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    Advance directives
    Making your wishes known

    How do you prepare advance directives?

    1. Discuss your options - You may want to discuss advance directive issues with your family, close friends, clergy and physician. Your physician can explain the medical terms you should use in order to make the advance directive as useful as possible. You also might want to discuss advance directives with an attorney.

    2. Complete appropriate forms - Although it is not necessary to consult an attorney to prepare any of these documents, you need to be aware of the laws of the state or states in which you want the document to be used.

    (If you travel to a medical center or reside part-time in another state, you should consider completing the document required by that state.)

    Usually your health care provider can supply advance directive forms. Your state or local health department or a local hospital also should be able to supply the necessary paperwork. Most advance directive forms are self-explanatory, but if you need additional guidance, contact:

    3. Name an agent

    Even if you don't prepare a living will, you can prepare a durable power of attorney for health care. The form you need to complete is very simple. Because a living will can't anticipate every possible medical situation, it may be best to appoint someone who can speak for you (an agent or proxy) if you can't speak for yourself. Once you've chosen your designated agent and gotten their permission, be sure to discuss your wishes fully with him or her. It's also a good idea to designate an alternate in case your primary agent is unavailable.

    4. Keep your directives handy

    Keep the original documents in a secure but accessible place. Then give copies of your advance directives to everyone involved in your health care - your physician, your designated agent, your attorney and trusted family members. Have the documents added to your medical record. If you become hospitalized, inform medical staff of your directives. If you are traveling, you may want to keep a copy of your directives with you.

    5. Make certain your wishes are well understood

    If you have a living will, review it every few years. Many states allow you to revise or cancel your advance directive at any time regardless of your physical or mental condition. You should inform your physician, attorney, agent and family of any changes.

    Medical personnel will follow your advance directive to the fullest extent possible, consistent with a "reasonable medical practice" standard. That standard refers to the responsibility your physician has in determining what, if any, treatment is appropriate.

    Some states allow physicians the right to refuse your advance directive based on their personal ethics and beliefs. Talk to your health care provider to be certain your wishes are understood and would be respected.



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