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Advance medical directive becomes effective only when a patient is no longer able to make their own decisions due to mental incapacity. This could be temporary or permanent. If temporary, the patient resumes decision making responsibilities once the temporary condition resolves.

Advance directives are legally recognized documents and doctors must respect your known wishes, but doctors can always refuse to comply with your wishes if they have an objection of conscience or consider your wishes medically inappropriate.

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An advance directive, alone, may not be sufficient to stop all forms of life-saving treatment. You may also need specific do not resuscitate, or DNR orders.You retain the right to override the decisions or your representative, change the terms of your living will or POA, or completely revoke an advance directive.

Fact: Most of us have some ambivalence about what we would want because treatment near the end of life can be complicated. Advance health care directives can always be changed if/when your wishes or circumstances change.

A person can also revoke their Advance Directive orally, by telling their healthcare provider that they no longer want either the entire document or any parts of it enforced.

Some states combine a declaration and a durable power of attorney into a single form, called an "advance health care directive."You may change or revoke your health care directive at any time. If someone disputes the validity of your health care directive, it may be challenged in court.