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Advanced Directive

 
What Is An Advanced Directive?
 
In general, an advance directive is a written and signed document which expresses acts or actions a person wants taken in the event the individual becomes incapacitated or is unable to express his or her wishes or take action on his or her own.

An advance directive expresses the current competency of the individual, describes the condition(s) which must occur for the advance directive to be implemented, and outlines the act(s) or action(s) which may be taken by the person or persons authorized to act on behalf of the individual.

Thus, an individual may write an advance directive which:
  • Authorizes another individual to control finances or assets;
  • Provides instructions on health care;
  • Authorizes the use or non-use of life support measures;
An advance directive may take the form of Durable Power of Attorney , Health Care Surrogate , or Living Will . Each form is usually prescribed by law. Anyone wishing to use one or more of these advance directives is advised to consult an attorney.

Durable Power of Attorney is generally used to identify conditions under which another individual is authorized to control an individual's finances or assets. Thus, one may indicate when another person is authorized to incur debt, pay bills, or buy or sell property on his or her behalf. A person may describe conditions under which he or she believes there will be an incapacity to make an informed decision about control of finances or assets. A named trusted friend or family member--or disinterested third party such as an attorney or bank trust officer--can then assume these duties. Conditions under which the Power of Attorney would cease would also be described.

Medical Power of Attorney is similar to Durable Power of Attorney--except it describes matters related to health care. Conditions under which another individual is authorized to approve health care--including when and where (and what types of care)--to be provided with another person's consent are described. The individual authorized to make these decisions is identified. Finally, conditions which must exist to return health care decisions to the individual are described.

A Living Will generally describes the conditions under which life supports should or should not be provided. Again, these decisions would be made by an individual who is clearly competent to make the decisions. However, the Living Will--written while a person is competent to write such a document--would be used to determine wishes if a person is not currently capable of making an informed choice.
 
 
Power of Attorney, Health Care Surrogate, or Living Will should not be confused with Conservator or Guardian .  A Conservator is appointed following a due process hearing to manage a person's finances and estate. A Guardian is appointed to manage a person's health care, also following a due process hearing. In either instance, the person must be declared incompetent to make health care and/or financial decisions on his or her own.

Note: the above is based on West Virginia Law. Check with an attorney on your State's laws concerning Conservator and/or Guardian, or similar laws.

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