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The use of two questions, 1) "If you cannot, or choose not to participate in health care decisions, with whom should we speak?" and 2) "If you cannot, or choose not to participate in decision making, what should we consider when making decisions about your care?," may accomplish the major goals of an advance directive.

Problems with Advance Directives Sometimes, people change their minds after expressing advance directives and forget to inform others. Many times, advance directives are too vague to guide clinical decisions.

Types of Advance Directives The living will. Durable power of attorney for health care/Medical power of attorney. POLST (Physician Orders for Life-Sustaining Treatment) Do not resuscitate (DNR) orders. Organ and tissue donation.

Controversy includes such matters as whether advance directives create more confusion than clarity about a patient's wishes, whether they can always be taken as expressing the true desires of a patient, and whether healthcare staff should always follow them.

The most common types of advance directives are the living will and the durable power of attorney for health care (sometimes known as the medical power of attorney).

The two most common advance directives for health care are the living will and the durable power of attorney for health care. Living will: A living will is a legal document that tells doctors how you want to be treated if you cannot make your own decisions about emergency treatment.

There are many reasons that people are reluctant to sign a living will. "Many people don't sign advance directives because they worry they're not going to get any care if they say they don't want [cardiopulmonary resuscitation]," says Courtright. "It becomes this very scary document that says, 'Let me die. ' "

The research identified six themes related to barriers to completing an advance directive: 1) provider time constraints; 2) education: patients, loved ones, and healthcare professionals; 3) a lack of comfort discussing end of life; 4) culture; 5) advance care planning evolvement; and 6) specialization by non- ...

Advance Directive for Health Care Must either be signed by two witnesses or notarized. If you choose to have the document witnessed, neither of your witnesses may be: your health care agent. your health care provider.

An Advance Care Directive can only be made by you as an adult with decision making capacity. If it is valid, it must be followed. Health professionals and family members have no authority to override a valid Advance Care Directive.