Most of us know how we would like to be treated if we become seriously ill or incapacitated, and the arrangements we want to make for the end of our lives, but we do not like to talk about it.
Anyone getting care in a medical facility must be given information about creating an advance directive. An advance directive is a legal document that allows you to decide ahead of time what types of medical care you want to receive if you become incapacitated. You can state whether you want to want to receive aggressive medical treatment to sustain life, or just want to be made comfortable at the end; who you want to make medical decisions for you; and whether you want to be an organ donor. In 1990, Congress passed the Patient Self-Determination Act (PSDA) requiring all health care agencies to recognize advance directives.
Do not wait until you are in the hospital to fill out an advance directive form. During a crisis, family members sometimes disagree about medical treatment for emotional or religious reasons. By making arrangements and discussing them with loved ones before the situation arises, you can spare them anguish and uncertainty at a very distressing time.
State laws about advance directives vary, so it is important to locate the documents for the state where you live. The state of Florida recognizes the following:
A written advance directive becomes legal as soon as it is signed by the person making the directive and two witnesses. You do not need a lawyer.
Advance directives are not only for the elderly. Anyone can become incapacitated by a sudden illness or an accident. It takes only a few minutes to fill out a form. Five Wishes, available online at www.agingwithdignity.org, is a popular living will written in everyday language. It is recognized as a legal document in 42 states, including Florida. You can also purchase a software package online or at a bookstore, or get forms from a local nursing home or health care provider.
Hospice care offers comfort and support for people with terminal illnesses and counseling for family members. Most hospice services are paid for by Medicare, and are an alternative to remaining in the hospital.
Make sure your wishes will be carried out by telling your loved ones about your end-of-life choices and your advance directive. Tell them where it is located, and give a copy to your health care provider and to the person who will be your health care surrogate or DPOA.