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In cases where there is disagreement, it is often recommended to attempt resolution through discussion and, if necessary, mediation to address conflicting views on the patient's care. If the patient is under a guardian appointed by a court, the decisions of the guardian will be followed.

No one can change your advance directive without your permission. If you want to change it, you can do that, but no one else can do it without your knowledge. Your appointed healthcare agent can make medical decisions for you.

Health care providers can do so when: Your decision is contrary to the conscience of your individual medical services provider. Your decision goes against the policy of the health care institution. Your decision would result in ineffective health care or violates the provider's health care standards.

Almost all states permit advance directives for healthcare, which can be used to direct at least some forms of psychiatric treatment. In the past decade, twenty-five states have adopted specific psychiatric advance directives statutes.

Although all 50 states and the District of Columbia have laws recognizing the use of advance directives, such as a Medical Durable Power of Attorney and a Living Will, there is no unified system for recognizing out-of-state directives.

All fifty states permit you to express your wishes as to medical treatment in terminal illness or injury situations, and to appoint someone to communicate for you in the event you cannot communicate for yourself.

Advance directives need to be in writing. Each state has different forms and requirements for creating legal documents. Depending on where you live, a form may need to be signed by a witness or notarized. You can ask a lawyer to help you with the process, but it is generally not necessary.

Federal law does not require individuals to complete any form of advance directive (and nor do state laws), and it expressly forbids requiring an advance directive as a requisite for treatment.

What is advance care planning? Advance care planning involves discussing and preparing for future decisions about your medical care if you become seriously ill or unable to communicate your wishes.