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Advance directives
Making your wishes known

When should you start thinking about end-of-life questions, such as: Would you want to be on a respirator if you were in an irreversible coma? Who would you want to make medical decisions for you if you couldn't make them for yourself? The best time to answer these important questions is now -- while you're still able to make your wishes known.

Advance directives too often are considered documents only for people who are terminally ill or the elderly. But younger people can suddenly and catastrophically face a serious medical situation. No matter what your age or health, if you want an ongoing voice in such medical care, you should consider preparing an advance directive.

What are advance directives?

Advance directives are legal documents that are looked to only if you lose capacity to make decisions or suffer an injury or disease that renders you unable to express your wishes.

Advance directives primarily take two forms:
A living will, which spells out the types of medical treatments and life-sustaining measures you do and don't want, such as mechanical respiration and artificial feeding. Some states may call the living will by a different name, such as "health care declaration" or "health care directive."

Durable power of attorney for health care, which designates someone you've appointed to make medical decisions on your behalf. That person doesn't necessarily have to be a family member. This document is different from the power of attorney that authorizes a person to make financial transactions.

You may want to have your health care agent be different from the person to whom you appoint power of attorney to handle your financial matters. Some people are willing to make health care decisions but not financial decisions, and the reverse also may be true.