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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.

Advance directives are written by a person with regard to future medical decision making. Their use in health care presupposes that anyone is ultimately on his or her own in the face of death and is therefore entitled to make decisions instead of being dependent on medical technological possibilities.

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.

Typically, you create a POLST or MOLST when you are near the end of life or critically ill and understand the specific decisions that might need to be made on your behalf. These forms may also be called portable medical orders or physician orders for scope of treatment (POST).

It is a physician's order (also referred to as a medical order) that outlines a plan of care respecting the patient's wishes concerning care at life's end. 2) Who should use a MOST? A MOST is primarily intended for patients who have an advanced chronic progressive illness.

An advance directive allows you to let others know your choices for healthcare or to name someone to make those choices for you if you are unable to speak for yourself. You may say "yes" to life-prolonging treatment you want, or "no" to life-prolonging treatment you don't want.

An Advance Directive is easy to create Making an advance directive is free and straightforward. Advance directives must be in writing, but creating one is easy and cost-free. The only disadvantages of advance directives are not having one. Form and specification for advance care directive vary by state.

Many times, advance directives are too vague to guide clinical decisions. For example, general statements rejecting "heroic treatments" are vague and do not indicate whether you want a particular treatment for a specific situation (such as antibiotics for pneumonia after a severe stroke).

Some of the criticisms of advance care planning noted by the authors and oth- ers (Fagerlin and Schneider 2004), such as patients' limited factual understanding that informs a preference, the nar- row range of content accommodated in typical directive documents, the translation of document content into actual decisions

A power of attorney is accepted in all states, but the rules and requirements differ from state to state.A power of attorney may be revoked, but most states require written notice of revocation to the person named to act for you.