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R×01 0 7684×r INSTRUCTIONS FOR YOUR CARE AT HOME (Page 1 of 2) Member: New York Presbyterian Healthcare System Affiliate: Columbia University College of Physicians & Surgeons 160 North Midland Avenue
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How to fill out instructions for your care:

01
Start by gathering all relevant information: Before you begin filling out the instructions for your care, make sure you have all the necessary information at hand. This may include your personal details, medical history, emergency contacts, and specific care instructions or preferences.
02
Begin with your personal details: Fill out your name, date of birth, address, and any other relevant personal information requested in the form. This will help healthcare providers identify you accurately.
03
Provide your medical history: In this section, provide details about any existing medical conditions, allergies, medications you are currently taking, and any past surgeries or treatments. This information is crucial for healthcare professionals to provide appropriate care that aligns with your specific needs.
04
Specify your care instructions or preferences: If you have any specific care instructions or preferences, such as dietary requirements, mobility assistance, or religious considerations, make sure to include them in this section. These details will help healthcare providers tailor their services accordingly.
05
Include emergency contacts: List the names and contact information of people who should be notified in case of an emergency. This may include family members, close friends, or your primary care physician. It's important to keep this information updated and easily accessible.
06
Review and sign: Before submitting the instructions, carefully review all the information you have provided. Make sure everything is accurate and up to date. Once you are satisfied, sign and date the document as required.

Who needs instructions for your care?

01
Individuals with chronic illnesses or medical conditions: People who have ongoing health concerns may find it helpful to have instructions for their care. This ensures that healthcare providers have all the necessary information to effectively manage their conditions.
02
Elderly individuals: Aging individuals often require additional assistance and support. Instructions for their care can help ensure that their unique needs and preferences are taken into account by caregivers, nurses, or family members.
03
Individuals undergoing medical procedures or surgeries: Before undergoing a medical procedure or surgery, it is common for the healthcare provider to require instructions for the patient's care. This allows them to deliver proper post-operative care and minimize any potential complications.
04
Anyone participating in a clinical trial or medical research: Individuals participating in clinical trials or medical research studies may need to provide instructions for their care to ensure that their specific treatment protocols are followed accurately.
Having instructions for your care can significantly enhance the quality and safety of your healthcare experience. It ensures that healthcare providers have all the necessary information and can make informed decisions about your well-being.
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Instructions for your care are directives or guidelines regarding medical treatment and end-of-life decisions that you want followed if you are unable to communicate your wishes.
Instructions for your care typically must be filed by the individual receiving medical treatment, but can also be completed by a designated healthcare proxy or family member.
Instructions for your care can be filled out by completing a legal document known as an advance directive, which may include a living will and a healthcare power of attorney.
The purpose of instructions for your care is to ensure that your medical wishes are known and respected, even if you are unable to communicate them due to illness or injury.
Instructions for your care should include details on the types of treatment you do or do not want, as well as who should make medical decisions on your behalf.
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