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Adults who become incapable of caring for themselves, their property
or their dependents may have a guardian appointed for them. However,
guardianship can be avoided though the use of living wills and powers
of attorney. In such circumstances, personal preferences can be
respected without the need for court-appointed guardians.
Living wills and powers or attorney can provide that they become
effective when a person is temporarily or permanently unable to
handle his or her financial or personal affairs due to illness or
injury.
MAKING A LIVING WILL
Advance instructions about health care preferences are commonly
given in documents called living wills. The laws of every state
allow individuals to use living wills to direct health care providers
on the use or withholding of life-sustaining medical treatment.
Should an individual be incapable of stating his or her wishes at
the time such major life decisions must be made, the living will
specifies these wishes.
A living will can help your loved ones avoid family discord or even
a lawsuit over medical care. The law ordinarily requires health
care providers to follow the directives of a valid living will,
even if they conflict with medical advice or the wishes of family
members. Without a living will, disagreement among medical care
providers or family members can result in costly legal battles over
proper treatment.
Your lawyer can help you prepare a living will that includes specific
instructions YOU want. For example, you may want to state your preferences
regarding particular treatments such as dialysis, chemotherapy,
radiation, surgery and the use of respirators, feeding tubes or
other methods of life support.
Your living will is only followed if you become permanently unconscious
or otherwise unable to make medical decisions. If you understand
your medical condition and the effect of proposed medical treatment,
it will be unnecessary for your health care providers to consult
your living will; they will ask YOU instead.
USING A POWER OF ATTORNEY
A power of attorney is a document that authorizes one person, the
agent, to act on behalf of another person, the principal. Powers
of attorney are commonly used to allow an individual to appoint
someone else to handle the sale of a car or a house. Powers of attorney
can also be used to appoint someone else to handle the following
kind of routine chores and decisions:
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selecting a place to live |
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paying bills |
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collecting social security and retirement
benefits |
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investing money in stocks, bonds and mutual
funds |
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handling checking and savings accounts |
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filing tax returns |
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authorizing medical treatment |
A power of attorney can be limited so that it expires if you become
incapacitated. Alternatively, it can be "durable" and
not be affected by any later incapacity. A durable power of attorney
remains in effect even if you become unable to handle your own affairs.
However, both limited and durable powers of attorney terminate at
your death.
APPOINTING A GUARDIAN
Should you become incapacitated without having made a durable power
of attorney, you may need a guardian. Guardianship is a legal procedure
by which a court declares an adult incapacitated and appoints someone
to manage financial matters, living arrangements and medical care
decisions. The procedure is sometimes referred to as conservatorship,
custodianship or civil commitment.
Older adults do not need a guardian simply by reason of age or minor
mental or physical impairments, provided they are still able to
manage their personal and financial affairs. The courts will not
appoint a guardian for you merely because your family believes that
you are making foolish or risky decisions. Courts will appoint a
guardian if you have a physical or mental condition which impairs
your decision-making capacity or your ability to avoid harm to yourself
or to others.
Guardianship is ordinarily no necessary for an incapacitated person
who has appointed an agent under a durable power of attorney. However,
if an agent has not been appointed, your friends or family may start
legal proceedings to have guardianship appointed. If you disagree,
you can fight the proceedings for guardianship. This may be appropriate
if you can't decide who to select as your agent or what to specify
in a living will. Guardianship may also be preferred if you fear
that your family members will try to force their interests, rather
than yours, upon your agent or doctor. However, guardianships are
more expensive than powers of attorney because of court fees, bond
premiums, and the fees of experts who will testify during the legal
proceedings.
PROTECT AGAINST UNSCRUPULOUS AGENTS AND GUARDIANS
Guardians and agents are required to act in your best interests,
keep accurate records, and treat your property separately from their
own. You retain the right to revoke a power of attorney while you
are still able to handle your own affairs. The courts can remove
an agent or guardian who does not act in your best interests even
after you are incapacitated.
SAFEKEEPING FOR YOUR LIVING WILL AND POWER OF ATTORNEY
Your living will and power of attorney should be kept in a safe
place where they can be located when needed. You may wish to have
your lawyer retain a copy in case the original is damaged or lost.
You should also tell a trusted friend or family member where the
signed documents are stored.
SEEING A LAWYER
A visit with a lawyer provides an opportunity to ask for help in
planning for incapacity. Your lawyer can advise you about using
living wills and appointing agents and guardians; either for yourself
or for aging family members or friends. Your lawyer can also answer
your questions about the matters listed on the Planning Checklist
below. Your lawyer will meet with you in private, allowing you to
express your preferences.
CONCLUSION
You should plan ahead so that your needs and desires can be followed
in the event of an incapacitating illness or injury. Your lawyer
can explain the benefits of advance planning to avoid guardianship
should you become incapable of taking care of your personal affairs.
If you wish to appoint an agent, your lawyer can prepare a power
of attorney naming someone you trust to handle your affairs if you
cannot. Your lawyer can also prepare a living will or a health care
proxy that complies with your wishes as well as the detailed requirements
of your state.
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