Advance directives are legally recognized documents and doctors must respect their known wishes, but doctors can always refuse to comply with their wishes if they have conscientious objection or consider their wishes to be medically inappropriate. But his family can't annul his living will. They can't take away your authority to create your own treatment and care plans. In fact, you always retain the right to override your own decisions.
You can also allow your appointed representative or power of attorney to modify the terms of your living will or revoke a directive. Current law could be interpreted to allow a power of attorney to override an advance directive. However, in all cases, the wishes of a patient must be met, with the necessary capacity. You can change your policies at any time.
If you want to make changes, you must create a new form, distribute new copies, and destroy all old copies. The specific requirements for changing policies may vary by state. Based on the framework, the document argues that it is ethically appropriate for the doctor and daughter to override the patient's previously stated wishes in their advance directive and transfer her to the hospital for surgery. Your doctor will fill out the form based on the contents of your advance directives, the discussions you have with your doctor about the likely course of your illness, and your treatment preferences.
The situation is not an emergency, the benefits of pain relief and quality of life with surgery probably outweigh the harms, advance directives do not fit perfectly, and also give the surrogate mother room for maneuver, and the surrogate represents the best interests of the patient. The Patient Self-Determination Act, enacted in 1991, established the right to articulate end-of-life wishes through advance directives. If you want to take advantage of these changes, you must complete the new form, Advance Health Care Direction. The most ethically problematic cases involve a directive explicitly prohibiting the administration of any life-prolonging treatment, such as resuscitation or intubation with artificial ventilation.
No law or court has invalidated the concept of advance directives, and an increasing number of statutes and court decisions support it. If the new advance directive for health care form is not created, the old living will form will be honored. A legal and ethical analysis of advance directive annulments is provided, as to date no court has awarded damages to plaintiffs who alleged that their loved one suffered an unfair life after a successful life-prolonging intervention. Many people choose to write their agents a letter stating their personal values and desires, feelings about life and death, and any specific instructions, and attach a copy of this letter to their Advance Directive for Health Care form.
The best way to know if your medical team will respect your wishes or not is to talk to them ahead of time. The new form, Advance Health Care Instructions, developed for use, has more detailed instructions and can better express your wishes, so you may want to create a new advance directive document. Companies such as banks, insurance agents, government offices, hospitals, doctors' offices and automobile associations have or may direct you to a notary public. It would be helpful if your agent gave you instructions on life-prolonging intervention, including medically administered food and water (tube feeding), cardiopulmonary resuscitation (CPR), using machines to help you breathe, and organ and tissue donation.
Advance directives can help people communicate their treatment options when they might not be able to make such decisions otherwise. .
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