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ðŸĨMy Medical Wishes

This isn't a legal advance directive — it's something your family can actually read and understand. It puts your medical preferences in plain language so the people who love you know what you'd want if you can't speak for yourself. You should still complete the legal forms with your doctor, but this makes sure the spirit behind your wishes is crystal clear.

1

General Preferences

Start with the big picture. What is your overall philosophy about medical care? What matters most to you — quality of life, length of life, or something else?

My overall philosophy about medical care is [your view, e.g., 'I value quality of life over quantity. I want to be treated aggressively if there's a reasonable chance of recovery, but I don't want to be kept alive artificially if there's no meaningful hope.']. What matters most to me: [e.g., 'Being able to recognize my family. Being free from severe pain. Maintaining my dignity.']. What I fear most: [e.g., 'Being in pain with no relief. Being a long-term burden on my family. Losing my ability to think clearly with no chance of it returning.']. General guidance: [e.g., 'If the doctors say there's a reasonable chance of recovery, fight. If they say I'll never be myself again, let me go peacefully.'].

2

Life-Sustaining Treatment

Be specific about your wishes regarding machines, feeding tubes, resuscitation, and other interventions. Your family needs clarity, not ambiguity.

CPR (resuscitation): [Your wish, e.g., 'Yes, if there's a chance of meaningful recovery. No, if I'm terminally ill or in an irreversible condition.']. Ventilator/breathing machine: [e.g., 'Acceptable for a short trial period (days, not weeks). If I can't breathe on my own after [timeframe], remove it.']. Feeding tube: [e.g., 'Short-term is okay for recovery. Long-term artificial nutrition — no. If I can't eat on my own and won't recover, let nature take its course.']. Dialysis: [Your preference]. Antibiotics for infection: [e.g., 'Yes for treatable infections. If I'm already in the final stages, I don't want aggressive treatment — focus on comfort.']. Note: [e.g., 'These wishes apply when there's no reasonable expectation of recovery. If recovery is possible, I want full treatment.'].

3

Comfort and Pain Management

What are your wishes about pain control and comfort care? How do you feel about sedation, hospice, and where you'd like to spend your final days?

Pain management: [e.g., 'I want to be as comfortable as possible, even if pain medication shortens my life or makes me less alert. Freedom from pain is my priority.']. Sedation: [e.g., 'If I'm in severe distress and nothing else works, palliative sedation is acceptable to me.']. Hospice care: [e.g., 'Yes — when the time comes, I'd prefer hospice care focused on comfort rather than continued aggressive treatment.']. Where I want to be: [e.g., 'At home if possible. Surrounded by family, not machines. If home isn't feasible, a hospice facility rather than a hospital.']. Comfort measures: [e.g., 'Music playing softly. Family present but not feeling obligated to stay every moment. My favorite blanket. The window open if weather permits.'].

4

Organ Donation

What are your wishes about organ and tissue donation? Be clear so your family doesn't have to guess during an emotional time.

Organ donation: [Your wish, e.g., 'Yes — I want to donate any organs and tissues that can help someone else. This is very important to me.']. Registered donor: [Yes/No. Where: e.g., 'Registered on my driver's license and at [organ donor registry website].']. Specific wishes: [e.g., 'Donate everything that's usable. No restrictions on which organs or tissues.'] OR [e.g., 'I'd like to donate organs but not [specific tissue]. Please respect this preference.']. Donation to medical science: [e.g., 'If my organs aren't suitable for transplant, I'm open to donating my body to medical research. Contact [institution] for arrangements.']. Family note: [e.g., 'Please honor this wish even if it feels difficult in the moment. Knowing that part of me helped someone else live is deeply meaningful to me.'].

5

Who Speaks for Me

Name the person (or people) authorized to make medical decisions on your behalf. Make sure they know your wishes intimately.

Primary healthcare proxy: [Name, relationship, phone, email]. Why: [e.g., 'They know me best and will honor my wishes even when it's hard.']. Alternate proxy: [Name, relationship, phone, email]. Why: [e.g., 'If [primary] is unavailable, [alternate] understands my values and can make the call.']. What I've told them: [e.g., 'We've had detailed conversations about all of the above. They have a copy of this document and my legal advance directive.']. Legal documents: [e.g., 'My legal Healthcare Power of Attorney is on file with [attorney name, phone]. A copy is in [location]. My doctor also has a copy.']. Guidance for my proxy: [e.g., 'Trust the doctors' honest assessment. Don't let guilt drive decisions. Choose what I would choose, not what feels easiest. And know that whatever you decide, I trust you completely and I'm grateful.'].

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Important disclaimer

This template is for general informational purposes only and does not constitute legal, tax, or financial advice. It was created with the assistance of AI and may contain inaccuracies. Always consult a qualified professional for legal or financial decisions.