involuntary) Psychiatric treatment of geriatric patients ... - OHSU Home

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Protection <strong>of</strong> Vulnerable<br />

Populations: Advance Directives<br />

Advance Directives (ADs)link the concepts <strong>of</strong> self-determination<br />

with proxy decision-making.<br />

Advance Directives are derived from “right-to-die” cases seeking to<br />

safeguard patient autonomy and self determination in the case <strong>of</strong><br />

future patient incompetency.<br />

They emerged from the Patient Self-Determination Act (PSDA):<br />

1990 federal legislation that requires providers to inform all adult<br />

<strong>patients</strong> about their rights to accept or refuse medical or surgical<br />

<strong>treatment</strong> and the right to execute an “advance directive”.

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