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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.

Conclusion. To help patients receive the benefit of their legal right to self-determination, nurses must understand not only the PSDA but also the laws of the state in which they practice.Nurses in all fields of practice have an important role to promote patient autonomy and completion of advance directives...

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A living will and a medical power of attorney are the main types of advance directives. If you don't have a living will and a health care agent, a person other than your family member may decide what kind of care you receive. A decision may be made by a doctor who doesn't know you, or it may even be made by the courts.

An advance directive is instructions given by individuals specifying what actions should be taken for their health in the event that they are no longer able to make decisions due to illness or incapacity, and therefore appoints a person to make such decisions on their behalf.

Write down their wishes, preferences and instructions for future health care, end of life, living arrangements and personal matters and/or. appoint one or more Substitute Decision-Makers to make these decisions on their behalf when they are unable to do so themselves.

A medical or health care power of attorney is a type of advance directive in which you name a person to make decisions for you when you are unable to do so. In some states this directive may also be called a durable power of attorney for health care or a health care proxy.