|
|
|
|
|
|
|
|
The issuance of Advance Health care directive in Kentucky is regulated by The Living Will Directive and Health Care Surrogate Designation Act of 1994. (KRS 311.621(15))
|
|
|
|
|
|
|
Living Will Declaration
Designating a Surrogate
Witnesses
Revocation of Advance Directive
According to Kentucky law a competent adult has the right to control the decisions relating to the competent adult's medical care, including the decision to have medical or surgical means or procedures calculated to prolong the competent adult's life provided, withheld, or withdrawn.
The Kentucky Advance Health Care Directive consists of a Living Will and a Power of Attorney for health care (also known as a designation of a Surrogate).
You may use either of these forms.
If you only want to appoint your health care Surrogate (Health Care Agent) and do not want to address “end of life” treatment now, you might consider signing a Health Care Power of Attorney. Or, you may issue a Living Will and appoint your Agent there.
Before you start working on your Advance Directive you shall read the following important explanations:
Living Will Declaration
In your Living Will you make known you wishes regarding end of life decisions in case you are unable to make these decisions later due to your incapacity.
In Kentucky, any adult with decisional capacity may make a written living will directive that does any or all of the following:
- Directs the withholding or withdrawal of life-prolonging treatment; or
- Directs the withholding or withdrawal of artificially provided nutrition or hydration; or
- Designates one (1) or more adults as a surrogate or successor surrogate to make health care decisions on behalf of the grantor. During any period in which two (2) or more surrogates are serving, all decisions shall be by unanimous consent of all the acting surrogates unless the advance directive provides otherwise; or
- Directs the giving of all or any part of the adult's body upon death for any purpose specified in KRS 311.185.
Witnesses
An Advance Directive shall be in writing, dated, and signed by the grantor, or at the grantor's direction, and either witnessed by two (2) or more adults in the presence of the grantor and in the presence of each other, or acknowledged before a notary public.
None of the following shall be a witness to or serve as a notary public or other person authorized to administer oaths in regard to any advance directive made under this section:
- A blood relative of the grantor;
- A beneficiary of the grantor under descent and distribution statutes of the Commonwealth;
- An employee of a health care facility in which the grantor is a patient, unless the employee serves as a notary public;
- An attending physician of the grantor; or
- Any person directly financially responsible for the grantor's health care.
Among topics discussed in your Living Will are: need for artificial nutrition and hydration; authorizing your agent to make decisions on artificial nutrition and hydration; organ donation provision.
Designating a Surrogate
If you do not want to deal with “end of life decisions” now and want to put this burden on your Agent, you may prepare a Health Care Power of Attorney (Appointment of a Surrogate).
In the Health Care Power of Attorney you designate your health care Agent and discuss the powers you grant to your Agent (Surrogate).
Please note that no person, corporation, or governmental agency shall require or induce any person to execute a living will directive or to make a health care decision as a responsible party under Kentucky Revised Statutes 311.621 to 311.643 as a condition for a contract or for the provision of any service, medical treatment, or benefit.
A surrogate designated pursuant to an advance directive may make health care decisions for the grantor which the grantor could make individually if he or she had decisional capacity, provided all the decisions shall be made in accordance with the desires of the grantor as indicated in the advance directive. When making any health care decision for the grantor, the surrogate shall consider the recommendation of the attending physician and honor the decision made by the grantor as expressed in the advance directive. You may limit the authority of your health care agent (Surrogate).
The surrogate may not make a health care decision in any situation in which the grantor's attending physician has determined in good faith that the grantor has decisional capacity. The attending physician shall proceed as if there were no designation if the surrogate is unavailable or refuses to make a health care decision.
Your health care surrogate may not admit or commit you to an institution for mental diseases, an intermediate care facility for the mentally retarded, a state treatment facility or a treatment facility.
A person designated as a surrogate pursuant to an advance directive may resign at any time by giving written notice to the grantor; to the immediate successor surrogate, if any; to the attending physician; and to any health care facility which is then waiting for the surrogate to make a health care decision.
An employee, owner, director, or officer of a health care facility where the grantor is a resident or patient shall not be designated or act as surrogate unless related to the grantor.
A health care surrogate may authorize the withdrawal or withholding of artificially provided nutrition and hydration in the following circumstances:
- When inevitable death is imminent, which for the purposes of this provision shall mean when death is expected, by reasonable medical judgment, within a few days; or
- When a patient is in a permanently unconscious state if the grantor has executed an advance directive authorizing the withholding or withdrawal of artificially-provided nutrition and hydration; or
- When the provision of artificial nutrition cannot be physically assimilated by the person; or
- When the burden of the provision of artificial nutrition and hydration itself shall outweigh its benefit. Even in the exceptions listed in paragraphs (a), (b), and (c) of this subsection, artificially-provided nutrition and hydration shall not be withheld or withdrawn if it is needed for comfort or the relief of pain.
Notwithstanding the execution of an advance directive, life sustaining treatment and artificially-provided nutrition and hydration shall be provided to a pregnant woman unless, to a reasonable degree of medical certainty, as certified on the woman's medical chart by the attending physician and one other physician who has examined the woman, the procedures will not maintain the woman in a way to permit the continuing development and live birth of the unborn child, will be physically harmful to the woman or prolong severe pain which cannot be alleviated by medication.
The withholding or withdrawal of life-prolonging treatment or artificially-provided nutrition and hydration from a grantor in accordance with the provisions of Kentucky Revised Statutes 311.621 to 311.643 shall not, for any purpose, constitute a suicide. The making of an advance directive shall not affect in any manner the sale, procurement, or issuance of any policy of life insurance, nor shall it be considered to modify the terms of an existing policy of life insurance.
Notwithstanding any term of the policy to the contrary, no policy of life insurance shall be legally impaired or invalidated in any manner by a health care decision made by a surrogate or responsible party or by the withholding or withdrawal from an insured patient any medical procedure or intervention which would serve only to prolong artificially the dying process.
Revocation
You may revoke your Kentucky Health Care Directive at any time.
If you revoke the Kentucky Health Care Directive, you should notify your surrogate, your health care providers and any other person to whom you have given a copy. If your surrogate is your spouse and your marriage is annulled or you are divorced after signing this document, the document is invalid.
If there is anything about these forms that you do not understand, you should ask a lawyer to explain it to you.
|
|
|
* * *
|
|
|
To better understand the health care and pecuniary related issues our legal articles, frequently asked questions, facts and other law related information may be of interest to you.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
Thanks for the quick service! I am very impressed with the speed and
quality of your products and service. My husband is stationed in San
Antonio, TX and I am trying to move us from NC to TX by myself- this
power of attorney helped tremendously with so little complication!
Thanks again!
Kimberly S., TX
|
|
|
|
|
|
|
|
| |
Thank you so much. I appreciate your service and will continue to do business.
Didi S, NC
|
|
|
|
|
|
|
|
| |
In a minite I got the power of attorney I need. Incredible website. Will use again.
Nicolas G., PA
|
|
|
|
|
|
|
|
| |
Thanks for your prompt responce. Did not even expect you to be that quick and attentive. Your customer service is superb.
George A., NY
|
|
|
|
|
|
|
|
| |
Thank you for your service, you just earned a customer for life.
Ms. Dove, OR
|
|
|
|
|
|
|
|
|
|
|