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Care at the End of Life - Important Decisions

Many important decisions can be made about the care you want to receive at the end of life while you are active and able to communicate your wishes. By making arrangements in advance, valuable time can be used to spend time with loved ones.

Communicating your health care decisions

By completing an advance directive, which documents your health care preferences, you can help ensure your wishes will be respected if you become unable to communicate for yourself.

An advance directive can always be changed as your personal needs and goals change. Advance directives include:

  • A living will, which is a legal document that expresses your wishes for medical care if you become unable to speak or make decisions for yourself. It allows you to keep control over your medical treatment decisions at the end of life. Check the laws governing living wills in your state. When considering some of the more difficult end-of-life decisions, it may help to think about what kinds of medical procedures you would or would not want.
  • A medical power of attorney (or durable power of attorney for health care), which allows you to legally appoint a health care agent (also called a health care proxy) to make medical treatment decisions for you, not only at the end of your life but any time you are unable to speak for yourself. You can and should make decisions about your medical treatment for as long as you are able to make and communicate them. But when this is not possible, your health care agent can use both the written information in your living will plus what he or she knows about you personally to make decisions about your medical treatment.

For more information on choosing a health care agent and writing an advance directive, see:

Organ donation

Organ donation is another important decision to consider at the end of life. Many people need organ transplants because of medical conditions such as kidney failure, cornea disease, or heart failure. After your death, you may be able to donate certain organs depending on their condition. Talk to your doctor about whether your illness allows you to be an organ donor.

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