Tricky Names for Health Care Directives
The different names of health care documents can create a lot of confusions for client and their families. Let’s look at the 3 types of health care documents.
TYPE ONE
Advanced Directive
Patient Advocate Designation
Durable Power of Attorney for Health Care
These are all the same documents. They accomplish 2 things. First, the designate someone to speak on your behalf if you ever become incapacitated. Second, they state your wishes regarding life support.
In more than 20 years in practice, I can’t recall ever having a client ask me for an Advanced Directive that didn’t make it clear that they did not want life support if there was no chance of recovery.
TYPE TWO
Living Will
This is perhaps the one name for a document that causes more confusion than any other. All a living will is a directive regarding life support. It does only half of what an advanced directive should do. It is not a will. It is not a Living Trust. I try to avoid both the use and title of this document in my practice. It is not unusual for me to field a call from a family who just lost a parent. I will ask whether there was a will or trust. The child may say yes - when they are really talking about nothing more than a Living Will - which accomplishes nothing once a person has died.
TYPE THREE
DNR or Do Not Resuscitate Order
No Code Order
These likewise can cause confusion. Many people will ask me to prepare a DNR when they are still young and healthy. They are confusing it with an advanced directive.
A DNR is a short statement, usually only a couple of sentences long, that says you refuse all treatment except pain management. It is typical signed when a patient begins hospice. It is an essential document that instructs caregivers not to resuscitate you when your health fails.
Every person over 18 years of age should sign a Type One advanced directive, give a copy to their family, their primary care physician - and anyone concerned about their care. They should carry a wallet card directing medical personal how to obtain a full copy of this important document. We can assist anyone in getting one prepared, and if they have limited means - can direct them to a free form offered by the State of Michigan - while not perfect, is so much better than not having one.