What are advance directives, and why should DCWs be aware of them?

Advance directives are legal documents that outline a person's preferences regarding medical treatment in the event that they become unable to communicate their wishes. This may include decisions about life-sustaining treatments, preferences for pain management, and the appointment of a healthcare proxy. For Direct Care Workers (DCWs), understanding advance directives is crucial because these documents provide guidance on how to honor the client's healthcare wishes. Being aware of and respecting a client's advance directives helps to ensure that they receive care that aligns with their values and preferences, fostering dignity and autonomy in their healthcare journey.

The importance of advance directives in healthcare is profound, as they can help avoid confusion and conflicts among family members and healthcare providers about what treatment a person would want. This understanding is essential for DCWs because they often spend considerable time with clients and can be key advocates for their wishes.