Living Wills

What are they and how do they work?

A living will, also called an advance healthcare directive, is an essential tool that specifies what kind of care you want to receive if you are near the end of your life and are unable to communicate with your doctor. This document only goes into effect if your condition is “end-stage”, meaning that it is incurable and will likely result in death, even with treatment, or if you become permanently unconscious. The living will specifies what treatments you want and what treatments you don't in this situation, and can include things like feeding tubes, pain medication, and do-not-resuscitate orders. It can also provide for things such as organ donation if you so desire.


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Healthcare powers of attorney

Healthcare powers of attorney enable a loved one to make medical decisions on your behalf. These documents work hand-in-hand with a living will to ensure that medical care is carried out in accordance with your wishes. While living wills are important, they are subject to certain limitations. First, they only come into play during end-stage medical conditions; for instance, you would need to be terminally ill, unconscious without chance of regaining consciousness, in a persistent vegetative state, etc. They do not cover situations where you may only temporarily be unable to make your own medical decisions. Second, while a good living will will be as comprehensive as possible, it cannot anticipate every possible situation. Without a healthcare power of attorney, medical professionals will call upon a family member to make these decisions for you. This may be someone with whom you have not discussed your preferences. Further difficulties can arise when more than one family member is involved and they disagree on the appropriate course of action. To prevent this, and to ensure that your wishes are followed to the best ability possible, it is important to designate some one you trust and with whom you've discussed these matters as healthcare power of attorney. 

Do I need both?

Both living wills and healthcare powers of attorney work together to ensure that medical decisions are made in accordance with your wishes should you be unable to make such decisions for yourself. While living wills can directly specify what care you wish to receive, they are only applicable in certain end-of-life situations and the guidance they provide is limited to what is actually included in the document. Healthcare powers of attorney protect against these disadvantages, but on their own they do not specify what your wishes are in an end-of-life situation.  End-of-life situations are stressful and emotional for close family members, and this stress can increase greatly if they are suddenly asked to make important medical decisions. Having both a living will and a healthcare power of attorney ensures that your loved ones know your final wishes and are prepared to make these important decisions if the need arises. 

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Phone
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Email
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