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VA Cincinnati Medical Center
A member of The VA Health Care System of Ohio (VISN 10)

Advance Directive

The staff at the Cincinnati VA Medical Center respects the choices and concerns you have about your health care. Your doctor and treatment team are available to explain your treatment options and listen to your preferences and concerns. There may come a time when you are unable to decide or tell us what you want. You have the opportunity now to make some decisions ahead of time. You can tell us in writing about the kind of care you would want if you could not speak for yourself. You do this through an Advance Directive.

 

What is an Advance Directive? An Advance Directive is a written document that explains the health care you want to receive if you cannot or choose not to make your own decisions. There are two kinds of Advance Directives:
1. A Living Will (also known as health care instructions) lets you state in advance what kind of care you would want or not want if there comes a time when you cannot make these decisions for yourself.
2.

A Durable Power of Attorney for Health Care is used to appoint a person you trust to make health care decisions for you when you cannot or choose not to make your own decisions. This person is called a proxy or a health care agent. Who can be my proxy? It should be someone you trust–a spouse, parent, adult child, friend, or other family member. Whoever it is, you should talk to them about your concerns and wishes, what kinds of treatments you would want or not want. You and your proxy cannot know all of the questions that might come up in the future, so you'll want your proxy to know what you value most in life and how this reflects on the type of care you would choose for yourself.

 

What happens if I do not have an Advance Directive? If you can no longer make decision about your health care, your doctor will ask your next of kin, family, and friends what they believe you would want. These decisions are not easy to make. They can cause great stress in families that haven't taken the time to discuss these matters ahead of time.

 

How do I go about making an Advance Directive? At the Cincinnati VA Medical Center, the best place to begin is with one of our social workers. Just ask to see your team social worker. The social worker has the experience, knowledge, compassion, and the forms to help you create your own Advance Directive. What other help is available? Our medical center has resources to help you write your Advance Directive. These include video programs on VA TV or in the Patient Education Center on the first floor. Doctors and nurses can answer your medical questions. Social Workers are available for counseling. Chaplains are available for spiritual concerns. Copies of our medical center's Advance Directive policy and procedure are available.


Can my Advance Directive be changed?
Yes, but only by you. You may change or cancel it at any time. You can do this by simply telling your doctor, but it is better to write a new Advance Directive. Be sure to tell your proxy and others concerned with your health care. Once you have an Advance Directive…An Advance Directive is only effective if it is shared with those who need to know. It must be part of your medical record. Make copies for your doctor(s), your proxy, your own records, and for anyone else concerned with your health care.