An advance directive is characterised by A commitment to and recognition of the principle of personal autonomy and responsibility A collaborative process, that seeks to explore, clarify, and articulate a person's: Hopes, wishes, plans, preferences and agreements with others for the timely recognition and best response to a potential crisis and / or Responsibilities, expectations and agreements with others regarding on-going maintenance and promotion of wellbeing A negotiated process, whereby when an advance directive requires specified services or responses from others, then whenever practicably possible the terms of service provision, and specific treatment preferences should be discussed and negotiated with named representatives from services A careful consideration of how the how the person has arrived at this point, what has helped and hindered, and how the person's resources and capacities can be drawn upon and enhanced Sharing with all service providers as needed and the honouring of the terms of the advance directive in as far as practicably possible, even when the individual may be deemed to lack decisional capacity until such times as capacity for decision making is regained
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