29200 Northwestern Highway - Suite 155
Southfield, Michigan 48034
Tel. 248-945-1111
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It is often difficult for individuals to think about the care and treatment they want in the event they are incapable of making their own health care decisions. However, completing an Advance Health Care Directive (AHCD), otherwise known as a living will, is important for all individuals over 18 years of age as they may unexpectedly be in a position where they cannot speak for themselves, such as an accident or severe illness.
An AHCD allows individuals to appoint an agent who has power of attorney to make care and treatment decisions on their behalf, and give instructions about their health care wishes.
The time preparing a living will is time well spent, so it is well worth the effort to contact an experienced Michigan living wills lawyer. The Law Offices of Andrew Thav is an experienced Michigan law firm servicing the entire Metro-Detroit Area as well as the surrounding areas.. We work with several organizations to make sure that your wishes are carried out, should anything happen. Please call our offices at (248)945-111 to set up a free consultation.
Making Health Care Decisions
As we get older, we may lose our ability to make important health care decisions. This section talks about common situations.
Click on a topic to learn more:
- Can I make my own medical decisions?
- Can I ask someone to make decisions for me if I am no longer able to?
- Is my old Power of Attorney for Health Care still valid?
- What if I don't have anyone to serve as my agent?
- What if the sick person needs help for a long time?
- Can I make my own medical decisions?
Yes. As long as you can act “with capacity” you can make your own medical decisions.
Capacity means you understand the proposed health care, its benefits, risks, and alternatives. It also means that you can tell others what you want.
For more information read Probate Code Section 4609.
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- Can I ask someone to make decisions for me if I am no longer able to?
Yes, you can. But, you don’t have to.
You can have someone (called your agent or attorneys-in-fact) make medical decisions for you. Your agent should be someone you trust.
To do this, you write the agent’s name in a document called an Advanced Health Care Directive. (It used to be called a power of attorney for health care.)
It is usually a pre-printed form that lets you appoint an agent and give instructions about the type of health care you would want in different situations. You can also use this document to say if you want to donate your organs.
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- Is my old Power of Attorney for Health Care still valid?
Maybe. If your power of attorney for health care was valid before the law changed, it is still valid now. But some powers of attorney for health care made before January 1, 1992 have expired.
If you signed a power of attorney for health care before January 1, 1992, review it to be sure it is still valid and it still expresses your wishes.
Even if you use a form printed before the new law, it may still be valid.
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- What if I don't have anyone to serve as my agent?
You can still make a health care directive. Just fill out the part of the directive that says what your wishes are.
You can also appoint someone as a “surrogate” to make decisions for you when you are in a hospital or other medical institution, even if you haven’t named an agent.
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- What if the sick person needs help for a long time?
You can go to Court and ask to establish a conservatorship. A conservatorship allows you to have the power to make medical decisions, if the sick person cannot make medical decisions on his/her own. For more on conservatorships, see the conservatorship page at this web site.
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Guardianship FAQ's
When Is A Guardian Required for an Adult?
It may be necessary to petition a court to appoint a legal guardian for persons:
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Who have a physical or mental problem that prevents them from taking care of their own basic needs;
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Who as a result are in danger of substantial harm; and
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Who have no person already legally authorized to assume responsibility for them.
Under some circumstances, it may be necessary for a court to appoint an emergency guardian, who can act on your behalf during a crisis (such as immediately following a car accident) until you regain your ability to make your own decisions.
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How is a Guardian Appointed?
The precise procedure will vary to some degree from jurisdiction to jurisdiction. The typical steps are as follows:
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The person seeking the appointment of a guardian files a petition with the probate court for the jurisdiction where the allegedly legally incapacitated person resides. This petitioner is often a relative, an administrator for a nursing home or health care facility, or other interested person. A petition is ordinarily accompanied by medical affidavits or other sworn statements which evidence the person's incapacity, and either identifies the person or persons who desire to be named guardian or requests the appointment of a public guardian.
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The court arranges for any necessary evaluation of the allegedly legally incapacitated person. Often, this will involve the appointment of a "guardian ad litem", a person who is appointed to provide an independent report to the court on behalf of the allegedly legally incapacitated person. If appointed, the guardian ad litem will meet with the allegedly incapacitated person, inform that person of his or her legal rights, and report back to the court on the person's wishes. The guardian ad litem may also speak to the petitioner, to health care providers, and to other interested individuals in order to provide the court with full information about the allegedly incapacitated person's condition and prognosis. Depending upon state law, the court may appoint a doctor or professional to examine the allegedly incapacitated person.
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If the allegedly incapacitated person contests the appointment of a guardian, a trial is scheduled during which sworn testimony will be given, and at the conclusion of which the judge will decide if the petitioner met the requisite burden of proof for the appointment of a guardian. The allegedly incapacitated person is ordinarily entitled to appointed counsel, if unable to afford a private attorney.
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If the allegedly incapacitated person consents to the petition, or is unable to respond to inquiries due to disability, the court will hold a hearing at which witnesses will provide sworn testimony to support the allegations in the petition. If the evidentiary basis is deemed sufficient, the guardian will be appointed.
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If a guardian is appointed, the judge will issue the guardian legal documents (often called "letters of authority") permitting the guardian to act on behalf of the legally incapacitated person.
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What Are a Guardian's Duties?
The guardian makes decisions about how the person lives, including their residence, health care, food, and social activity. The guardian is supposed to consider the wishes of the incapacitated person, as well as their previously established valued, when making these living decisions. The guardian is intended to monitor the legally incapacitated person, to make sure that the person lives in the most appropriate, least restrictive environment possible, with appropriate food, clothing, social opportunities, and medical care.
A guardian may be required to post a bond, unless the requirement is waived by the court. In most jurisdictions where bond is required, waivers are routine.
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The Purpose of Court Supervision
The court supervises the guardian's choices on behalf of the ward. After the initial appointment of a guardian, an initial review is usually scheduled, followed by annual reports by the guardian to the court. The purpose of this supervision is to ensure that the legally incapacitated person is in fact benefiting from the most appropriate, least restrictive living environment possible, with appropriate food, clothing, social opportunities, and medical care.
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How Can a Guardianship Be Ended?
A guardianship can be terminated by the court which created it. This ordinarily happens if the legally incapacitated person recovers from the incapacity that necessitated the guardianship. A particular guardian's role may be terminated by the court or by resignation, in which case the court will ordinarily appoint a successor guardian to take over management of the legally incapacitated person's affairs. A guardianship also ends upon the death of the legally incapacitated person.
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What About Co-Guardians?
Sometimes, relatives of a legally incapacitated person will request that they be made co-guardians for that person. If this is done, depending upon the laws of the jurisdiction and the terms of the appointment, it may be necessary for both co-guardians to approve any decision made on behalf of the legally incapacitated person. This can create needless delay in the administration of emergency care, and can create difficulty in establishing authority for even minor decisions. Thus, it is usually advisable not to have co-guardians, but instead to name a single guardian, perhaps with the other relative named as a successor guardian.
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Avoiding Guardianship
It is possible to avoid the necessity of a guardianship through estate planning. A good estate plan will include a medical power of attorney which will enable a trusted individual to make health care decisions for you in the event of incapacity, and a general durable power of attorney to permit a trusted individual to manage your personal affairs. To a considerable extent, those documents can specify how you wish to live, and how you wish to be treated, in the event of disability - whereas a court or guardian may make decisions with which you would disagree. In most cases, when these documents have been executed in accord with the laws of your state, it will not be necessary for your loved ones to seek the appointment of a guardian or conservator should something happen to you - something that can be cumbersome and emotionally taxing at an already difficult time.
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The Law Offices of Andrew Thav. is a Michigan law firm that focuses on estate planning, trusts & estates, wills, probate, asset protection, conservatorship, guardianship, real estate and transactional law, and litigation related to these areas.
From within the Metro Detroit area our law firm represents clients from not just Detroit, but all of Southern Michigan, including Wayne County, Livingston County, Oakland County, Macomb County, and Washtenaw County.
Please call (248) 945-1111 for assistance in Michigan and Surrounding Areas.
DISCLAIMER: This site and any information contained herein is intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter
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