| The
format of an ADRT? |
| Good
practice guides the maker of an ADRT to include the following
information |
- In writing
- Details of maker including full name, date of birth,
home address and any distinguishing features – in
case health and social care professionals need to identify
the maker if unconsciousness
- Name and address of GP and preferably whether they have
a copy of the ADRT
- Statement that the ADRT should be used if the person
lacks capacity to make treatment decisions
- Must specify the particular treatment that is to be refused
and the circumstances in which the ADRT will apply
- Date written (and dates if reviewed)
- Maker’s signature (or the signature of someone
the person has asked to sign on their behalf and in their
presence)
|
| Witness
signature, name and contact details, if there is one. Signed
in the presence of the above person at the same time as their
signature |
| If
the ADRT incorporates the refusal of life sustaining treatment
the following must: |
- Be in writing. If the person is unable
to write, someone else must write it down for them e.g.
a family member or a health social care professional.
- Be signed by the maker. If they are
unable to sign they can direct someone to sign on their
behalf in their presence.
- Be signed in the presence of the witness.
The witness must then sign in the presence of the person
making the ADRT. If the person making he ADRT cannot sign,
the person can direct someone to sign on his or her behalf
in front of the person making the ADRT.
- Include a clear, specific written statement that
the ADRT is to apply to a specific treatment “even
if life is at risk”. If this part of the
ADRT is made at a separate time it must be signed and witnessed
as previously stated.
|
| Click
here: Example form available from National ADRT Guide - Appendix 1 - p:30-33 |
| Further Information: Audit 2. Documentation |
| Additional Information: ADRT
National Guide - p:14 - 9.19 |
|