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| Living Wills |
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Tuesday, 25 March 2008
Like in any other state in the United States, state laws regulate advanced directives and living wills in Nebraska. In order for you to make one for your future health care, you must not be younger than 19 years old. If in case you are, then you must either be married or divorced. Needless to say, you also need to be of sound mind when drawing up a living will.
In essence, a living will is a written statement expressing the type of treatment you wish to accept or refuse in case you're diagnosed with a terminal condition or fall into a permanent vegetative state. For instance, the document may contain explicit instructions about your lack of interest in receiving tube feedings or other life-support measures.
On the contrary, it may also convey your wishes to get all the possible interventions necessary to keep you alive - even if it means artificially.
Nebraska doesn't specifically have a law concerning Advanced Directives or Living Wills. Nevertheless, the state holds a statute on Health Care Power of Attorney. Under this ruling, a person may appoint an "attorney-in-fact" who may formulate health care decisions on his or her behalf should he or she become incapacitated or ineligible to make informed choices.
In addition, the edict enables the maker to express his or her desires with regard to treatment and compel the "attorney-in-fact" to obey these directions.
The naming of an "attorney-in-fact" should adhere to certain policies under the law of Nebraska. You will need at least two eligible witnesses or a Notary Public to observe the signing of the document.
Nebraska law also stipulates that the following persons are not qualified to act as witnesses in the making of a power of attorney: the maker's spouse, child, parent, sibling, potential heir, known beneficiary, attending doctor, or "attorney-in-fact"; or an employee of a health or life insurance provider. Not more than one representative from the health care facility should be present during the signing.
Even though there is no expressed stipulation in the law of Nebraska regarding the notarization of a living will, it is highly suggested that you do so to make sure that the health team would listen to the voice of the a patient in an emergency condition.
No one in the following list of persons may function as your "attorney-in-fact":
1) Your attending physician;
2) An employee of your attending physician who is not related to you by marriage, blood, or adoption;
3) A person who is not related to you (by marriage, blood, or adoption) and who happens to be an operator/owner or employee of the health care institution you're admitted in;
4) A person who is not related to you (by marriage, blood, or adoption) and is, at the time of appointment, currently acting as an "attorney-in-fact" for ten individuals or more.
You may also choose to make and execute a living will in other states. It would then turn out as a combination of a living will and a declaration of a health care "attorney-in-fact". Just make sure that the directives written in each document do not clash with each other.
The advanced directives and living wills in Nebraska are indeed unique to their state. However, the purpose of these legal documents is universal.
They're all similar in the sense that they enable you to make those crucial decisions before its too late.
Tuesday, 25 March 2008
The policies on New Jersey living wills may bear some resemblance with that of other states in the United States. But for purposes of specificity and just to make sure that things are carried out according to state procedure, it would be best to familiarize yourself with New Jersey laws on the subject of advance directives.
The Basics
The legal term for living wills is Advanced Directive. The Health Care Act of New Jersey had codified this document almost fifteen years ago.
In the state of New Jersey, a living will is deemed as a simple document that needed to be in writing, dated and signed in the presence of two sworn witnesses whose main role is to verify the competence and coherence of the creator and to make sure that no undue influence was present at the time.
Then again, it may simply be acknowledged, signed and dated in the presence of an attorney, a Notary Public, or a person authorized to oversee oaths in New Jersey.
The living will normally takes effect when it is conveyed to the attending doctor who has ascertained the patient's lack of capacity to decide for his or her own medical treatment.
After the document is drawn up, a coherent patient may choose to revoke the directive either by written or verbal notification of the cancellation to the "health care surrogate", attending physician, and other members of the health care team. Just by saying so, the patient has the right and power to change his or her mind any time and for no apparent reason.
How A Living Will Works
In agreement with the conditions of an Advanced Directive, life-support measures may be withdrawn or withheld if the patient: is permanently comatose or in a terminal state, as diagnosed by an attending physician and verified by another qualified doctor; or has a grave and irreversible disease, of which the likely associated risks of the treatment to be withdrawn/withheld may be rationally estimated to prevail over the probable benefits.
With regard to the medical intervention, a person may refuse to receive any if the treatment: is experimental and not yet proven to be effective; is likely to delay an imminent death; or is likely to be unsuccessful in extending life. In addition, the attending physician is permitted by law to give out a "Do-Not-Resuscitate" (DNR) order in conjunction with a patient's living will.
The law also compels the doctor to make confirmatory inquiry with regard to the existence of a living will. In other words, he or she is required to initiate the query and to make a note of it in the patient's medical records. Health care institutions such as hospitals, nursing homes and hospices are also commanded by law to adopt certain policies regarding the application of advance directives. It is also their responsibility to provide suitable informational materials about the subject.
The New Jersey law expressly declares that living wills should not be construed to impair the responsibilities of health care providers to provide for the comfort and care of the patient and to relieve pain or suffering, in line with the time-honored nursing and medical standards.
New Jersey living wills are therefore valuable tools in ensuring that a person actually gets his wishes granted - with regard to medical treatment.
Also, such legal documents saves the immediate families and health care institution from the burden of deciding for incapacitated patients.
Tuesday, 25 March 2008
The two terms living will and living trust may seem a bit vague. Oftentimes, people may even use them interchangeably. However, you have to understand that a living will is certainly different from a living trust. Although both may share a number of similar characteristics, you have to know their exact definitions for you to be able to fully utilize them to your advantage.
Living Will
It is a legal document that states your wishes regarding health care decisions in the event of an unfortunate occurrence such as a terminal illness or a permanent vegetative state. This form of advanced directive will only take effect once you have shown evidence of incapacity to participate in the decision-making process with regard to your medical treatment.
Basically, the policies that govern the making and application of living wills are based on state laws concerning the matter. The statutes may hold differing views from one state to another. So be sure to follow state-specific procedures to avoid conflicts since this is, after all, a lawful document.
Other states may not have particular laws pertaining to living wills. Then again, you may take advantage of the option to appoint a health care surrogate in case you become too ill to participate in making health care decisions for yourself. As the name implies, your surrogate will act and decide on your behalf under the mentioned circumstances.
Living Trust
In essence, a living trust is a written lawful document that partly takes the place of a will. It allows you to place all your assets (i.e. residential properties, bank accounts, or stock shares) in a trust to be administered to your advantage for as long as you live. In the unfortunate event of your death, all your properties will be transferred under the names of your beneficiaries.
Most people opt to appoint themselves as the trustee in command of supervising all the assets of the trust. In this fashion, you can still be in control of your properties even though they've already been put into a trust. On the other hand, you may also assign a successor trustee - either an institution or a person - to administer the trust's assets in case you become unwilling or incapable of performing your duties.
So basically a living trust guarantees that your assets will be handled according to your preferences - that is if you become incapable of managing them yourself. In setting one up, you may initially want to serve as its trustee. However, it would be best if you also select a successor trustee while you're still of sound mind to make the decision.
The trustee may take over the management of all your assets under the mentioned circumstances. And in case you pass away, the successor trustee you have appointed will act similarly to an executor of a will.
The usual functions will include gathering your assets; paying any remaining debts, taxes and claims; and distributing your properties according to your orders. Then again, unlike a will, all of these tasks may be carried out without court approval or supervision.
In comparison to a living will, a living trust is not normally considered a top priority and not everyone would benefit a great deal from it. For instance, a young couple without kids and noteworthy assets do not require the creation of a living trust. People with uncomplicated estate plans may not gain much from it too.
On the other hand, wealthy individuals who prefer court supervision for the management of their estate should steer clear from living trusts.
So you see, a living will and a living trust definitely differ in a lot of ways. The first is usually appropriate for almost anyone, while the latter is typically viewed in a case-to-case basis.
Tuesday, 25 March 2008
Although a lot of people have heard and known about what a living will is and what it is for, not everyone is really familiar with its scope. The saying "knowledge is power" is definitely applicable in such situation. So before you go ahead and draft one for yourself, be acquainted with the contents of living wills first. This way, you would be more knowledgeable about how they can be of assistance to you and your family when that difficult moment turns up.
The most significant aspect of creating a living will would probably be the part that involves deciding what you want to come about in case you fall into a terminal illness or coma. Although you alone can determine what is in fact best for you, with regard to medical treatment, this right can be easily stripped off of you in the face of incapacitation.
Some people would refuse to receive life-prolonging measures if the most wanted quality of life cannot be brought back. Others, however, would prefer the exact opposite. Whichever option a person would choose, let it be known that it is his or her right to come to a decision with regard to health care. Nevertheless, if the ability to communicate his or her preferences is taken away, then that is where the serious difficulty starts - the determination of whether to prolong life the life of a loved one or not.
The wide variety of disabilities leaves the contents of living wills more vulnerable to disputes between doctors, family members and patients. More often than not, people hold different points of view and expectations with regard to serious medical conditions. In addition, some types of permanent infirmities and chronic ailments are more manageable compared to others and should basically be viewed on a case-to-case basis.
A living will should contain the kind of circumstances a person would wish to endure. They should be in writing and should be defined in specific terms using the following criteria: type of illness or injury, severity, and prognosis (particularly pertaining to irreversibility or permanence).
On top of that, the narrative should be comprehensible and purely medical. Steer clear of statements like "I do not want to be in a persistently hopeless state" as they are more unclear compared to straightforwardly saying no to the application of a mechanical ventilator.
In general, it takes a considerable amount of time to precisely determine if a patient will remain in bad shape permanently or if a certain degree of recovery is probable. In a lot of cases, a definitive diagnosis is usually formed after weeks of close observation. A person's medical condition, however, may change without warning - either for the better or for the worse. That is why it is vital not to indicate time restrictions in your living will.
Instead, build your request or refusal for treatment on the possibility of recovery, the probability of enduring discomfort or pain, and the professional opinion of the attending physicians. Other causes of treatment refusal may include the lack of merit for the risk or pain, and the distressing state of treatments (i.e. hemodialysis sessions).
Although the contents of living wills are similar in most cases, the state laws may involve several additions or specifications in the forms. For this reason, it would also be an excellent idea to gain knowledge about state-specific policies.
Tuesday, 25 March 2008
Preparing living wills is not an idea that is readily welcomed by a lot of people. In fact, most folks would even dread facing this task. However, there is something that could somehow alleviate the unpleasantness in the whole situation.
It usually comes in the form of a living will kit, which can provide guidance and assistance in the drafting of a living will minus the distasteful feeling of admitting the possibility of becoming ill to the point of incapacity.
A living will, which is also called an "advance directive", is actually a legal document that declares a person's preferences regarding long-term medical care at the time when he or she is no longer capable of autonomous decision-making. Living wills also come in two varieties: general and statutory.
The general living will asserts a personal wish without being consistent with any accepted standard. In contrast, the statutory will is a lawful form that coincides with the requirements of a particular state law concerning living wills.
Because of the legal implications of making a living will, it is highly recommended to draw up one while you're still well and healthy. A lot of web sites on the Internet in fact offer information about this matter. You may even download free templates for living wills if you want to perform a run through. Just make sure that you seek for professional advice when you actually draft the final one.
The Basic Prerequisites
Since a living will is also considered a personal document, the contents may vary on a case-to-case basis. However, there are essential prerequisites that render it legal.
* Legal competence of the maker/owner of the living will should be established.
* The document should be signed by the maker/owner and two authenticate witnesses. In case the owner/maker is incapable to sign, he or she may ask a representative to do so. The witnesses should also be of legal age (18 years old and over). Also, the representative should not be any of the two observers.
* The date should be indicated and notarization must be done, if the state requires it.
* The directives contained in the living will should be consistent with the laws of a particular state. In general, they should relate to cases wherein the owner/maker has been diagnosed of a terminal disease, or has been comatose for a period that's long enough to be considered permanent and any medical intervention would only function to maintain or prolong the current vegetative state.
As much as possible, you should tell your family or closest friends about your living will. You may even assign somebody to act or make decisions on your behalf in case you become incapacitated.
In addition, copies of the living will should be given to the owner/maker's family members, the attending physician, the hospital/nursing home, and other persons involved in the medical care. A duplicate may also be submitted to a living will registry that will take care of the necessary distribution for a certain fee.
Living wills may also be changed or modified. In case you ever decide to make necessary changes, you should notify and furnish copies to all the recipients of your previous living will. Aside from that, all copies of the former document should be consequently destroyed.
The preparation of living wills is a naturally emotional matter. Even a calm and sensible person may find it difficult to fully concentrate on the task.
That is why it is important to get all the possible assistance - both professionally and emotionally - when drafting a legal document such as this one.
Tuesday, 25 March 2008
Like anything else, making a living will should always start with step one. You can't expect to jump directly to the finish line without going through a number of necessary stages. So launch your Internet browser and look for free living wills online.
The advent of the World Wide Web had really made a lot of things more accessible. In fact, the availability of information about any topic under the sun is just so overwhelming. With regard to living wills, these forms have become easily downloadable from a variety of sources and web sites. On top of that, you may even get the living will forms for free.
Aside from getting hold of a living will form from the different hospitals in your locality, you can also visit their web site in the comfort of your own residence. You can easily get free living wills online, straight from the hospital's web site.
Simply print the form and have a look at it before making your final living will. It usually includes detailed questions on the subject of medical directives. Remember that every person is unique and entitled to formulate his or her own preferences with regard to health care and life support.
Every state has its own set of laws on the topic of living wills. Minor differences may be present yet the general rules and practice remain unchanged. Nevertheless, it is recommended to perform a comprehensive study of the apposite state laws prior to drafting your living will. Various web sites on the Internet actually provide a lot of information and state-specific details about the subject matter.
Parts of the Living Will
Living wills are typically comprised of two distinct parts. The first part indicates when it will be effective and could specify one or more conditions that would serve as the triggering factor. Once the specified condition has been established to be in existence, the living will's second portion will commence.
This section points out what medical treatments are to be given or withheld. A common stipulation is that measures to assuage pain and lessen suffering should on no account be denied to the patient. If you happen to hold the same sentiment, ensure that your living will includes this provision.
Ascertaining the Patient's Condition
The task of ascertaining the condition of the patient is placed in the hands of the doctors. The attending physicians, as well as a medical consultant, should individually examine the patient. The findings should then be documented in the medical chart prior to withholding or withdrawing various life-prolonging measures.
Procedure for Dispute
When an attending doctor's decision to withhold or remove life support measures is called into question, he or she is compelled to continue the provision of treatment. A judicial evaluation of the disputed decision should be sought within a period of seven days; otherwise, the physician may carry on with the medical directive as stated in the patient's living will.
Although life-prolonging measures may be withheld in the absence of a living will, drafting one will guarantee that these decisions are formulated based on the expressed desires of the patient, and not merely derived from the collective opinions of his or her immediate family.
To save your loved ones from the burden and pain of making difficult determinations for your medical care, start off with that first step of getting free living wills online.
Tuesday, 25 March 2008
Illness, severe injury and death are delicate subjects that are not easy to talk about. The main thing though is that by preparing in advance you can make sure that you receive the kind - or extent - of medical treatment you want.
If you want to take full advantage of the benefits of living wills, you should at least have a serious talk with your family, your close friends and your doctor. The most excellent approach would be to discuss these matters in a reassuring and factual manner.
The important conversation should include your philosophy about health care and the things you would want done in certain situations. In case your wishes are faced with intense moral opposition from your immediate family and/or friends, you may consider selecting or appointing someone more in line with your point of view as your health care surrogate. In this way, you will be assured that your surrogate will make decisions that are in accordance with your beliefs.
On the other hand, if you want to speak to your family or friends with the proposition that they also create a living will, be sure to prepare a good explanation to back it all up. You should put in plain words the importance of planning ahead and how these documents could be of assistance in very bad situations.
Without living wills, families could be torn apart and wrecked emotionally while trying to reach a consensus about what would be best for their seriously ill loved one. If this possibility seems unbearable for you to picture out, then make your mind up about whether to create a living will or not. You can never tell what will happen to you a year from now, next month, or perhaps tomorrow. So you might as well be safe than sorry for not making the right choice as early as possible.
Taking Care of the Paperwork
Since these documents are supposed to be legally binding, make sure that everything is put in writing. Every state has its own set of policies regarding this matter. The law in one state, concerning living wills, may not be consistent with that of another state.
You can get hold of the proper forms through your doctor or your health care provider. You can also visit various sites on the Internet to procure state-specific forms, complete with instructions on how you should properly fill them out. In addition, a variety of organizations - such as the National Hospital and Palliative Care Organization - also offers appropriate living will forms that are free of charge.
Then again, if you don't mind shelling out some cash, you may seek advice from an attorney about this matter. This can be a wise move, especially if you have plans of transferring to another state - with a different set of rules concerning such legal documents.
Once you have completed the proper forms, hand copies of the living will to your immediate family members, friends, and family doctor. If you have appointed your own health care surrogate, don't forget furnish him or her with a copy as well.
On no account should living wills be stashed in a safe deposit box. Doing so will only make it harder for your loved ones to get hold of the document when the need arises.
Tuesday, 25 March 2008
A living will, in essence, outlines the type of medical care you wish to include or exclude in the event that you become too ill to actually make an autonomous and informed decision. The directives may consist of your desire not to be given cardiopulmonary resuscitation in case of a cardiac or respiratory arrest.
You may even indicate your request not to receive tube feeding. Then again, it would be a good idea to be informed of the pros and cons of living wills prior to actually drafting one.
Pros Of Living Wills
Since living wills are considered to be legal documents, they need to be signed in the attendance of witnesses. Some states in the U.S. even require the presence of a Notary Public during the signing session. The very obvious importance of making a living will lies in the fact that this legally binding piece of document sheds light on what you - as the patient - want to happen in case something bad occurs and you become too unwell to the point of incapacity.
The phrasing in a living will, however, is meant to be rather vague so as to encompass a wide array of circumstances. In spite of this degree of ambiguity, you would be surprised to know how difficult the situation would be if you did not have one. Needless to say, the apparent beneficiary of this legal document is none other than you - the owner/maker.
In the nonexistence of a living will, some states necessitate the appointment of a patient advocate - someone who would essentially perform the decision-making in behalf of the patient. This individual, also known as the surrogate, may be a spouse, a family member, or a significant and trusted person.
The situation may be a bit different if you have previously drafted your own living will. The indecisiveness in the air during family visits may be assuaged due to the fact that you have already summarized your wishes concerning life support and other health care measures.
In addition, it is never too early to make a living will. For as long as you have reached a legal age and have established the mental capacity to draw out one, then you can go ahead and specify your wishes for the health care provider to follow. Always remember the inevitability and unpredictability of life. It is definitely better to be geared up than to endure the consequences.
Cons Of Living Wills
The cons of living wills involve a certain number of limitations and conflicts. For instance, the vague use of terms may often lead to differing interpretations. You may perceive the directive of "no heroic measures" to encompass artificial nutrition, while a doctor may not view the phrase in that same light.
In addition, living wills only become active when a person is diagnosed of a terminal illness, or when he or she has become incapacitated. Accordingly, physicians may dispute about whether or not a patient's condition falls under any of these valid categories.
Without the required diagnosis, the individual may continue to receive medical treatment that would have been in contrast to the directive if it were to take effect. That is why a lot of people opt to be more specific in the use of words for their living wills.
The pros and cons of living wills should always be taken into account when making one. Remember that you will only be able to improve the draft after you have considered the negative aspects of the situation, as well as the possible ambiguities in the document.
Tuesday, 25 March 2008
Making an advance directive should be viewed as more than just filling out the correct living will forms. The amount of time you spend mulling over the type of care you want - or do not want - and talking about your wishes with your family and friends is definitely more important than merely writing check marks on appropriate boxes.
The written document is without a doubt an excellent way to remember and keep a note of your health care preferences. However, on no account can it substitute for the time spent in discussing those choices with your immediate family members and loved ones.
When you are mentally and emotionally ready to make a living will, keep in mind that every state has a different law - and at times, a unique form - with regard to this type of advance directive.
Although it is typically not obligatory to seek for the help of a lawyer when preparing such legal document, you may want to consider consulting one if you have any particular concerns about the matter. You may also confer with an attorney in case the various living will forms you have procured do not suit your needs.
The contents of the living will form is also as important as procuring the proper form. So give your health care decisions a considerable amount of thought before putting them on paper. Nonetheless, you can always change or add more specific instructions anytime you want to.
After the completion of a duly signed and dated living will form, think about enlisting it with the U.S. Living Will Registry. In this way, your medical treatment choices will be accessible to your family and your health care provider whenever and wherever considered necessary.
By nature, a living will form is filled out ahead of the precise time it will be needed by its creator. Preparing in advance, however, can lead to two possible problems: looking for a safe but accessible storage space for the document, and making certain that it still mirrors your wishes even if it has been stored for 15 years or so.
The possible problems indicate the necessity for a central storage area that can provide fast and easy access to living wills. Needless to say, it has to maintain both confidentiality and privacy.
Common Sources of Living Will Forms
The most obvious place to look for living will forms would be at your local hospital. The United States federal law commands all health care facilities to provide advance directives information to residents in their communities - including information regarding state-specific statutes. You may get hold of a living will form by getting in touch with the Social Service Department or Patient Representative of the hospital.
If you prefer to conduct your search online, then try visiting the web site of the American Bar Association. The site can provide you with much-needed information about living wills and a long list of excellent resources.
You may also go traditional by seeking advice from an attorney. Private legal firms that deal with advance directives can usually furnish you the proper living will forms.
Then again, doing so would require you to shell out some cash. If you don't that at all, then this would be an excellent way to make a living will.
Tuesday, 25 March 2008
The concept of living wills may not be very clear to a number of people. Some may even equate it with the "last will and testament", which is a totally different type of legal document. In point of fact, a living will is more analogous to a "power of attorney".
Its primary purpose is to make it possible for you - the maker or owner - to formulate decisions in advance with regard to medical treatment or life support, and lawfully command the health care team to carry out your wishes in that regard.
Because of the presence of numerous advances in the field of medicine and health care, doctors are now capable of sustaining life - even if it means being in a permanently vegetative condition. This is one of the reasons why living wills have become such a necessity.
Not all people actually like the idea of remaining in an almost lifeless state for an indefinite period of time. More often than not, the notion of extending life even when death is just round the corner seems excruciating for both the family and the patient. It's like one way of prolonging the suffering.
A living will makes it possible for you to decide whether life-sustaining measures and medical treatment should be continued or withheld. The directive may also include the refusal to take artificial feeding. Aside from that, you may even express other specific wishes before you become incapacitated to make decisions for your health care.
In order for the living will to be legally binding, the appropriate form must be utilized and it must be accomplished in conformity with the state laws on the subject of living wills. A number of states require the presence and signatures of two valid witnesses, the attendance of a Notary Public, or both.
In case the living will form necessitates the appointment of a patient advocate, he or she must not be any of the two witnesses. Your advocate should carry the burden of deciding for your health care and medical treatment in the unfortunate event of your incapacity to make the decision for yourself.
This person is also known as a health care representative. He or she may be a spouse, a daughter or son, a family member, a friend, or any significant person that you absolutely trust.
In essence, a living will becomes effective when the creator is no longer capable of making decisions with regard to medical treatment. It may be in the face of a terminal illness, permanent unconsciousness or coma, inability to communicate, mental incapacity, or vegetative condition.
In the event of any of these situations, the health care provider - a hospital, a hospice, or a nursing home - must be provided with a copy of the advance directive. The instructions contained within the legal document will serve as the basis for the continuation or withdrawal of medical treatment and other life-sustaining procedures.
The health care team, specifically the attending physicians, is legally bound to follow the directives indicated on a living will. However, although it is considered a legal document, the maker may revoke or change the contents of the will provided that it is carried out prior to becoming debilitated.
On top of that, the proper procedures for the revocation of living wills should be followed to make the act official.
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