If you’re unable to communicate about your healthcare or treatment, an advance directive is a written document that conveys your wishes or allows a medical decision maker to speak on your behalf.

 

Types of advance directives

There are several types of advance directives, so you may have more than one.

  • Living will: A document that outlines your wishes should you be extremely ill or dying. It guides physicians in directing your medical care.
  • Appointment of a healthcare surrogate: Tells others who you wish to represent you if you’re unable to communicate. You should choose someone who knows and understands your preferences, values and views.
  • Durable power of attorney for healthcare: A legal document used to name someone to make healthcare decisions for you.

 

Advanced directive form

The Patient Self-Determination Act requires that we ask you whether you have an advance directive or would like to execute an advance directive when you’re admitted to Keralty Hospital.

1.5-A Advance Directives Form English.pdf

 

Other resources

Florida Department of Elder Affairs

Florida Hospices and Palliative Care

The American Geriatrics Society

The AGS Foundation for Health in Aging

Caring Connections