Advance Directives

Advance Directives

Advance directive is a general term that refers to your verbal and written instructions about your medical care in the future, should you be unable to speak for yourself. Each state has its own law governing the use of advance directives. There are two types of advance directives: living will and durable power of attorney for health care.

Though this is a difficult topic to discuss, it is often helpful for you to make plans long before decisions need to be made. Making these arrangements and decisions before you are very ill can insure that your wishes are clear and followed. It also helps family members when they know your wishes in advance.

Adult patients, over 18 years of age, who are admitted for an overnight stay at Audubon County Memorial Hospital & Clinics can anticipate being asked if they have an advance directive. If you have an advance directive, you should bring a copy of it with you when you come to the hospital. As long as you are able to communicate your own decisions, your advance directives will not be used and you can accept or reject any medical treatment.

Living Will

A living will puts your wishes about medical care at the end of life, into a written statement. Each state dictates when a living will goes into effect and can limit the treatments to which the living will applies. A person’s right to accept or reject treatment is protected by both federal and state laws.

Durable Power of Attorney for Health Care

A durable power of attorney for health care is a document that allows you to appoint someone you trust to make medical decisions for you. In many states, the person you appoint through a durable power of attorney for health care is authorized to speak for you anytime you are unable to make you own medical decisions, not only at the end of life.

Forms to establish advance directives from the Iowa State Bar Association:

NOTE: These are legal forms and it is suggested that you consult with your legal representative to complete.

Iowa Physicians Order for Scope of Treatment (IPOST)

This is a document that was developed to allow you an opportunity to communicate your wishes for life-sustaining treatments, including: resuscitation, scope of treatment, artificial treatment, and more. This is a document that is appropriate when you are an individual who is frail and elderly or if you have a terminal illness. Please ask your physician if this document is appropriate for you.

View PDF of the IPOST Form

Psychiatric Advance Directives

Psychiatric advance directives (PADs) are relatively new legal instruments that may be used to document a competent person’s specific instructions or preferences regarding future mental health treatment, in preparation for the possibility that the person may lose capacity to give or withhold informed consent to treatment during acute episodes of psychiatric illness. Almost all states, including Iowa, permit some form of legal advance directive (AD) for healthcare, which can be used to direct at least some forms of psychiatric treatment.

For more information about psychiatric advance directives, visit the National Resource Center on Psychiatric Advance Directives website.