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Advance Health Care Directive- Your Living Will
Advance Health Care Directive
Your Living Will
by Twinkle (EKV) VanFleet
At some point in our lives we consider our future, old age, disabilities, or simply end of life
choices. Who makes important decisions on our behalf if we become incapacitated and
unable to make crucial decisions for ourselves? Most of us have heard of or are familiar
with a Living Will or a Power of Attorney. What many of you didn't know is that an
Advanced Health Care Directive replaces a Living Will and Durable Power of Attorney (or
"DPAHC") as the legally recognized document for appointing a health care agent in
California. An Advance Health Care Directive allows you to not only appoint an agent to
make heath care decisions on your behalf, but also lets you give instructions in regards to
your own health care in your own words and writing. You do not need not a lawyer to help
you complete the form. There is one exception and it applies to those who have been
involuntarily committed to a mental health facility who wish to appoint their conservator as
their agent. The California Medical Association (CMA) recommends that you choose only
one person as your health care agent. If two or more people are given equal authority and
they disagree, it defeats the purpose of the Directive. If you become unable to make your
own health care decisions, your chosen agent will have total authority to speak on your
behalf in all matters as it pertains to your health. Your doctors and other professionals will
look to your appointed agent for decisions rather than your family or any other person.
Your agent will be allowed to accept or decline further treatment, choose whether or not to
donate your organs, or allow for an autopsy, have access to your medical records and
decide where to dispose of your body should you die. You do not have to give your agent
these rights, or specific powers, you can write a statement in your Advance Heath Care
Directive form limiting authority. The law also states that your agent cannot authorize
convulsive treatment (electro convulsive therapy or ECT), psycho surgery, sterilization,
abortion, or place you in a mental health treatment facility. Your agent has no authority to
make decisions for you unless you are unable to make the choices yourself. You can though
choose to allow your agent immediate decision making, even if you can make them for
yourself.
It is important that you give a copy of your Advance Health Care Directive to your family
and even close friends. This is so that everyone is aware prior to you ever becoming
incapacitated that you, while in your right mind, made the choice to appoint a certain
individual as your agent. This is suppose to help the arguments that often arise when one
falls ill suddenly. Everyone wants to make the decisions and everyone quarrels over what
they think you would want. The Directive is also meant to keep this from happening.
You may now register your Advance Health Care Directive at the Advance Health Care
Directive Registry.
AB 1676
(Statutes of 2005, Chapter 434)
This act creates the Advance Directives and Terminal Illness Decisions Program. This act
requires the Secretary of State to work with the Department of Health Services and the
Attorney General to develop information about end of life care, advance health care
directives, and registration of the advance health care directives at the Advance Health Care
Directive Registry. This act also requires links to be provided for this information on the
websites of the Secretary of State, Department of Health Services, the Attorney General,
Department of Managed Health Care, Department of Insurance, Board of Registered
Nursing, and the Medical Board of California.
The following has been taken from the website of the Secretary of State and I've listed the
reference below.
AB 2445
(Statutes of 2004, Chapter 882)
This measure requires the Secretary of State, as part of the duties associated with the
Advance Health Care Directive Registry, to receive and release a person's advance health
care directive and transmit the information to the registry of another jurisdiction upon
request. It requires the Secretary of State to respond by the close of business on the next
business day to a request for information received from the emergency department of a
general acute care hospital.
Ref: http://www.ss.ca.gov/ahcdr/ahcdr_legislation.htm
A copy of the form is available here. http://www.pamf.org/preventive/ahcd.html
PAMF_AdvanceDirective.pdf I urge you to get a copy. It's one of the most important
documents you could ever have. The best part is you actually get an area to write your
wishes down as you want them. You can add what you don't want and what you do want
in specifics. You need to have it notorized or witnessed by two seperate individuals.
Notorizing it is best and saves on the headache of some thinking it was made up only
moments after you became ill. You never know what some family members might say
when finding someone else has authority over you.
After you complete the form and have it notorized, you need to give it to your physician to
be placed in your medical record. You should always take a copy when going into surgery,
as well.
Everyone should have one of these. In the end, the choices are still yours this way, but
someone else is making them on your behalf. It may not save your life, but it will certainly
save heartache for all involved.
© 2006-9 twinklev - All Rights Reserved.
May be used by permission and with credit to source.
If you use this article, please email me at: admin@crpsadvisory.com and let me know the
website address in which you are using it. Thank you.
(This article was published by The Independent Opinion in 2007)
True happiness is not gained through
self-gratification, but through fidelity
to a worthy purpose. ~Helen Keller