Do You Have Someone Who Will Advocate For You?
By Rick L. Law of the Estate, Asset and Retirement Tax Attorneys at Law Elder Law in west suburban Aurora, Illinois. Older adults have often lamented of doctors and/or hospital staff who ignored the wishes of a loved one, and proceeded with pursuing life-prolonging care. Even when they had insisted that their loved one did not want life-prolonging treatment, a doctor nevertheless ordered feeding tubes, ventilators, and other life-prolonging measures. It is through my encounters with these individuals that I have discovered that these situations can and do happen. Part of of my philosophy of end-of life planning is to help my clients to ensure that their wishes will be adhered to. I once taught a two-hour continuing education course about advance directives for an audience of hospital administrators, nurses, and social workers. “Advance directives” are documents such as the Living Will, the Do Not Resuscitate Order (DNR), and the Health Care Power of Attorney. A primary goal for people who sign these forms is to avoid unwanted resuscitation and other “heroic measures” when there is no hope of recovery and returning to an enjoyable life. Unfortunately, studies show a “lack of regard” for a patient’s preferences in life-sustaining treatment decisions by doctors and hospital staff. This trend is quite frightening. “Despite patients’ wishes, the indiscriminate use of technology and the lack of communication between patients and health care providers have been shown to result in unnecessary pain and suffering for patients.” (ncbi.nlm.nih.gov) In addition, the study notes that the medical costs of prolonging a dying patient’s life via artificial ventilation and intensive care often range between $11,000 and $36,000. It has been demonstrated that 46% of dying patients received mechanical ventilation in the last three days of their lives. Many of those individuals never wanted to be on a ventilator—yet they live on in a state of hopeless suffering because of their physician’s decisions. What can you do to prevent this scenario from happening to you or someone that you love?
- Create a written advance directive such as a Health Care Power of Attorney, Living Will, and/or a Do Not Resuscitate Order (DNR) in appropriate circumstances;
- Insist that your advance directives are placed in all of your medical records and that your physician is well aware of the existence of such documents;
- Have “the talk” with your family and doctor to make sure that everyone is very aware of your feelings regarding life-sustaining treatment in the event there is no hope of recovery. This will allow you to get all of your family members “on the same page”; and
- Choose an “advocate” as your Health Care Power of Attorney and/or surrogate decision maker. That advocate is someone who can look a medical professional in the eye and insist that your wishes be carried out. I recommend that you look through your family and friends and choose someone who can insist that your desire regarding life-prolonging treatment be respected by the medical profession.