You’ve Been Asked to Be a Healthcare Power of Attorney: 8 Essential Things to Know
“Having end of life conversations with your loved ones may be one of the most challenging – and most important – discussions you’ll ever have.“
What It Means to Be a Healthcare Power of Attorney
Being asked to be someone’s healthcare power of attorney (HPOA) is both an honor and a significant responsibility. (You may have felt this if a bunch of questions went through your head when you were asked.) This role is so important because you are in charge of making sure that your loved one’s medical decisions are carried out and that they align with their wishes, especially if they become unable to speak for themselves. As an Emergency Physician and Patient Advocate, I’ve spoken with many HPOAs when making critical medical decisions. I’ve seen how a well-prepared healthcare power of attorney manages challenging medical situations and it’s so much easier than someone who isn’t ready for the responsibility. Without a clear understanding of what you need to do, taking on this job may be stressful and complicated. If someone has chosen you for this vital role, here’s what you need to know to fulfill this role with confidence.
The Hidden Challenges of Being a Healthcare Power of Attorney
Did you say yes? Did you say yes without knowing what that really meant? That’s okay (and actually pretty common). Many people accept the role of healthcare power of attorney without fully understanding its scope or preparing for its challenges. In my two decades of emergency medicine, I’ve witnessed too many designated decision-makers frozen with uncertainty during critical moments, unsure if they’re making the right choices or truly honoring their loved one’s wishes. This is when it matters most! This uncertainty can lead to delays in care, unwanted testing or treatment, painful procedures, family conflicts, and added stress during already difficult times. But with the right preparation and understanding, you can confidently navigate this vital role and provide the advocacy your loved one trusts you to deliver.
8 Essential Things to Know as a Healthcare Power of Attorney:
1. Understand the Scope of Your Authority
As a healthcare power of attorney, you have the legal authority to make medical decisions on behalf of the person who appointed you. However, your role only becomes active if they are unable to make their own healthcare decisions. This can happen due to illness, injury, or cognitive decline. Your decisions should always align with their documented preferences and best interests.
2. Familiarize Yourself with Their Medical Wishes
These conversations are difficult but they need to happen. It’s crucial to have discussions about the person’s healthcare preferences before there’s a medical crisis. Have detailed conversations about their medical preferences, values, and what quality of life means to them. This advance cared planning guidance will be invaluable when it comes time to make difficult decisions. Document these discussions and keep them with other important medical records. Some of the forms you may need to keep track of include:
- Advance Directives
- Living Will
- Healthcare Power of Attorney
- POLST/MOLST forms (when appropriate)
- Organ donation preferences
3. Know the Legal Requirements in Your State
Every state has different laws regarding healthcare power of attorney documents (some even have different names for the HPOA). Ensure their paperwork is legally valid and up to date. Some states require notarization or witness signatures. For more information, you can check out this website.
4. Understand Your Role in Medical Communications
You’ll serve as the primary medical communication support person when your loved one cannot speak for themselves. This includes discussing treatment options with doctors, seeking second medical opinions if needed, and the most important part – making sure their wishes are respected.
5. Be Prepared for Emergencies
Medical crises can happen unexpectedly. As a healthcare power of attorney, you may need to make quick decisions about hospitalizations, surgeries, or end-of-life care. Keep a copy of their medical records and advance directives easily accessible to facilitate informed medical decision-making under pressure.
6. Coordinate with Family and Caregivers
Care coordination and decision making often involve multiple people—family members, caregivers, and healthcare professionals. It’s important to remember that emotions may be involved and time may be short. Having open and transparent conversations helps avoid conflicts and makes sure everyone is on the same page about your loved one’s care preferences. Remember, this is about what your loved one wants, not what anyone else wants.
7. Prepare for End-of-Life Decisions
End-of-life care planning is one of the most challenging yet crucial aspects of being a healthcare power of attorney. Is this something you’re comfortable talking about? If you need someone to help, talk with your loved one and discuss Independent Patient Advocacy. Let them know that I can help facilitate these conversations and be an additional member of their support team. Knowing their preferences about hospice care, life-sustaining treatments, and palliative care are all within your scope and you are in charge of making sure that their final wishes are honored with dignity and compassion. Should your loved one choose to have me join their team, I will be there with you.
8. Regular Review and Updates
Healthcare wishes can change over time. Remember, that it’s okay for your loved one to change their mind. Schedule regular conversations about end-of-life care planning and medical preferences. Update any documents as needed and make sure that all healthcare providers have the most current information.
Take the Next Step in Your Role as a Healthcare Power of Attorney
Being a healthcare power of attorney is a significant responsibility, but you don’t have to navigate it alone. Educating yourself on medical decision-making, following this guide, and having the important conversations can make all the difference in ensuring your loved one’s well-being.
Ready to feel more confident in your role as a healthcare power of attorney? As both a physician and patient advocate, I can help you and your loved one prepare for this important responsibility. With their permission and my guidance, we can ensure you’re ready to honor your loved one’s wishes and make informed decisions when it matters most.
Note: Always consult with your healthcare provider before making changes to your health management approach.
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Dr. Kelly Carter, MD, FACEP, BCPA is a Board Certified Patient Advocate as well as a board certified Emergency Physician with over 20 years of experience in the ER. She helps patients navigate complex medical conditions and healthcare decisions through AlignedCare Advocacy.
Disclaimer: This article is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the guidance of your physician or other qualified health professional for any questions you may have regarding your health.
