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How to Create a Living Will or Advance Directive: A Step-by-Step Guide

Published on 
14 Sep 2024

Creating a living will or advance directive ensures your healthcare preferences are respected if you cannot communicate them. This guide provides step-by-step instructions to help you draft legally binding documents, from understanding your options to making it official. Read on to secure peace of mind for you and your loved ones.

Key Takeaways

  • Living wills and advance directives are crucial legal documents that outline your healthcare preferences when you cannot communicate them due to illness or injury.
  • Creating a legally-binding living will involves assessing your medical preferences, consulting healthcare professionals, and adhering to specific legal requirements.
  • Once completed, it is essential to distribute copies of your living will to relevant parties and regularly review and update it to ensure it accurately reflects your current wishes.

Understanding Living Wills and Advance Directives

Living wills and advance directives are legal documents. They convey your healthcare preferences if you are unable to express them yourself. These documents specify the medical treatments you want or do not want if you lose the capacity to make or communicate decisions due to illness or injury. Creating these documents not only ensures that your medical wishes are respected but also alleviates stress for your loved ones during difficult times.

Understanding the different types of advance directives and their importance allows you to make informed decisions about your future medical care. This section will explore what a living will is, the various types of advance directives, and why they are essential for guiding healthcare decisions.

What is a Living Will?

A living will is a legal document that specifies your medical treatment preferences in situations where you lose the mental capacity to make or communicate decisions. It allows you to maintain control over your medical decisions even when you are unable to do so due to illness or injury. The primary purpose of a living will is to ensure that your healthcare preferences are honored, helping to prevent unnecessary medical procedures that you do not want in urgent situations.

Creating a living will requires making decisions about healthcare preferences, such as refusing life-sustaining treatments like blood transfusions or mechanical ventilation. Specifying these preferences in advance ensures that your wishes are respected and helps avoid potential conflicts or misunderstandings among family members and healthcare providers.

Types of Advance Directives

Advance directives come in various forms, each serving a unique purpose in communicating your healthcare preferences. The most common types of advance directives are:

  • Living wills, which specify the medical treatments you wish to receive or avoid
  • Advance decisions, which are legal documents that explicitly state the treatments you refuse
  • Health care proxies, which designate someone to make healthcare decisions on your behalf if you are unable to do so

Both living wills and advance decisions require a clear statement of treatment refusal and must be created while you have the mental capacity to make such decisions and before you lose mental capacity.

A health care proxy, also known as a medical power of attorney, designates an individual to make medical decisions on your behalf if you are unable to do so. This person, often a trusted family member or friend, acts as your advocate, ensuring that your healthcare preferences are followed. Additionally, a POLST (Physician Orders for Life-Sustaining Treatment) complements other advance directives by indicating specific treatments to avoid.

Advance directives must meet specific criteria, such as being in writing, witnessed, and signed, to be legally binding. These requirements may vary depending on your location, so it’s essential to familiarize yourself with the legal standards in your area. For example, in the UK, an advance directive must comply with the Mental Capacity Act to be considered valid.

Importance of Advance Directives

Advance directives play a crucial role in guiding healthcare decisions during medical crises. They ensure that your healthcare preferences are honored, providing clarity for doctors and caregivers. By specifying your medical treatment preferences, you can alleviate the emotional burden on your family members who might otherwise have to make difficult decisions without knowing your wishes.

Providing copies of your advance directive to all relevant parties, such as family members, healthcare providers, and your GP, ensures that your preferences are respected. This clear documentation helps healthcare providers act in accordance with your wishes, reducing confusion and potential conflicts during emergency situations.

Advance directives ultimately provide peace of mind by ensuring that your personal healthcare preferences are honored during medical crises. This advance decision allows your family to feel more at ease, knowing that they are making decisions that align with your wishes.

Preparing to Create Your Living Will or Advance Directive

Preparing to create a living will or advance directive involves understanding your medical preferences and the legal requirements involved. This preparation ensures your document accurately reflects your wishes and is legally binding. The first step is to assess your medical preferences, followed by consulting healthcare professionals, and finally, understanding the legal requirements for creating these documents.

Taking these steps helps you make informed medical decision about your future medical care, ensuring that your living will or advance directive effectively communicates your healthcare preferences.

Assessing Your Medical Preferences

Assessing your medical preferences involves reflecting on your personal values and the circumstances under which you might refuse treatment. A living will allows you to detail specific medical treatments you wish to receive or avoid in life-threatening situations. This includes decisions about life-sustaining treatments, pain management, and palliative care.

Creating an advance statement that outlines your personal care preferences can help ensure that your wishes are respected if you are unable to communicate them. Clearly documenting your treatment refusals and preferences ensures that your healthcare decisions align with your values and best interests.

Consulting Healthcare Professionals

Consulting healthcare professionals and a medical professional is crucial for creating an effective living will or advance directive. Discussing your medical preferences with doctors and other qualified healthcare professionals can help clarify the implications of refusing certain treatments. They can provide guidance on potential medical scenarios and treatment options, ensuring that you make informed decisions about your healthcare.

Consider consulting your general practitioner (GP) or other relevant healthcare professionals when preparing to create your living will. Their expertise can help you understand the medical treatments involved and the potential outcomes, making it easier to articulate your preferences in the document.

Legal Requirements

An advance directive must meet specific legal requirements to be legally binding. These documents should be created while you still have the mental capacity to make decisions. Mental capacity is the ability to make specific decisions when needed. This capacity can differ depending on the decision being made.

To comply with the Mental Capacity Act, your advance directive must be properly documented, clearly stating your wishes about refusing treatment. Some forms may require being signed by a witness or notarized to ensure validity. Meeting these legal requirements is essential to ensure that your advance directive is recognized and followed by healthcare providers.

Writing Your Living Will or Advance Directive

Writing a living will or advance directive involves clearly specifying your medical treatment preferences and ensuring that the document is legally binding. It is not necessary for a living will to be written by a legal professional, but it is crucial to use clear and concise language to prevent misinterpretation.

Following a step-by-step guide and using a recognized template helps create a document that effectively communicates your healthcare wishes. This section will guide you through choosing the right template, specifying medical treatments, and including end-of-life care provisions.

Choosing the Right Template

Selecting a suitable template is the first step in writing your living will. Choose a recognized template in your region with clear wording to ensure compliance with legal standards. Online or paper forms can serve as templates, and free assistance is available to help you write your living will and choose the right template.

A well-tested template can help ensure that your living will is followed effectively. The wording in the advance directive must be clear and concise, avoiding complex jargon to prevent misinterpretation. This clarity reduces confusion for families and healthcare providers, ensuring that your medical treatment preferences are understood and respected.

Specifying Medical Treatments

Clearly specifying the medical treatments you wish to receive or refuse life sustaining treatment is essential to ensure your wishes are respected. In your living will, you can specify life-sustaining treatments like resuscitation and mechanical ventilation. Clarifying specific situations where you want to refuse certain treatments, such as in cases of severe brain injury or advanced dementia, is important.

Using bullet points or numbered lists to outline which treatments to refuse in your advance directive can help ensure clarity. This detailed specification helps healthcare providers understand your preferences and act accordingly during critical medical situations.

Including End-of-Life Care Provisions

End-of-life care provisions are an important part of a living will. These provisions should encompass preferences for palliative care, location during final days, and organ and tissue donation. Addressing preferences for palliative care can ensure comfort and peace for both you and your family during your final days.

Clearly stating your organ donation preferences in the living will can help ensure that your wishes are followed after death. Including these end-of-life care provisions provides clear guidance to healthcare providers and loved ones, ensuring that your final wishes are respected.

Making It Official: Signing and Witnessing

Your living will must be signed in writing and witnessed to be legally recognized. Proper signing and witnessing procedures are essential to make the document legally binding.

This section will guide you through the correct steps for signing and witnessing your living will.

Proper Signing Procedures

After completing your living will, print the form and sign it. Both witnesses must be present when the document is signed to ensure its validity.

If you make any modifications to your living will, the signing and witnessing process must be repeated to maintain its legal standing.

Witnessing Requirements

Witnessing requirements are crucial for the validity of a living will. The document must be signed in the presence of witnesses, who cannot sign remotely unless in specific jurisdictions. Witnesses must be over 18 years old and cannot be beneficiaries of the living will.

Failure to meet these witnessing requirements can result in the living will being deemed invalid.

Distributing and Storing Your Document

Once your living will or advance directive is completed and signed, it’s important to distribute and store the document properly. Keeping multiple copies in accessible locations ensures that your wishes can be followed in emergencies.

This section will provide tips on informing family and healthcare providers and securely storing your document.

Informing Family and Healthcare Providers

Sharing your living will with family and healthcare providers is essential to ensure it can be followed in emergencies. Informing your family helps them advocate for your wishes, while giving copies to your GP and healthcare professionals ensures your preferences are added to your medical records.

Communicating any changes to your living will avoids confusion and ensures your current wishes are known.

Secure Storage

Secure storage of your living will or advance directive is crucial to ensure your wishes are followed. Keep copies of your document with trusted family members and healthcare professionals to ensure they can act on your wishes.

Storing the document in a secure location at home, such as a safe, ensures it is protected yet accessible when needed.

Maintaining and Updating Your Living Will or Advance Directive

Maintaining and updating your living will or advance directive is an ongoing process. Regular updates ensure that your document reflects your current medical preferences and circumstances, especially after significant life events.

Regular reviews and communicating updates to relevant parties are essential for maintaining and updating your living will or advance directive.

Regular Reviews

Regularly reviewing your living will ensures your intentions remain clear and up-to-date, especially after a serious illness or major life changes, such as a new diagnosis or a change in marital status.

If you need to change your advance directive, create a new form, distribute copies, and destroy old ones to avoid confusion. Consulting healthcare professionals during these reviews can help ensure your preferences are accurately reflected.

Communicating Updates

Communicating updates to your living will or advance directive ensures everyone is aware of your current wishes. After updating your document, promptly inform family members and healthcare providers about the changes.

Having open conversations about health and preferences can help ensure that your wishes are respected and understood.

Frequently Asked Questions

How is an advance directive made?

An advance directive is made by writing it down and having it signed by yourself and a witness, particularly if it involves refusing life-sustaining treatment. Regular review and updates are essential to ensure it reflects your current wishes.

Can an LPA override an advance directive?

An LPA can override an advance directive if it was created after the directive and grants authority to the attorney(s) for the same treatment decisions. In such cases, the LPA takes precedence.

What is the difference between a living will and a LPA?

A living will outlines medical treatment preferences if one loses mental capacity, while a Lasting Power of Attorney (LPA) designates an individual to make decisions on one's behalf. Both serve important roles in healthcare decision-making, but they function differently in terms of authority and advocacy.

How do I make a living will in the UK?

To make a living will in the UK, you must be over 18 and have mental capacity. Complete a form, print and sign it, and then have it witnessed by anyone, including a relative.

What is the purpose of a living will or advance directive?

A living will or advance directive serves to outline your medical treatment preferences in case you are unable to express them, ensuring your wishes are respected and relieving your loved ones from added stress during difficult times.

Assured Private Wealth specialises in independent, regulated pension advice. Get in touch today for a consultation on pension planning, estate planning, or inheritance tax guidance.

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