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He learned that people are most concerned about maintaining their comfort and dignity when they are very sick. This is why the Five Wishes advance directive addresses the personal, emotional, and spiritual needs of a person, not just the medical and legal ones.
1. I direct that I be given health care treatment to relieve pain or provide comfort even if such treatment might shorten my life, suppress my appetite or my breathing, or be habit forming. 2. I direct that all life prolonging procedures be withheld or withdrawn.
There are three main disadvantages to using a living will: Living wills have a limited scope; Living wills rely on physician compliance; Living wills are not always given to health care providers.
Any competent adult over the age of 18 can make a living will. The living will can be made before or after diagnosis of a terminal illness. The living will must be signed in front of two witnesses or a notary public.
Unlike medical power of attorney documents, Five Wishes goes beyond just medical and healthcare topics to express spiritual, emotional and personal wishes. It aims to be a more holistic way of planning for the end of life.
In the state of Iowa, a holographic will, like the one described above, is not enforceable. However, Iowa does recognize a handwritten will as enforceable if it meets both: It is signed by the testator (the person making the will). It is signed in front of two competent witnesses.