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[A256]Advanced Health And Safety
by William Charles, Wil
Advanced health care directives are written instructions that communicate your wishes regarding care and treatment should you no longer be able to make your own health care decisions. Some directives are broken down into two parts - a Living Will and a Health Care Power of Attorney (HCPOA). The exact language and type of document will vary depending upon the laws in your location.

Basically a Living Will allows certain treatments to be withheld or withdrawn if using them will only prolong your dying process; or if you are unconscious (and in a vegetative state) and there is no hope for recovery. An example of treatment may include feeding tubes or resuscitation if you heart stops working.

If you are unable to make health care decisions, either temporarily or permanently, a HCPOA allows you to appointment someone to make them on your behalf. It is in your best interest to choose someone who understands thoroughly your desires and is willing to honor your requests. Should you not designate a decision making person(s), generally your legal next of kin will be looked for to make that decision for you. Caution - please note that it is your “legal" next of kin who will be making decisions, and not necessarily your significant other of 25 years. In today’s world, this is another very important reason to have these documents in place.

From the standpoint of a health care provider who has worked from intensive care to hospice to primary care, I cannot stress enough the importance of having these documents completed...NOW. One never knows when one will have need of them, and these documents will save you and those that love you much grief and suffering.

In many cases, you can obtain forms from your health care provider. Forms are also readily available online. A simple online search using "Advanced Health Care Directive" on google pulled up 680,000 pages. You can break that down further by including your state/country.

Once you have these forms filled out, signed, witnesses, and perhaps even notarized, make several copies and put the original in a safe place. Make sure that the person/persons whom you have designated as your decision maker have a copy of the document, as well as your health care provider, hospital, and anyone else who needs one. Please make sure that everyone involved knows your wishes.

And remember, should you change your mind….just fill out a new form. The most current form is always the valid one.
Do it today.


Any competent adult has the right to accept and/or refuse any medical treatment. Nobody disputes that. Doctors are only allowed to tell patients the pros and cons of treatment, they can offer advice, they can not order a patient to accept treatment. Problems start when the adult can no longer communicate or is no longer considered mentally competent enough to make their own decisions. When this happens other people step in and try to decide what type of medical treatment the person would want for themselves.

Most of us like to believe that we will live long full lives and always be in complete control of our fate; sadly this is not always the case. People are injured in car accidents; freak falls, and have brains that are slipping further and further into oblivion as a direct result of mental illness. When this happens we loose control over the medical treatment that we always took for granted.
You don't have to loose control.

Health care proxies, advanced health care directives, and living wills are documents that are drafted before a patient looses their mental competency that clearly state what type of medical treatment the patient will accept in a given situation and what type of treatment they wont accept.

Doctors are required to work within the boundaries of advanced health care directives, living wills, and health care proxies.

An advanced health care directive is a document that is signed when the person is competent stating their health care desires.

One type of advanced health care directive people like to use is durable power of attorney for health care. A person with durable power of attorney is a person that has been named by the patient as having the right to make all medical decisions. This person is called a patient advocate. Any mentally competent person over the age of eighteen can be given power of attorney. Before you name someone as your patient advocate make sure they are comfortable with the responsibility they are being given. Make sure that they have a very firm understanding of your medical wishes and desires. A patient advocate can be a friend, spouse, family member, life partner, or lawyer; they should be someone that you can literally trust with your life. If you do not name a person as your patient advocate the responsibility will automatically go to your closest family member. A patient advocate can only act if you are unable to communicate for yourself.

A second popular type of advanced health care directive is a living will medical. A living will is a document where you state you health care wishes in writing. Living wills do not name a patient advocate.

Some people choose to combine living wills with durable power of attorney.

If you choose to write a living will you need to decide if you are willing to be hooked up to ventilators, if you want to be resuscitated if your heart stops, if you want life prolonging drugs, are there any types of surgeries you do not want to have performed on your body, if you are in a coma do you want to have a feeding tube inserted.

If you are in a coma and the doctors feel that you will never wake up do you want them to take any steps that will keep your body alive?

Living wills are where most people list the times they want to be resuscitated and the times they don't want to be resuscitated.

If you have a living will you should keep it somewhere safe that it can be easily found in a medical emergency. Some people keep them in their wallets or purses and others choose to register them in a national database.

Article Source : Pg. 133

About Author
Both William Charles & Jeff Moore are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

William Charles has sinced written about articles on various topics from Health, Arthritis Signs and Health. To get more information visit,
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