Living Will and Durable Power of Attorney for Health Care. What
is the difference?
A Living Will is a legal document addressing only deathbed
considerations; a client unilaterally declares his/her desire
that life-prolonging measures be discontinued when there is no
hope of ultimate recovery.
On the other hand, people use a Durable Power of Attorney for
Health Care to appoint someone to make all healthcare decisions,
limited by certain elections regarding deathbed issues.
The client must be at least 18 years old and mentally competent
at the time he/she executes either document but incompetent to
participate in the decision-making process when either is
implemented. It is important to remember that both documents are
only applicable if the client is incompetent.
Under the a Living Will, a client declares that if he/she is
certified to have an incurable, terminal injury/illness and/or
to be permanently unconscious by two examining physicians
(including the client's attending physician), that artificial
life-support systems be withheld or disconnected. The client may
also elect to discontinue artificial nutrition and hydration
(intravenous feeding) by so designating on the form. (Find more
information at: legalhelper.net/living-will.aspx)
Under the Health Care Power of Attorney, the client makes three
separate and independent elections authorizing the agent:
1.To direct disconnection of artificial life-support systems in
the event of terminal illness;
2.To direct disconnection of artificial life-support systems in
the event of irreversible coma; and
3.To direct discontinuation of artificial nutrition and
hydration.
In addition, the Health Care Power of Attorney form provides a
space for the client to set forth any specific medical,
religious or other desires concerning his/her health care. The
client may also use this section as a backup source for organ
donation. (Find more information at:
legalhelper.net/power-of-attorney.aspx)
Both documents are signed in front of two witnesses and a notary
public or a justice of the peace who acknowledges the client's
signature. The witnesses to a Living Will are sworn by the
notary public/justice of the peace and indicate that the client
is at least 18 years of age and signed the instrument as a free
and voluntary act.
The Living Will witnesses may not be the client's spouse,
attending physician, heirs-at-law or person with claims against
the client's estate. The Health Care Power of Attorney witnesses
may not be the designated agent, the client, spouse or heir or
person entitled to any portion of the client's estate upon death
under Will, Trust or operation of law.
People are frequently confused as to why both a Living Will and
Health Care Power of Attorney are necessary or appropriate.
The Living Will is helpful as a backup document: In the event
that the client enters an irreversible coma and the health care
agents designated in the Health Care Power of Attorney are
deceased or unloadable, the Living Will sets forth the desires
of the client concerning his/her death-bed treatment which may
be followed by attending physicians. The law provides that to
the extent that a Durable Power of Attorney conflicts with a
Living Will, the Health Care Power of Attorney controls.
Copies of both the Durable Power of Attorney for Health Care and
the Living Will are forwarded to the client's primary care
physician for inclusion in medical records.
Both documents are revocable through normal revocation
procedures.