There are two fundamental documents that need to be executed during your life to ensure that you receive the kind of healthcare you want if you are ever incapacitated. The first is commonly called a living will, an advanced directive, or a patient advocate designation, or something similar. Regardless of their name, these documents allow you to instruct physicians and health care providers about the kind of health care you want and don’t want if you are unable to tell them yourself. The second document sets out who has power of attorney for your healthcare decisions so that they may answer questions that may not be addressed by your living will.
The first document you need to create to ensure that your medical wishes are honored is usually called a living will. This written document sets out how you should be cared for in an emergency or if you are otherwise incapacitated. Your living will sets forth your wishes on topics such as resuscitation, desired quality of life and end of life treatments including treatments you don’t want to receive. This document is primarily between you and your doctor, and it advises them how to approach your treatment. Try to be as specific as possible in this document, realizing that you can’t account for every possibility, which is where the durable power of attorney for health care comes in.
Durable Power of Attorney for Healthcare
The durable power of attorney for healthcare is given to the person you want to make medical decisions for you in an emergency. Even though you set out your wishes in your living will, such documents can never cover every circumstance, and the person who has a durable power of attorney for healthcare can make decisions not covered by your living will.
Keep in mind that the person with a durable power of attorney for healthcare can never contradict the terms of your living will. Rather, that person is there to fill in gaps, for situations not covered by your living will, or in case your living will is invalidated for any reason.
Other Names for the Power of Attorney for Healthcare and the Advanced Directive
Depending on your state, the person you grant a durable power of attorney for healthcare will typically be called your “agent,” “proxy,” “attorney-in-fact”, “patient advocate” or “surrogate”. The typical rights for this person include:
- Providing medical decisions that aren’t covered in your healthcare declaration
- Enforcing your healthcare wishes in court if necessary
- Hiring and firing doctors and medical workers seeing to your treatment
- Having access to medical records
- Having visitation rights
Finally, note that in some states they combine the living will and the durable power of attorney for healthcare into one document called an “advance health care directive”.
Do Not Resuscitate Orders (DNR)
One of the most important parts of your living will should indicate your wishes regarding resuscitation. You can ask your doctor to add a DNR to your medical records and you should also create a pre-hospital DNR to keep nearby to prevent paramedics or your health care facility from trying to resuscitate you.