What to include in your advance care directive
A strong ACD covers SDM appointments, values, specific medical preferences, and lifestyle wishes. Here's a structured approach.
A well-drafted advance care directive includes: appointed substitute decision-maker(s), a clear values statement, specific medical treatment preferences, lifestyle and accommodation wishes, end-of-life care preferences, and any cultural or religious considerations. The best ACDs are personal, specific, and regularly reviewed.
Substitute decision-maker appointments
Primary SDM and at least one alternate. For multiple SDMs, specify joint or several operation. Consider the SDM's availability, their understanding of your values, and their ability to make difficult decisions under pressure.
Values and beliefs statement
A personal statement about what matters to you. What does a life worth living look like? What would you want if you were in a persistent vegetative state? What religious or philosophical beliefs should guide care? Vague is fine here – this sets the context for specific decisions.
Specific medical preferences
CPR preferences. Mechanical ventilation preferences. Feeding tube preferences. Pain management preferences (including acceptance of sedation that may shorten life). Preferences for organ donation. Specific refusals of treatment you don't want under any circumstances.
Lifestyle and accommodation
Where you want to live if you need care – at home with support, with family, in specific care facilities. Pet care preferences. Religious or cultural practices that should be maintained. Daily routines or activities that are important to you.
End-of-life preferences
How you want to die – at home, in hospital, in a hospice. Whether you want family present. What music, prayers, or rituals you want. How you want to be remembered.
Regular review
Review every 3 years or when health circumstances change. Specific preferences may change over time – what seemed acceptable at 50 may not at 75. Keeping the ACD current is critical.
Summary
A strong ACD covers SDM appointments, values, specific medical preferences, and lifestyle wishes. Here's a structured approach.
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If this article raised questions for your own circumstances, Sam Michele offers free 20-minute initial consultations. Learn more about our advance care directive service, or book a consultation.
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Disclaimer: This article is general information only and does not constitute legal advice. Estate planning is deeply personal - every family's circumstances are different. For advice specific to your situation, please contact Rosewood Succession Solicitors.