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Healthcare Directives in Renton, Washington


At Duncan Law PLLC, we understand the importance of ensuring your healthcare wishes are respected, even when you can't communicate them yourself. This guide aims to answer all your questions about Healthcare Directives in Washington State.
 

What is a Healthcare Directive?


A Healthcare Directive, also known as an Advance Directive or Living Will, is a legal document that outlines your wishes for medical treatment if you become incapacitated and unable to make decisions for yourself. In Washington State, this document is officially called a "Health Care Directive."
 

Why Do I Need a Healthcare Directive?


A Healthcare Directive is crucial because it:

  1. Ensures your medical wishes are followed

  2. Relieves your loved ones from making difficult decisions

  3. Provides clear instructions to healthcare providers

  4. Reduces potential conflicts among family members

  5. Gives you peace of mind
     

What Does a Healthcare Directive Cover?


A Healthcare Directive in Washington State typically addresses:

  • Use of life-sustaining treatments

  • Pain management and comfort care

  • Artificial nutrition and hydration

  • Organ and tissue donation

  • Specific medical conditions and treatments
     

How is a Healthcare Directive Different from a Durable Power of Attorney for Healthcare?


While both are important documents, they serve different purposes:

  • Healthcare Directive: Specifies your wishes for medical treatment

  • Durable Power of Attorney for Healthcare: Appoints someone to make medical decisions on your behalf
     

It's often beneficial to have both documents as part of your comprehensive healthcare planning.
 

Who Can Create a Healthcare Directive in Washington State?


To create a valid Healthcare Directive in Washington, you must be:

  • At least 18 years old

  • Of sound mind (mentally competent)

  • Acting voluntarily
     

How Do I Create a Healthcare Directive in Washington State?


To create a valid Healthcare Directive:

  1. Clearly state your healthcare wishes in writing

  2. Sign and date the document

  3. Have your signature witnessed by two individuals, or have it notarized
     

While not required, it's highly recommended to work with an experienced attorney to ensure your directive is comprehensive and legally sound.
 

What Specific Medical Treatments Can I Address?


You can specify your wishes regarding:

  • Cardiopulmonary resuscitation (CPR)

  • Mechanical ventilation

  • Tube feeding

  • Dialysis

  • Antibiotics or antiviral medications

  • Palliative care

  • Organ and tissue donation
     

Can I Include Do Not Resuscitate (DNR) Orders in My Healthcare Directive?


Yes, you can include DNR orders in your Healthcare Directive. However, for immediate effect in emergency situations, consider a separate DNR order form recognized by emergency personnel.
 

How Specific Should I Be in My Healthcare Directive?


It's important to be as specific as possible while also providing general guidelines. Consider addressing:

  • Quality of life factors important to you

  • Specific medical conditions you may be at risk for

  • Cultural or religious beliefs that impact your healthcare decisions

  • Your definition of "extraordinary measures"
     

Can I Change or Revoke My Healthcare Directive?


Yes, you can modify or revoke your Healthcare Directive at any time, as long as you're mentally competent. To revoke:

  1. Destroy all copies of the old document

  2. Create a new Healthcare Directive

  3. Inform your healthcare providers and loved ones of the changes
     

How Often Should I Review My Healthcare Directive?


It's wise to review your Healthcare Directive:

  • Every few years

  • After major life events (marriage, divorce, significant health changes)

  • If your healthcare wishes change

  • If there are advancements in medical treatments relevant to your situation
     

Do I Need to Register My Healthcare Directive in Washington State?


Washington State does not have an official registry for Healthcare Directives. However, you should:

  1. Keep the original in a safe, accessible place

  2. Give copies to your healthcare providers

  3. Provide copies to your designated healthcare agent and family members

  4. Consider carrying a wallet card indicating you have a Healthcare Directive
     

Will My Washington State Healthcare Directive Be Recognized in Other States?


While many states honor out-of-state Healthcare Directives, laws can vary. If you spend significant time in another state, consider creating a Healthcare Directive that complies with that state's laws as well.
 

What Happens if I Don't Have a Healthcare Directive?


Without a Healthcare Directive:

  • Healthcare providers may be obligated to use all available treatments to prolong life

  • Your family members might have to make difficult decisions without knowing your wishes

  • There could be disagreements among family members about your care

  • A court might have to appoint a guardian to make decisions for you
     

Can Healthcare Providers Override My Healthcare Directive?


Generally, healthcare providers must follow your Healthcare Directive. However, there are some exceptions:

  • If your wishes violate the healthcare facility's policies

  • If the provider believes you've changed your mind since creating the directive

  • If you're pregnant (some directives may not be followed)
     

How Does a Healthcare Directive Interact with POLST in Washington State?


A POLST (Physician Orders for Life-Sustaining Treatment) form complements your Healthcare Directive:

  • Healthcare Directive: General statements about your end-of-life care wishes

  • POLST: Specific medical orders for current health conditions

Both documents work together to ensure your wishes are respected.
 

Can I Specify Organ Donation in My Healthcare Directive?


Yes, you can include your organ donation wishes in your Healthcare Directive. However, it's also recommended to register as an organ donor with the state and inform your family of your wishes.
 

How Do I Ensure My Healthcare Directive is Followed?


To increase the likelihood your Healthcare Directive is followed:

  1. Discuss your wishes with your family and healthcare providers

  2. Choose a reliable healthcare agent (if using a Durable Power of Attorney for Healthcare)

  3. Keep your document updated

  4. Make copies easily accessible to relevant parties

  5. Consider using a service that stores and provides 24/7 access to your directive
     

Can I Include Preferences for Mental Health Treatment?


Yes, you can include preferences for mental health treatment, including:

  • Preferred medications or treatments

  • Facilities you prefer or want to avoid

  • Interventions you consent to or refuse
     

How Does a Healthcare Directive Affect End-of-Life Care?


Your Healthcare Directive can specify your preferences for end-of-life care, including:

  • Hospice care

  • Place of death (home, hospital, hospice facility)

  • Spiritual or religious practices

  • Who you want present in your final moments
     

Why Choose Duncan Law PLLC for Your Healthcare Directive?


At Duncan Law PLLC, we offer:

  • Extensive experience in Washington State healthcare law

  • Personalized service tailored to your unique needs

  • Comprehensive estate planning solutions

  • Clear communication throughout the process

  • Ongoing support for updates and changes
     

Don't leave your healthcare decisions to chance. Contact us today to create a Healthcare Directive that ensures your wishes are respected.
 

Phone: 206-237-7714

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