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An advance directive is a document that allows a person to make his or her wishes for treatment known in advance. Many people choose to have a written document on file stating what medical intervention, if any, they would like in case of emergency or if they become incapacitated.
What can I do now?
One question often asked is what can someone do now to make his or her wishes known and honored in the future? This is the best time to plan for your future. You can name a family member or trusted friend to make medical treatment decisions for you should you become unable to do so.
You must fill out a form called either a Durable Power of Attorney or a Patient Advocate Designation. Having their name on file ensures they have the legal right to make decisions for you should you become incapacitated. That person will be called a Patient Advocate. It is your right to give your Patient Advocate, your family, friends, and caregivers your written or spoken instructions regarding what medical treatment you want or don’t want.
Who is my Patient Advocate?
Your Patient Advocate can be anyone you choose as long as he or she is 18 years or older. Be sure they agree to the role. You should also designate a backup in case they are unwilling or unable to serve as your advocate.
You can obtain the form by contacting your local hospital, HMO, nursing home, or home health care agency. Many lawyers, senior centers, and churches now have the forms available. The forms are free of charge. We contacted our hometown lawyer and he quickly had a Durable Power of Attorney drawn up for us. We stopped by his office, signed the form, and that was it. We received several copies for such places as the local hospital and to keep at home.
What if I want to die?
If you want to refuse treatment and be allowed to die, you need to make sure your Patient Advocate understands your wishes. You do not need to write your wishes down, although that would be helpful, but just make sure your wishes are understood.
Although you do not have to make decisions at this time, it is helpful to your family if they do know what your desires are. Many people feel one way when they are younger, but as they get older their desires change. Sometimes when people sense they are getting close to the end of their life, they decide they do not want to struggle to stay alive – they just want to slip away.
What if I change my mind?
Whatever decisions you make, you can always change your mind. Your written document can be cancelled at any time. Treatment decisions are tough to make even in the best of circumstances. Take time to think about what you would want others to do on your behalf. Talk to your family and close friends to help you sort out any concerns you might have.
The one main decision you want to consider is Do Not Resuscitate (DNR). Unless a physician has written the specific order to not resuscitate, caregivers will do all in their power to keep you alive. If you do not want to be resuscitated, you, your family, or the person who holds your Durable Power of Attorney must request DNR orders from your physician. These orders are noted in your medical record and reviewed whenever you require medical treatment. You may revoke your consent for DNR anytime you choose.
