Advance healthcare directive

Advance Healthcare Directive

An advance healthcare directive, also known as a living will, personal directive, advance directive, or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions due to illness or incapacity. In the United States, it has a legal status in itself, whereas in some countries it is legally persuasive without being a legal document.

Purpose

The primary purpose of an advance healthcare directive is to ensure that a person's healthcare preferences are respected and followed when they are unable to communicate their wishes. This can include decisions about life-sustaining treatment, resuscitation, and organ donation.

Components

An advance healthcare directive typically includes several components:

• Living Will: A document that outlines the types of medical treatment a person wishes to receive or avoid.
• Durable Power of Attorney for Healthcare: A legal document that designates another person, known as a healthcare proxy or agent, to make medical decisions on behalf of the individual if they are unable to do so.
• Do Not Resuscitate (DNR) Order: A specific instruction not to perform cardiopulmonary resuscitation (CPR) if the person's heart stops or they stop breathing.

Legal Considerations

The legal requirements for advance healthcare directives vary by jurisdiction. In the United States, each state has its own laws governing the creation and use of these documents. It is important for individuals to ensure that their advance directive complies with the laws of their state.

Ethical Considerations

Advance healthcare directives raise several ethical issues, including the autonomy of the patient, the role of family members in decision-making, and the responsibilities of healthcare providers. Respecting a patient's wishes as expressed in an advance directive is considered an important aspect of medical ethics.

Implementation

For an advance healthcare directive to be effective, it must be readily available to healthcare providers. Individuals are encouraged to provide copies to their healthcare proxy, family members, and primary care physician. Some jurisdictions maintain registries where advance directives can be stored and accessed by healthcare providers.

Challenges

Despite their importance, advance healthcare directives are often underutilized. Common challenges include lack of awareness, difficulty in discussing end-of-life issues, and the complexity of legal requirements. Efforts to increase the use of advance directives include public education campaigns and simplified forms.

Related Pages

• Living will
• Durable power of attorney
• Do not resuscitate
• Medical ethics

Gallery

• 

  Example of a refusal of treatment form

•