Is There Such a Thing as an Advance Directive for Psychiatric Patients in Virginia, DC, or Maryland?
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In his first year of his residency, Dr. David Nissan, a resident in psychiatry at New York Presbyterian Hospital, worked under compassionate physicians who emphasized the importance of carefully explaining the risks and benefits of treatments to patients. On several occasions he helped patients with life threatening conditions plan for what type of treatment they would like if they became unable to
make decisions on their own: whether they would like a machine to breathe for them or receive nutrition through a tube, for example. He was aware that this information is typically found in an advance medical directive, a legal document that communicates a patient's wishes in the event that he or she is not able to decide for him or herself. He remembers thinking, "This would be a wonderful tool for psychiatric patients. If only it were so simple.”
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