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Advanced Care Directives: Are They Necessary?

Most of us don’t like to think about the possibility of something harmful happening to us or a loved one. Because of this, we rarely think about how to protect ourselves and our loved ones if the worst were to happen. However, just as it is important to buy home insurance to protect your home and auto insurance to protect your vehicle, every individual should have an advanced care directive to protect themselves if they were no longer able to make decisions for their health care, end of life, living arrangements, and various other personal matters. 

The basic definition of an advanced care directive is a legal document or group of legal documents in which a person puts in writing what their wishes are for their health if they no longer have capacity to make these decisions for themselves. Advanced care directives are often comprised of a living will and a health care proxy. Everyone who is above the age of 18 should have one. 

There are several key items you should include in your advanced care directive. While these can be drafted without legal help, this is a legally binding document as soon as it is signed in front of the required witnesses and it is essential you seek the advice of a legal professional when creating a directive. The most important instructions to include are which life support treatments you want, or do not want. You can provide directions on if you want all life support treatments, no life support treatments, or you may choose individual support treatments such as blood transfusions or dialysis. 



Advanced directives are not congruent throughout the United States and laws may vary from state to state. This can often be confusing because one state’s directive may not work in another state. To ensure your wishes are carried out, you should complete advanced care directives for all states where you spend a significant amount of time. 

Emergency medical technicians are legally obligated to do whatever is necessary to stabilize a person and transfer them to a hospital. Therefore, they simply cannot honor your advanced care directive. Your directive will be implemented when a medical professional evaluates your condition and the underlying conditions. 


If your wishes do change, it is important to keep your advanced care directive up to date. If you choose to make changes, it is recommended that you create an entirely new document. 



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