A living will and a medical power of attorney are types of
advance directives. These forms describe the kinds of medical care you want to
receive if you're badly hurt or have a serious illness that keeps you from
saying what you want. A medical power of attorney lets you name a person to be
your health care agent. He or she can make decisions for you if you can't speak
Forms are different in each state, so be sure you
get the right ones for where you live. In some states, the forms may ask you to
address certain issues, or they may be more flexible.
It may be
hard to know what to include in your advance directive. Take your time, and use
the questions below to help you get started.
Who do you want to make your health care decisions for you?
Do you have a person in mind, such as your
partner, a close friend, or your doctor? (In some states, your treating
doctor can't be your health care agent.)
Can you talk to this
person about the kinds of treatments you do or don't want to
Does this put too much pressure on the person to make
decisions for you? Do you think that he or she will be able to do what you
Do you think that your friends, your family, and others will
support your decisions?
Do you know enough about the kinds of treatments that can help keep you alive?
Cardiopulmonary resuscitation (CPR) is used if
your heart has stopped.
A breathing machine that pumps air into
your lungs through a tube is used if you can't breathe on your own.
Dialysis is used if your kidneys stop working.
A feeding tube or an intravenous (IV) line is used to provide
food and fluids if you can't eat or drink.
Antibiotics are medicines used to treat serious
How do you feel about the use of life support if you:
Have a serious illness that can't be
Are in a coma and there is little chance that you'll come
out of it?
Have a long-term illness that gets worse over time and
doesn't get better?
What concerns you the most?
Are you worried that you'll have pain or be
kept alive on machines?
Are you worried that you'll lose your
ability to function and live on your own or that you'll be a burden to your
Are there things that scare you? Include your fears or
concerns in your advance directive.
What does quality of life mean to you?
Do you want to be able to function and live on
Are you okay with living in a hospital or nursing
Are you okay with being kept alive by machines?
Do you have any other thoughts about what quality of life
means to you and how much control you want to have over it?
Here are some other questions to think about:
Where do you want to spend the last days of your
life? Would it be in the hospital or at home?
Do you have any
medical problems right now that affect your way of life?
Do you have an implanted cardiac device that may need to be deactivated at some point? This includes some types of pacemakers and ICDs (implantable cardioverter-defibrillators).
want to donate your organs when you die?
Can you talk to your
doctor about end-of-life issues?
Do your religious or spiritual
beliefs keep you from having a living will? If they do, ask your clergy or
spiritual advisor to help you know what to do if you can't make medical
decisions for yourself.
Will you be able to practice religious
rituals before you die? In some religions, rituals are done before or after a
person dies. If you want certain rituals to be done and know who you want to do
them, write them in your advance directive. For safety reasons, some hospitals
may not let you do certain rituals.
Do you want to include your
beliefs and thoughts about illness, dying, and death?
You may find it hard to answer some of these questions. Here?s
a way to help make things more clear.
Try to picture yourself in
each of the situations listed below. Then think about what you would like to
happen if you couldn't say what you wanted. As you read through each example,
write down any thoughts that come to you.
What if you had a disease that couldn't be cured?
Would you want to be given antibiotics to get rid of an infection, such as
pneumonia, that might lead to your death if it?s not treated?
if you had a disease that gets worse over time and affects your movement or
memory, such as Parkinson's disease or Alzheimer's disease? Would you want to
be given food and fluids through a tube? If so, is there a time when you would
want to stop this treatment?
What if you were in pain? Would you
want to be given strong doses of medicine to ease it, even if they make you
groggy and not able to think clearly?
What if you were in a coma
and there was little chance that you would come out of it? Would you want to be
kept alive by a machine that pumps air into your lungs through a tube if you
can't breathe on your own?
Try this exercise again with a few more "what if" situations.
This time you might think about what your doctor says about your chances for
recovery and how that might affect what you decide to do. You may see some
patterns develop that can help you decide what to include in your advance
These decisions are tough to make, but you don't have
to make them alone. Look to your family, your doctor, and your friends for help
How this information was developed to help you make better health decisions.