Definitions in Advance Care Planning
Before talking to a health care provider or attorney about advance
care plans, it helps to define the basic terms. Here are the most
commonly used.
ADVANCE CARE PLANNING: determining and documenting your
goals and wishes for specific treatments based on your medical condition
and personal preferences. Clinical care is shaped by your choices,
even if you become unable to make decisions for yourself. By anticipating
emergencies, crisis decision-making is decreased.
ADVANCE DIRECTIVE: Any statement made by a competent individual
about preferences for future treatment if that person is unable
to make decisions at the time. "Advance directive" is
often used to describe the two forms which most states recognize
as legally important - the living will and the health care proxy
(or durable power of attorney).
FORGOING LIFE-SUSTAINING TREATMENT: Choosing not to have
specific treatments that would have been expected to extend your
life. This can be done by withholding one or more treatments, which
is a choice not to start the life-sustaining treatment. It can also
be done by withdrawing a treatment once it is started.
HEALTH CARE PROXY: A method of giving another person legal
power to make medical decisions when you no longer can. The written
form used to appoint the proxy is often called a "durable power
of attorney" for health care decision-making.
LAST WILL AND TESTAMENT: A legal document to determine what
will be done with your money, property, and other possessions after
you die. If you do not write a "will," the laws of the
state will determine how your wealth is passed along to family members.
LIVING WILL: A document that indicates an individual's written
instructions for treatment to be used when that individual becomes
unable to express his or her wishes for health care treatment. Often
it's a preprinted form.
PHYSICIAN-ASSISTED SUICIDE: A sequence of events in which
a physician hastens a patient's death by providing the necessary
means (drugs) or information to enable someone to take his or her
own life.
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