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Why have doctors had difficulty following Advance Directives?

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Why have doctors had difficulty following Advance Directives?

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Many living wills ask doctors not to perform “heroic measures” or “use artificial means of treatment.” These and other vague statements, such as “terminal condition” or “if death is expected”, have no clear meaning. Some documents ask doctors to certify that there is no hope for improvement. These terms and phrases prompt doctors to do more medical procedures, not less. A clearly written Advance Care Plan and personal discussion with your doctor and family is your best assurance that your wishes will be followed.

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