Medical Order of Scope of Treatment (MOST) – Long Term Care

We have a document your Doctor would be happy to discuss with you called the MOST.  This stands for Medical Orders of Scope of Treatment.

It explores your values, goals and the range of treatments available.

It indicates your choice for treatment should you become ill.

The MOST helps care providers honor what is important to you.

Only your doctor can complete this document. 

The MOST is completed within 30 days of move-in and reviewed yearly.

At Menno Place we believe that you and your families should: be informed, participate in planning, choose the degree of intervention, and review your choices regarding the management of life-threatening events and final stage of life with a medical person.

Consider a “Power of Attorney” for financial responsibility. Consider a “Representative Agreement” for care needs decisions.

Emergency Policy – As per the requirement of the Residential Care Regulations, we adhere to a policy whereby, if you develop an unexpected potentially life threatening problem that is unrelated to your diagnosis (e.g. fall with suspected injury/fracture), you will be transferred to Acute Care unless you direct us otherwise. This may disregard any degree of intervention previously signed.

Advanced Directives – MY VOICEis a planning booklet of advanced care plans that are instituted when people are capable adults. It gives healthcare choices that care providers respect when the person comes into their care.

The Ministry of Health Residential Care Regulation mandates that advance directives be in place for each and every resident.

Please contact the Social Worker/your nurse for more information about advanced care plans/MY VOICE.

Personal Health Care Decisions – Long Term Care

As a capable adult, you make your own health care decisions.  

Talking with family, friends and your healthcare team about the care you want or do not want in the future guides them if there comes a time when you are unable to make decisions for yourself.

People may lose the ability to make decisions about their own care when a health crisis occurs. 

With planning, you appoint someone to make decisions for you based on your previously expressed wishes. 

This substitute decision-maker (SDM) may be a close friend or family member. SDMs have defined roles and responsibilities under the law; namely they must honor the previously expressed wishes of the capable adult.

Please note that someone who has Power of Attorney (legal decisions) does not automatically assume decision-making powers for medical decisions. 

British Columbia has adult guardianship laws which ensure people’s rights and wishes are respected even when they are unable to communicate them.

The adult guardianship legislation has specific criteria about who is able to make decisions on your behalf.

For more information, please contact one of our Social Workers.