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Michigan Advance Care Planning Patient and Family Discussion Record This record is not a legal form or an advance directive. It is a guide used to 1) encourage discussion between you and your family/advocate

How to fill out michigan acp discussion record

How to fill out Michigan ACP Discussion Record:

1. Gather all necessary information: Before starting to fill out the Michigan ACP Discussion Record, gather all relevant information regarding the patient and their advance care planning. This may include their personal details, medical history, and any previous discussions or documents related to their end-of-life preferences.
2. Start with patient identification: Begin by filling out the patient identification section of the form. Include the patient's full name, date of birth, address, and contact information. It is important to ensure accuracy in this section to prevent any mix-ups or confusion.
3. Document healthcare proxy or patient representative: If the patient has appointed a healthcare proxy or patient representative to make decisions on their behalf, specify their details in this section. Include their name, relationship to the patient, and their contact information. If there is no designated healthcare proxy, indicate this on the form.
4. Record the ACP discussion details: The core of the Michigan ACP Discussion Record is to document the conversation held with the patient regarding their advance care planning preferences. Take note of the date, time, and place of the discussion. Fill out all relevant details, such as who was present during the conversation, any significant points discussed, and the patient's responses or decisions.
5. Document patient's preferences and goals of care: In this section, record the patient's preferences and goals of care. It is crucial to accurately represent the patient's wishes, including their desired quality of life, treatment choices, and any specific instructions they may have provided.
6. Address special concerns or considerations: If the patient has any specific concerns or special considerations, such as religious or cultural beliefs, document them in this section. This will help ensure their preferences are respected and followed in the future.

Who needs Michigan ACP Discussion Record:

1. Healthcare Providers: Healthcare providers, including physicians, nurses, and social workers, may require the Michigan ACP Discussion Record to guide their decision-making and provide appropriate care based on the patient's documented preferences.
2. Patients and Families: The Michigan ACP Discussion Record serves as a tool to facilitate honest and open discussions between patients, their families, and healthcare providers. It helps ensure that the patient's wishes and goals of care are documented and understood by all parties involved.
3. Legal and Ethical Experts: Legal and ethical experts may also need access to the Michigan ACP Discussion Record to validate the authenticity of the documented preferences and assist in any legal matters related to the patient's advance care planning decisions.

Remember, the Michigan ACP Discussion Record is an essential document that helps ensure a patient's wishes for end-of-life care are respected and followed. It is important to complete it accurately and update it periodically to reflect any changes in the patient's preferences or circumstances.

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What is michigan acp discussion record?

Michigan ACP discussion record is a document that records the details of Advance Care Planning discussions between a patient and their healthcare provider.

Who is required to file michigan acp discussion record?

Healthcare providers in Michigan are required to file the ACP discussion record for patients who have had Advance Care Planning discussions.

How to fill out michigan acp discussion record?

The Michigan ACP discussion record can be filled out by documenting the details of the conversation, including the patient's preferences for medical treatment and end-of-life care.

What is the purpose of michigan acp discussion record?

The purpose of the Michigan ACP discussion record is to ensure that patient preferences for medical treatment and end-of-life care are documented and honored by healthcare providers.

What information must be reported on michigan acp discussion record?

The Michigan ACP discussion record must include details of the Advance Care Planning discussion, the patient's medical preferences, and any decisions made regarding medical treatment and end-of-life care.