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Problems with Advance Directives Sometimes, people change their minds after expressing advance directives and forget to inform others. Many times, advance directives are too vague to guide clinical decisions.

As a Manitoba citizen you have the right to accept or refuse medical treatment at any time. The Health Care Directives Act allows you to express your wishes about the amount and type of health care and treatment you want to receive should you become unable to speak or otherwise communicate this yourself.

Important note: In Ontario, there is no legislation specifically about Advance Care Directives like there is in some other provinces and territories, so there is no legal definition of Advance Care Directives. Instead, the language used by the Ontario Health Care Consent Act, 1996 is ?wishes? with respect to treatment.

Types of Advance Directives The living will. Durable power of attorney for health care/Medical power of attorney. POLST (Physician Orders for Life-Sustaining Treatment) Do not resuscitate (DNR) orders. Organ and tissue donation.

Advance directives include legal documentation such as a living will, power of attorney and do not resuscitate (DNR) orders. The directive documents identify who will make decisions if the patient is unable to and who will be involved in their final care.

The two most common advance directives for health care are the living will and the durable power of attorney for health care.

Advance directives consist of (1) a living will and (2) a medical (healthcare) power of attorney. A living will describes your wishes regarding medical care. With a medical power of attorney you can appoint a person to make healthcare decisions for you in case you are unable to speak for yourself.

What happens if I don't have an advance directive? If you don't have an advance directive and become unable to make medical decisions by yourself, you could be given medical care that you would not have wanted. If there's no advance directive, the doctor may ask your family about your treatment.

The most common types of advance directives are the living will and the durable power of attorney for health care (sometimes known as the medical power of attorney).

Every state has its own Advance Directive forms; there is, however, a growing movement towards the creation of a universal Advance Directive, which would work in all states. In some states, the Living Will and Health Care Proxy forms are combined into a single document; in other states, the forms are separate.