Living Will (Advance Directive)

A living will is a legal document that specifies a person's wishes regarding medical treatment and life-sustaining measures if they become terminally ill or permanently incapacitated and unable to communicate their decisions.

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Exam Tip

Living will = YOUR end-of-life instructions (document). Healthcare proxy = PERSON who decides. Need both for complete planning.

What is a Living Will?

A living will, also called an advance directive or medical directive, is a legal document that outlines your wishes for end-of-life medical care. It takes effect when you are terminally ill, permanently unconscious, or otherwise unable to communicate your medical preferences.

Living Will vs. Healthcare Proxy

FeatureLiving WillHealthcare Proxy
What It IsDocument with instructionsAppointed person
When ActiveTerminal/permanent incapacity onlyAny incapacity
ScopeSpecific end-of-life scenariosAll medical decisions
Best PracticeHave bothHave both

Decisions Addressed in a Living Will

TreatmentOptions
CPRAccept or refuse resuscitation
Mechanical VentilationAccept or refuse breathing machines
Tube FeedingAccept or refuse artificial nutrition/hydration
Comfort CareAlways provided (pain management)

Common Misconceptions

  • "A living will covers all medical decisions." Reality: Living wills typically only address end-of-life situations. You need a healthcare proxy for other medical decisions.

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