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Annette,
Battle Creek
The information contained in this newsletter is not intended to replace the advice of your healthcare provider.

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May/June 2007 - Your Life on Your Terms:
Advance Directives Let You Plan Ahead


Someday you may become too sick to make your own decisions about your medical care.

If that happens, then decisions will have to be made for you. If you have not given any instructions, no one will know what you would have decided.

An advance directive is your life on your terms. Whether you're 18 or 80, documenting your wishes today - and encouraging other family members to also do so - means your family won't have to make heart-wrenching decisions later.

What's an advance directive?
An advance directive tells your doctor what kind of care you would like to have if you become unable to make medical decisions - if you are in a coma, for example.

If you are admitted to a hospital, the medical staff will probably talk to you about advance directives. A good advance directive describes the kind of treatment you would want depending on how sick you are.

Advance directives usually tell your doctor that you don't want certain kinds of treatment. However, they can also say that you want a certain treatment no matter how ill you are.

Advance directives can take many form, and the laws governing them are different in each state. You should make yourself aware of the laws in the particular state in which you live.

Types of Advance Directives
Living Will Durable Power of Attorney (DPA)
A living will is a written, legal document that describes the kind of medical treatments or life-sustaining treatments you would want if you were seriously or terminally ill.

A living will doesn't let you select
someone to make decisions for you.
A DPA identifies the person you have chosen to make health care decisions for you. It becomes active any time you are unconscious or unable to make medical decisions.

A DPA is generally more useful than a living will. But a DPA may not be a good choice if you don't have another person you trust to make these decisions for you.
Living wills and DPAs are legal in most states. Even if they aren't officially recognized by the law in your state, they can still guide your loved ones and doctor if you are unable to make decisions about your medical care.

Benefits of an advance directive
Creating an advance directive will spare your loved ones the stress of making decisions about your care while you are sick.

For example, someone with terminal cancer might write that she does not want to be put on a respirator if she stops breathing. This action can reduce her suffering, increase her peace of mind and increase her control over her own death.

Even if you are currently in good health, you might want to consider writing an advance directive. An accident or serious illness can happen suddenly, and if you already have a signed advance directive, your wishes are more likely to be followed.

Where can I learn more?
A good place to start is www.caringinfo.org, a website that provides free advance directive documents and instructions for each state.
Writing an advance directive
Anyone 18 years of age or older can prepare an advance directive. This can be done several ways:
  • Use a form provided by your doctor.
  • Write your wishes down by yourself.
  • Call your local health department or state department on aging to get a form.
  • Call a lawyer.
  • Use a computer software package for legal documents.
Advance directives and living wills do not have to be complicated legal documents. They can be short, simple statements.

Remember, anything you write by yourself or with a computer software package should follow your state laws.

You may also want to have what you've written reviewed by your doctor or a lawyer to make sure your directives are understood exactly as you intended.

When you are satisfied with your directive, the orders should be notarized if possible, and copies should be given to your family and your doctor.

Can I change my advance directive?
You may change or cancel your advance directive at any time, as long as you are considered of sound mind to do so - meaning you are still able to think rationally and communicate your wishes in a clear manner.

Again, your changes must be made, signed and notarized according to the laws in your state. Make sure that your doctor and any family members who knew about your directives are also aware that you that you have changed them.

If you do not have time to put your changes in writing, you can make them known while you are in the hospital. Tell your doctor and any family or friends present exactly what you want to happen.

Usually, wishes that are made in person will be followed in place of the ones made earlier in writing. Be sure your instructions are clearly understood by everyone you have told.

 
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