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Advance Directives

August 11, 2010

What are advanced directives?
Though most people have a clear idea in their heads about how they want to be treated when the end finally comes, only about a quarter of Americans have these ideas written down.  “Advance directives” is a term that refers to two types of documents, a ‘living will‘ that codifies what measures you would like taken, if any, to prolong life, and a ‘health care proxy‘ and ‘power of attorney’ that designates who should be empowered to make decisions for you if you are unable to for yourself.  These documents can be called by different names in different states, and some states have particular requirements (please refer to our state by state list for laws relevant to your state).   For legal help in completing these documents, please contact a local elder law attorney.  You can search for one in your area by visiting the National Academy of Elder Law Attorneys website: www.naela.org.

Why are advanced directives so important for someone with Alzheimer’s disease?
It is important to consider the possibility of dementia when making these directives.  You have the right to make decisions regarding your medical care, including the right to accept or refuse treatment.  The course of action you would want taken if you were to get pneumonia while able to make decisions for yourself may not be the same course you would want taken should you no longer be in control of your mental powers.  Do not leave your loved ones to guess what you would have wanted, or to argue amongst themselves.  Write it down.  Give a copy to each immediate family member and a copy to your doctor.

Advanced Directives and Medicare:
Healthcare facilities/agencies are required to discuss advance directives before admittance, and the Conditions of Participation and the Conditions of Coverage for Medicare also require patients to be asked about advance directives when they come to healthcare facilities, so having them prepared beforehand will make admittance easier.

Where can I get free information on advance directives?

Where can I get advance care planning documents?

Where can I get information specifically rejecting euthanasia?

State by State Resources for pre-planning:

Articles in this section of www.ALZinfo.org are written by professional journalists and individuals who strive to present reliable, up-to-date information. However, personal decisions regarding health, finance, exercise, and other matters should be made only after consultation with the reader’s physician or professional adviser. Opinions expressed herein are not necessarily those of the Fisher Center for Alzheimer’s Research Foundation.

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