What Are They and Why Do I Need One?
By Tina Opelt, APNP, FNP-BC, Family Nurse Practitioner
Gift-giving is a common topic this time of the year. One gift in particular is especially important. In fact, one of the most important and impactful gifts is completing an advanced directive/living will. That “gift” is clearly communicating your medical wishes long before you ever get sick. It is a legally recognized document that should be completed by anyone with loved ones in their life.
Advanced directives and living wills outline your end-of-life medical wishes in the event you are no longer able to communicate. Only a physician can determine when there is little to no chance of recovery or a meaningful existence, at which time this information is invaluable to your loved ones and survivors.
These typically include whether you want CPR – cardiac resuscitation and compressions if your heart stops beating. It also covers decisions about ventilator support if you cannot breathe independently and tube feeding if you’re unconscious or unable to swallow. This is also where you can indicate if you would like to be an organ or tissue donor at the time of your death.
On these documents, you also designate a person or persons who will make medical decisions on your behalf – this is often referred to as the power of attorney (POA) for healthcare. It is recommended that you discuss your wishes and get consent from the person you are designating.
These documents typically require witnessing and signing in the presence of a notary public. Copies should be given to your designated person, close family members, and your healthcare provider. At the time of any hospitalization, these documents are typically requested by the facility.
Most importantly, discuss your wishes with your loved ones before a crisis arises. It is a loving gift you give to them, so they don’t have to make difficult decisions when emotions are high. It also removes the risk of any second-guessing or feelings of guilt that often trouble loved ones for years, who will carry on your memory and legacy after your passing.
Health Matters Monthly Column // November 2025
Tina Opelt, APNP, FNP-BC, is a family nurse practitioner for NorthLakes Community Clinic in Augusta, Wisconsin, where
everyone is served, regardless of their ability to pay, ensuring that all residents of northern Wisconsin have access to quality
healthcare. For more information, visit nlccwi.org.
