What You Need to Know About Advance Directives

Advance Medical Directives are written instructions regarding your medical care preferences. If you become unable to make or articulate your own decisions, advance directives tell family and caregivers how to proceed with your health care and who is designated to make decisions on your behalf (your health care agent). Once complete, advance directives must be signed, dated and witnessed.

Types of Advance Directives

There are three types of advance medical directives, each with its own unique function:

• A living will stipulates the life-prolonging medical care you want to receive if you become terminally ill, permanently unconscious or otherwise unable to make your own decisions.
• A durable power of attorney for health care specifies your health care agent – the person you've designated to make your medical choices if you are unable to do so at any time, not just at the end of life.
• A Do-Not-Resuscitate (DNR) order instructs health care professionals not to administer CPR or advanced cardiac life support if your heart or breathing stops. Only treatments involving intubation or CPR are affected by the directives of a DNR.

Vial of Life

Vial of Life is a national program that promotes the importance of keeping your health information up to date and easily accessible to emergency personnel. This airtight container holds documents with your personal and emergency contact information, medical history, current medication list, DNR and a copy of your living will (if applicable). The Vial of Life fits inside your refrigerator or freezer door and includes a decal to place on the outside so emergency personnel know it's there.

To request a Vial of Life from Visiting Nurse Association, call 816-531-1200 or contact us online.

Preparing Your Advance Directives

Things to think about when preparing your advance directives:

• Understand life-saving measures like resuscitation, medical ventilation, nutrition and hydration assistance and dialysis. Decide which treatment(s) you would want, if any.
• Your advance directive can specify your wishes with regard to organ, eye and tissue and body donation.
• Each state sets its own laws for advance directives. State-specific forms are available on caringinfo.org.
• Give copies of your completed advance directives to your physician, health care agent and family.
• Review your advance directives periodically. You may change your advance directives at any time.
• Unexpected end-of-life situations can occur at any age, so it's important for anyone over 18 to have advance directives in place.