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Living Wills and Advance Directives: Planning for Medical Decisions

Photo: Paige Cody / Unsplash

An advance directive is a legal document that says what medical treatment you want, and who speaks for you, if you become unable to decide. It spares your family guesswork in a crisis.

Two main parts

  • A living will states your wishes about treatments such as life support, resuscitation, feeding tubes and pain relief.
  • A healthcare power of attorney, or proxy, names the person who makes medical decisions for you when you cannot.

How to make one

  1. Think about your values and what treatment you would or would not want.
  2. Talk with the person you plan to name and with your doctor.
  3. Use your state's form or an attorney. Signing requirements vary, such as witnesses or a notary.
  4. Give copies to your agent, family and doctors, and keep one where it is easy to find.
  5. Review it after major life changes and update it if your wishes change.

A POLST or similar medical order is different from a living will. It is signed by a clinician for people with serious illness and turns treatment preferences into medical orders. A do-not-resuscitate order applies to a specific setting and is also written by a clinician.

Why it matters

Without a directive, families may disagree, and state law decides who can make decisions for you. A clear document and a trusted agent make your wishes easier to follow.

Frequently asked questions

Do I need a lawyer?

Not always. Many states publish free forms, though a lawyer can help with complex situations.

Will my directive work in another state?

Many states honor out-of-state directives, but it is wise to update documents if you move.

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