Okla. Admin. Code § 340:100-5-26.2

Current through Vol. 42, No. 4, November 1, 2024

Section 340:100-5-26.2 - End-of-life issues

(a)Purpose. Rules in this Section are established to support the decisions of persons receiving services from Developmental Disabilities Services (DDS) regarding end-of-life issues. DDS affirms life and regards dying as a normal process. DDS encourages each person to fully exercise his or her rights and make decisions about end-of-life issues that allow the person to live with dignity and comfort.

(b)Applicability. Rules in this Section apply to DDS staff and contracted service providers licensed or funded through DDS Home and Community-Based Services Waivers or DDS state services and serve a person who is certified by a physician to be terminally ill. A person is considered terminally ill when he or she has a medical prognosis of life expectancy of six months or less.

(c)End-of-life services. When a person is diagnosed by a physician with a terminal illness, referred for hospice services, or a Do-Not-Resuscitate Consent Form is signed per Section 3131.1 et.seq. of Title 63 of the Oklahoma Statutes, the case manager holds a Personal Support Team (Team) meeting within five working days to review the person's needs, services, and supports.

(d)DDS Case manager responsibilities. When the person, guardian, or next of kin elects hospice care, the case manager:

(1) identifies resources, including funding available, prior to selection of a hospice provider;

(2) notifies the DDS state office programs administrator or designee and assigned DDS nurse, when applicable, that hospice care is elected;

(3) arranges to meet with Team members and the hospice provider to develop a treatment plan;

(4) integrates the hospice treatment plan into the Individual Plan (Plan) and amends the plan of care to terminate services no longer needed and add needed services; and

(5) ensures DDS does not duplicate services provided by hospice.

(e)DDS nurse role. When the person, guardian, or next of kin elects hospice care, the DDS nurse is available, upon request, to:

(1) assist the Team with identification of available hospice providers; and

(2) assist hospice and residential providers to ensure medications are administered per Oklahoma Administrative Code (OAC) 340:100-5-32.

Okla. Admin. Code § 340:100-5-26.2

Added at 20 Ok Reg 1078, eff 4-10-03 (emergency); Added at 21 Ok Reg 888, eff 4-26-04

Amended by Oklahoma Register, Volume 38, Issue 24, September 1, 2021, eff. 9/15/2021