At Mission Hospital, we support an individual’s right to choose the
care they want. Our Ethical Directives of Catholic Healthcare call on
us to respect the dignity of each person.
Advance Care Planning (ACP) encourages patients and families to talk about
and document their care preferences in advance to ensure that the care
they receive is aligned with their goals, values, and priorities. We have
provided resources for you and your family to help you have the conversation
and document your wishes in writing.
An advance health care directive lets your physician, family and friends
know your healthcare preferences, including the types of special treatment
you want or do not want at the end of life, your desire for diagnostic
testing, surgical procedures, cardiopulmonary resuscitation and organ
donation. By considering your options early, you can ensure the quality
of life that is important to you and avoid having your family make critical
medical care decisions for you under stress or in emotional turmoil.
Advance Directive Tool Kit
Learn how to make decisions about the care you would want to receive if
you become unable to speak for yourself.
a copy of Providence St. Joseph Health Advance Directive tool kit to assist
you and your family in having the conversation, selecting a health care
decision maker and completing an Advance Directive.
Advance Directive Forms
California Advance Health Care Directive Forms
Psychiatric Advance Directives
Five Wishes serves as an Advance Directive and is a legally-valid tool
available for your use. Five Wishes helps ensure your wishes, and those
of your loved ones, will be respected-even if you cannot speak for yourself.
To learn more about Five Wishes, please contact Mission Hospital’s
Spiritual Care department at (949) 364-1400 ext. 5399.
POLST (Physician Order for Life Sustaining Treatment)
A new law effective 1/1/16 allows Nurse Practitioners and Physician Assistants
to sign the California POLST form. The form is now available in ENGLISH
and will be available in other languages later in January 2016. For more
here for more information and to download a copy of the POLST in English, Spanish,
Chinese, Vietnamese, Korean, Farsi, Armenian, Russian, Tagalog and Hmong.
here to download a
2016 California POLST form in English.