IOWA Directive

By 1997, all 50 states and the District of Columbia had passed advance care planning statutes of some sort. Unfortunately, few laws and directives have kept pace with today's complex medical conditions and options for life prolonging and life extending measures.

This IOWA 
Health Care Advance Directive: 
* Clearly explains the essential legal and medical concepts of Advance Care Planning.
* Includes specific care instructions as well as defining the proxy's role as advocate.
* Provides clear action steps to guide the proxy's decision making in any situation.
* Is easy for the Declarant to complete and for proxies and physicians to honor.
* Includes advanced dementia as a trigger for considering the use of or withholding of life prolonging and life extending measures. 
* Has instructions concerning nutrition and hydration apart from preferences for the use of or withholding of other life prolonging and life extending measures.
* Respects patient autonomy and individual beliefs by permitting a Declarant to personalize the form with instructions about his or her unique wishes for end-of-life care.

This Iowa Health Care Advance Directive, which is consistent with Iowa law, is a "combination directive." It includes both the appointment of a health care proxy to make decisions (like a "Durable Power of Attorney for Health Care") and care instructions that the Declarant's proxy and health care providers must follow when acting on behalf of the Declarant (like a "Living Will" or "Declaration.") 

[Attached to the Iowa Health Care Advance Directive is a form called "Declaration of Designee - Disposition of Remains." Until July 1, 2017, this form had to be attached to a person's advance directive to be effective. That is no longer required, but it's still a good idea to keep these documents together.]  

This Health Care Advance Directive may also be accepted in other states, insofar as it is consistent with those states' laws. However, if you believe this Iowa directive may be relied upon elsewhere in the future, consult legal counsel to verify its acceptance in specific jurisdictions outside Iowa.

The offering of this legal document is not a substitute for getting competent legal and medical counsel from qualified professionals to address any questions the Declarant may have about how this directive applies to his or her specific health care situation and whether it provides an accurate record of the Declarant's care instructions.

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Why an Iowa Health Care Advance Directive form?  What can I say--I was born here, educated here and live here.  These are my peeps.