Why You Need a Healthcare Directive-Even If You’re Healthy
Many people think of a Healthcare Directive as something only older adults or people with serious illnesses need. In reality, it’s an important document for everyone over the age of 18-including healthy, active individuals. Life can change in an instant, and having your health care wishes documented ensures that your voice is heard, even if you can’t speak for yourself.
A Health Care Directive (sometimes called an “advance directive” or “living will”) gives you the power to:
- Name a trusted person to make health care decisions on your behalf if you’re unable to do so.
- Provide instructions about the types of medical care you want or do not want.
- Reduce family stress and conflict during medical crises by providing clear guidance.
Why It Matters-Even for the Healthy
Emergencies don’t discriminate. A car accident, sudden illness, or unexpected surgery could leave you unable to communicate. Without a directive:
- Doctors must rely on state law to determine who makes decisions-which may not align with your preferences.
- Family members may feel pressured to make life-altering choices without knowing your wishes.
- Disagreements among loved ones can cause emotional strain at an already difficult time.
Having a directive in place is a gift to your family-it removes uncertainty and gives them the confidence that they’re honoring your decisions.
Information You’ll Need to Get Started
Creating a Health Care Directive is simpler than many people think. Before you begin, gather:
Your Health Care Agent’s Information
- Name, contact information, and relationship to you.
- Consider choosing an alternate agent in case your first choice is unavailable.
Your Care Preferences
- Do you want all life-sustaining treatments if there’s little chance of recovery?
- Are there specific treatments or interventions you want to refuse (e.g., feeding tubes, ventilators)?
- Your wishes regarding pain management, organ donation, and end-of-life care.
Your Personal Values
- Religious, cultural, or personal beliefs that should guide your care.
- Quality-of-life considerations-what makes life meaningful to you?
Medical Information
Current medical conditions, allergies, and medications.
Key Terms to Know
Health Care Agent (Proxy, Surrogate)– The person you name to make health care decisions for you if you cannot communicate.
Living Will-The part of a directive that outlines your medical treatment preferences.
Do Not Resuscitate (DNR) Order-A medical order indicating you do not want CPR if your heart stops.
Life-Sustaining Treatment-Medical procedures that prolong life but may not cure your condition (e.g., ventilators, dialysis).
Palliative Care-Comfort-focused care aimed at relieving symptoms, not curing illness.
Advance Directive-An umbrella term that can include a Health Care Directive, Living Will, and other instructions about about future medical care.
Case Study: Planning Ahead Plays Off
Maria’s Story
Maria, a healthy 32-year-old, was an avid runner with no medical issues. During a vacation, she was in a car accident that left her unconscious for several days. Because she had completed a Health Care Directive the year before, her designated health care agent-her sister-could immediately make decisions based on Maria’s clearly written wishes.
- Her directive stated she did not want prolonged life support without a reasonable chance of recovery.
- Her sister was able to communicate this to the doctors, avoiding family disagreements and ensuring Maria’s wishes were honored.
Maria recovered, but her family later reflected that the directive removed an immense burden during an incredibly stressful time.
Final Thoughts
A Health Care Directive is not just for those who are ill-it’s for anyone who wants control over their medical care and peace of mind for their loved ones. Taking the time now to create one can make all the difference later.
If you’re ready to get started, consider working with an attorney to ensure your directive meets your state’s legal requirements and fully reflects your wishes.