Preparing For End of Life with Advance Directives

Tiffany Rubin

Chief of Happiness

Nurse Next Door Delaware

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Advance Directives

People often don’t know about them until the situation is less than ideal. We want to change that. Part of Happier Aging is having choice, and part of choice is making decisions for your future, so everything doesn’t come crashing down without you and your loved ones being prepared. When advance directives are properly prepared and executed, they have the power to make very difficult times easier. They can also ease today’s worries, giving you the peace of mind that allows you to live each day joyfully.

What are Advance Directives?

Have you imagined what your wishes would be if you are unable to express them at such a time? You may recall the 2005 case of Terri Schiavo that gripped the nation and ignited conversations about the need for advance directives. At the age of 25, Terri collapsed from heart failure resulting in massive brain damage that left her in a permanent vegetative state. From 1990 to 2005, Terri’s family battled over what Terri’s wishes would have been.

You’ve probably heard stories of someone needing to give medical and/or financial direction for themselves but were too ill or injured to carry out or express their desires. Your next step should be to prepare your advance directives. Advance directives are legal documents that spell out your wishes for end-of-life care in the event that you are unable to do so. They allow you to direct ahead of time, your family, friends, and healthcare professionals, on how you would like your care decisions to be made. Advance directives include living wills and powers of attorney.

How do I get a Living Will?

Visit an attorney for a standard living will form or you can complete one on your own. One of our favorite resources is the 5 Wishes. For a small fee, you can complete a living will online or via paper. It’s easy to understand, written in everyday language, and takes a holistic approach to writing a living will. A free online option is also available from the National Hospice and Palliative Care Organization and offers downloadable forms unique to each state. Depending on your location, specific state requirements may influence who must sign your living will as a witness.
You are never too young to create a living will and you can always change it later. If you do make changes, be sure to provide updated copies to all those who will be involved in your care — family, friends, and healthcare professionals.
Don’t expect to complete your living will in one sitting. It is normal to want to discuss your feelings with loved ones and to contemplate end-of-life scenarios before committing your answers in writing. Take your time, but be sure to make the time.

What is a Power of Attorney?

In its simplest terms, a power of attorney (POA) allows you (the principal) to decide who will act on your behalf if you become incapable of making decisions for yourself. The person who acts on behalf of you is called the ‘agent’.
While there are several different types of POAs, know that when talking about advance directives the type of POA put in place is a durable POA.

What’s the difference between a durable POA and a general POA?

A durable POA goes into effect when the principal becomes incapacitated and expires upon the principal’s death.
By contrast, a general POA expires when a principal becomes incapacitated.

It is important to know the difference between the two and remember that when preparing advance directives, you need a durable POA, not a general one.

There are two types of durable POAs–medical and financial. You may wish to have one person handle your medical decisions and another to handle your financial matters, in which case you will need both types of durable POAs. Or you may want to have all decisions handled by the same person, so your durable POA would give medical and financial power to one agent.

Today’s To-Do

There is no better time than today to add “GET ADVANCE DIRECTIVES” to your to-do list! We know that when plans for the future are put in place, people are happier, more confident, and less stressed in their daily lives. And we all know the feeling that comes from crossing something off a to-do list!

Special thanks to Jeanne Dukes of Lewes Counseling for contributing to this piece.

 We make it possible for you to keep living in your OWN home when get a little older and need a little helpTo learn more about how Nurse Next Door can help, call +1(877) 588-8609


Additional Reading:

Death With Dignity

Things You Can and Can’t Do with Power of Attorney”

5 Misconceptions About a Power of Attorney

What are the Types of Power of Attorney and What are the Differences?

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