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|Advance Care Directives: Why You Need Them|
|Written by Black Doctor.org|
|Tuesday, 26 January 2010|
(BlackDoctor.org) -- They say that “Black don’t crack,” but that doesn’t mean that we don’t age. As much as we would all love to believe that we will stay young and vital forever, the truth is that we will not. Because of this well-known fact, it is imperative for us all to prepare for the future.
Clarifying your wishes on prolonging life through medical care may be as important as the steps you take to stay healthy. And at some point, you or someone you love might need help with one or more basic activities of daily life.
The time to start planning for these contingencies is now. If you’re a healthy person in your 50s or early 60s, that may sound like odd advice. But it’s good to know a bit about available options before you need to seek them out for yourself or someone else. Hurried decisions made on the heels of an emergency such as a broken hip, stroke or heart attack may not suit you as well as those carefully considered in advance.
Get It In Writing
• A living will, which states your wishes for medical care if you become mentally or physically unable to make these decisions yourself
• A durable power of attorney for health care or health care proxy, which lets you name a person who will advocate for your wishes
State laws on advance directives vary. In some states, one type of directive has advantages over another, or it may be
When preparing your advance directive, keep in mind that your wishes can’t be followed if no one knows what they are. Taking the following steps will help:
• Make sure your healthcare proxy knows what your wishes are, because he or she will be making decisions for you if you are unable to do so yourself.
• Talk with your doctor to make sure that your wishes are understood and can be followed. Discuss them with your family, too.
• Your lawyer and a family member should know where a copy of any advance directive is located. Keep a second copy in a safe place and ask your doctor to put one in your permanent medical record. Also, keep a copy in an easily accessible spot in case an emergency occurs and ambulance personnel need to access it.
• Anyone named in a durable power of attorney for health care should have a copy of that document and know your goals for medical care.
• Keep a card in your wallet stating that you have an advance directive, noting where it is, and naming your healthcare proxy, if any.
• Revisit your advance directive periodically with your doctor as changes occur in your life and health. It may help to know that if you have a change of heart at any point while under medical care, your spoken wishes override any written wishes.
The major flaw of advance directives is the impossibility of knowing the exact circumstances under which they will be
Perhaps more than one discussion is needed. Just as important, though, is cultivating a relationship with your doctor and