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module 3 header Section 2 - Right Actions  
Supporting the process
of making an ADRT
1.Introduction
2.Right Actions
a. The Format of an ADRT?
b. Making your own ADRT
c. Personal Reflection - 5
d. Dealing with an ADRT
e. Clinical Film Scenario - 7: Dealing with an ADRT
f. Supporting
g. Personal reflection - 6
h. Storage & Distribution
of an ADRT
3.Right to change their decision
4.Emergencies
5.The Right Outcomes
6.End of Module Quiz
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:
  1. 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.
  2. Be signed by the maker. If they are unable to sign they can direct someone to sign on their behalf in their presence.
  3. 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.
  4. 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 - page 30 - 33
Further Information: Audit 2. Documentation
Additional Information: ADRT National Guide - p:14-15 - 9.19
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