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What is the balancing act? - ANSWER-Between Safety and
independence of
client
When evaluating the client you are looking at - ANSWER-
Resources, supports, cultural norms, capacity, nature of the
problem, consequences, and level of risk.
What is autonomous decision making? - ANSWER-Requires a
competent person -- Who is informed; Who has a range of
options & choices; Who can absorb information about options
& choices; Who wishes to be autonomous; & Who can form a
partnership with a provider to obtain their choices and
articulate their choices.
Decision making process includes - ANSWER-Quality of life
issues, Cultural identity of client & family system,
Relationships with entire support system,
Religious/spiritual/philosophical beliefs, Economic issues,
Personal ability to handle loss, pain, etc., Clarification of what
is important, possible & desired
,What is Social Security Insurance? (SSI) - ANSWER-It is means
tested (income
and resources must be below a certain level
to qualify)
Eligibility: Aged (65+), Blind or Disabled ANDlimited
income & assets
State specific rules and application process, including
disability review -benefit may depend on living arrangements
Definition of "Disability" is a medically determined physical or
mental impairment which:
Results in the inability to do any substantial gainful activity
Can be expected to result in death
Has lasted or expected to last at least 12 consecutive months
Monthly financial assistance
Medicaid benefits may also be provided
What is Veteran's Services? - ANSWER-Pension-is a
benefit paid to:
Wartime
Veterans
Age 65 or older with limited or no
income, OR
Totally and permanently
disabled, OR
A patient in a nursing home receiving skilled
nursing care, OR
,Receiving Social Security Disability
Insurance, OR
Receiving Supplemental
Security Income
What is a Power of Attorney? - ANSWER-A durable power of
attorney is a written instrument that allows an individual, called
the "principal", to designate someone else as his or her
"attorney-in-fact", or "agent", to act on that principal's behalf.
DPOA Authority includes: Property dealings, Ability to contract.
Access & use of financial resources, Ability to gift, person can
have multiple people assigned as an agent -ensure can work
together, Third parties may rely upon the authority granted in
the POA until the third party receives written notice otherwise,
May contain language to include health care decisions
Always request copy -individuals should not give away
originals unless necessary
Ability to contract & give consent; also ability to make gifts
Durable power of attorney survives incapacity
Immediately effective once executed (unless "Springing")
No longer valid once principal dies, if revoked in writing, if
principal is determined totally incapacitated.
Fine Print for Durable Power of Attorney - ANSWER-DPOAs are
NOT recognized by federal agencies such as the VA and the
Social Security Administration -each has its own process for
determining representation or fiduciary
, •DPOAs can be very broad or have restrictions
•DPOAs do not expire yet many places refuse to recognize
"old" documents (more than a few years old) so may need to be
re-certified by the attorney who originally executed.
•Many people download forms from the internet but then not
tailored for their specific situation
When is a POA revoked - ANSWER-When principal dies, when
principal revokes the document, when Principal is adjudicated
as incapacitated -but may remain in place if durable.
Indicators that client is at risk for financial exploitation -
ANSWER-Isolation, loneliness, recent losses, physical or
mental disabilities, lack of familiarity with financial matters,
having family members who are unemployed and/or have
substance abuse problems.
What is a Living Will? - ANSWER-A document in which you
state your wishes about life-sustaining medical treatment if you
are terminally ill, permanently unconscious, or in the end-stage
of a fatal illness. These are not recognized as legal documents
in every state
What is a living will and Durable Powers of Attny for Healthcare
– ANSWER-They are both types of Healthcare Advance
Directives.
The person you name is called your agent, proxy,
representative, or surrogate. Any document that gives
instructions about your health care and/or appoints someone