Estate Planning

Dr. Laura Hawryluck

Introduction
1. Change the “No heroics” clause
2. State what values, beliefs or outcomes the person wants to be considered with respect to initiating/continuing a treatment trial or withholding and withdrawing life-sustaining treatments and resuscitation
3. State what values and wishes are to be considered with respect to other potentially needed treatments such as tracheostomy, artificial nutrition, surgical/ interventional radiology treatments, and antibiotics
4. State acceptable treatment outcome considerations with respect to cognitive and/or physical dysfunction
5. Express any wishes with respect to obtaining a second opinion
6. State wishes with respect to organ and tissue donation
7. State any wishes should requests for medical assistance in dying be legalized in the event of loss of capacity
8. If appointing several substitute decision-makers for personal care, state how conflicts ought to be resolved with a view to decision-making
9. Ensure advanced directives are internally consistent with respect to treatment goals
10. Insert a clause providing that the document can be released to the healthcare team upon request, and provide a wallet card to signal the existence of a power of designated substitute decision-maker for personal care
Conclusions

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