Advance Directives

Advance Directives

We spend a lot of time talking about the importance of living responsibly, which involves preparing for the realities of life. While we believe making the decisions involved in pre-planning is one reflection of a responsible mindset, we also know the critical importance of completing an advance directive.

What is an Advance Directive?

Sometimes called advance care directives, these document ensure that your wishes will be carried out in the future.

Defined as "a written statement of a person's wishes regarding medical treatment," advance directives, when properly signed and witnessed, will provide guidance for medical and health care decisions in the event the individual becomes incompetent and can no longer make such decisions. These may include such conditions such as a coma, stroke, or dementia.

Other Things to Know About Advance Directives

  • Advance directives are legal throughout Canada
  • Governing laws vary, so be sure to obtain an advance directive that complies with your province's laws
  • You do not need an attorney to complete an advance directive
  • If you reside in more than one province, you should complete an advance directive for each province where you spend a significant amount of time
  • There are no time limitations on advance directives. A signed advance directive remains in force until a new one is completed
  • Periodically review your advance directive to make sure it still reflects your desires. If it doesn't, don't try to amend it; simply complete a new one
  • Paramedics and emergency medical technicians cannot recognize or honour a living will or medical power of attorney. They are obligated to do their best to stabilize the patient and get them to the hospital. When you are in the care of hospital personnel, your advance directive becomes valid

When Should Advance Directive Planning Take Place? 

It is difficult to know what the future may hold, so it is a good idea to plan while your health is still good. You might lose your ability to speak or become incompetent without any warning, for instance, if you were in a serious car crash. Canadian physicians and healthcare providers must respect valid advance directives. 

Specify Treatments You Do Not Want 

Make sure to specify specific treatments you do not wish to have. For example, feeding tubes is a particularly important type of treatment, be clear that you do not want to go through with this, if this is what you wish. 

What's Involved in Preparing an Advance Directive?

Dying with Dignity Canada explains that "writing an Advance Care Plan involves much more than simply filling out a form. It is essential to take time for reflection and discussion to ensure your Plan reflects your values, beliefs and wishes."

There are many resources available online to assist and guide you in writing your Advance Directive. 

Who Should Have Copies of my Advance Directive? 

Give copies to your family, physician, and attorney. Also, bring a copy with you if you are being admitted to a healthcare facility, nursing home, hospital, etc. Make sure to destroy any old copies if changes are made to your advance directive.

Where to Obtain an Advance Directive Form

It's fairly easy to get a copy of the advance care directive form for your province. Your local hospital is a reliable source, as federal law requires every hospital to not only provide information about advance directives to people in their service area, they are also required to share valuable information about the related laws in your province. Contact your local hospital to learn more. Your family physician may also have advance directive forms available for patients.

You will need to have the advance directive witnessed and notarized. If you do not have access to a notary, you can find one using either of the following websites:
Dying with Dignity Canada also offers Advance Care Planning Kits to assist you in making your advance care directive.
Advance Directives Form
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