We All Need an “Exit” Plan - Advance Directives Help Everyone

Because the future is imprecise, every adult, regardless of their age or health situation, needs to write down the exit plan they want implemented for themselves. If it is not written down, how can anyone be sure they are fulfilling your health care choices? This plan or advanced directive allows you to make your health care choices known before an accident happens or an incapacitating illness affects you. An advance directive is a legal document that states how you want to be treated if you become very ill and there is no reasonable hope for your recovery. Laws vary from state to state but there are basically two kinds of advance directives. They are living wills and durable powers of attorney.

An advanced directive can help establish what life choices are right for you. Do you want mechanical respiration or cardiac resuscitation? These are personal decisions that no one else should make for you. You can have your end-of-life decisions be a matter of record.

You can register an advanced directive with or without the help of an attorney. There are many websites that will help you do this. Terminally ill patients have another option for establishing their end-of-life path which is called POLST. It stands for physician’s order for life-sustaining treatment. It is a simple document that converts a patient’s treatment goals into medical orders. It can complement an already existing advance directive by addressing more specific preferences for end-of-life options such as transference from a hospital to a nursing home.

Marcy Cox, BS Gerontology

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