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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.

A person can change an Individual Healthcare Instruction by writing a new Advance Directive with the changes in it that she wants to make.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.

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.

Validity of advance care directives it is consistent with the person's preferences. the person has expressed these preferences previously. the person appoints a substitute decision-maker who has a clear understanding of their preferences and is willing to be a strong advocate for them. it is a written document.

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.

Healthcare advance directives should state both what you do want and what you don't want.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.

The primary outcome is completion of four key ACP behaviours: identification of a surrogate decision maker, communication about goals, completing advance directives and ensuring documents are in the medical record.