Advance Directives

Question 1

Living Will

Answer 1

Legal document, but does not appoint an agent to make decisions for you

Declaration regarding wishes for life-prolonging/saving interventions (e.g. DNR, nutrition, ventilator)

Clearly outlines preferences for end-of-life medical care and comfort measures

Question 2

Durable Health Care Power of Attorney

Answer 2

A trust-worthy agent chosen/appointed by you to act on your behalf, should follow your wishes (preferably in writing!)

Addresses all health care issues/decisions (e.g. blood transfusions, dialysis, tests, etc.)

Can specify your wishes for POA to carry out at death

Question 3

Advance Directives

Answer 3

make certain people know you have them!

Limited to end-of-life/healthcare concerns (not property , finances)

Oral and written declarations that outline your wishes for medical treatment that may be needed in the future, including if you are no longer able to make those decisions

Question 4

what is an advanced directive?

Answer 4

“a written statement of a person’s wishes regarding medical treatment, often including a living will, made to ensure those wishes are carried out should the person be unable to communicate them to a doctor.” (dictionary)

“legal documents that allow you to spell out your decisions about end-of-life care ahead of time. They give you a way to tell your wishes to family, friends, and health care professionals and to avoid confusion later on.” (MedlinePlus

Question 5

AND:

Answer 5

Allow Natural Death- clearly instructing medical personnel to not use any artificial, life extending measures

Question 6

DNR:

Answer 6

Do Not Resuscitate-defining the use of life-extending measures such as CPR, pain management, nutrition and hydration

Question 7

Clinicians Order for Life Sustaining Measures (COLST):

AND and DNR

Answer 7

Both terms used interchangeably

some argue AND signifies no medical measures used and DNR indicates which measures and when to use life extending measures- for example pain control, nutrition and hydration, stop intubation after designated weeks/months while in coma

DNR or AND can be signified in an Advanced Directive, varies in law and practice based on state, may require physician signature

Question 8

It’s about how you LIVE

Answer 8

L - learn about options for end-of-life services and care

I - implement plans to ensure wishes are honored

V - voice decisions to family, friends, and health care providers

E - engage in personal or community efforts to improve end-of-life care