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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.

A medical or health care power of attorney is a type of advance directive in which you name a person to make decisions for you when you are unable to do so. In some states this directive may also be called a durable power of attorney for health care or a health care proxy.

Advance directives generally fall into three categories: living will, power of attorney and health care proxy.

Can an AHCD be revoked? Yes. A person having capacity may revoke all or part of the AHCD at any time. The revocation must be clearly documented by health care providers.

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.

An advance directive is instructions given by individuals specifying what actions should be taken for their health in the event that they are no longer able to make decisions due to illness or incapacity, and therefore appoints a person to make such decisions on their behalf.

Advance directives do not expire. An advance directive remains in effect until you change it. If you complete a new advance directive, it invalidates the previous one. You should review your advance directives periodically to ensure that they still reflect your wishes.

The statement can be typed or handwritten. It is recommended that a living will or any other advance directives be considered and prepared in advance of any hospitalization or impending surgery it is not something anyone should feel pressured to decide in a short period of time, if that can be avoided.

Conclusion. To help patients receive the benefit of their legal right to self-determination, nurses must understand not only the PSDA but also the laws of the state in which they practice.Nurses in all fields of practice have an important role to promote patient autonomy and completion of advance directives...

If there is evidence to suggest the person has changed his or her mind for example, if they have done something that goes against the advance directivethis would make the advance directive invalid.