Advance Healthcare Planning

Advance healthcare planning is a thoughtful process that allows you to make decisions about the medical care you’d want if you become unable to speak for yourself. It’s about making sure your values, beliefs, and healthcare preferences are clearly understood and honored—by your loved ones and your care team. At End of Life Choices California, we believe advance healthcare planning is a gift—one that brings clarity and peace of mind during life’s most challenging moments.

Why Advance Healthcare Planning Matters

Advance healthcare planning helps you:

  • Make informed choices about future healthcare
  • Ensure your wishes are known and respected
  • Relieve your loved ones from difficult guesswork
  • Reduce conflict and emotional stress during medical crises
  • Improve the quality of end-of-life care

Steps to Creating Your Advance Healthcare Plan

  1. Reflect on Your Values
    Consider what matters most in your life and how it should guide your medical care.
  2. Choose Your Healthcare Agent
    Select someone you trust to speak on your behalf if you’re unable to communicate.
  3. Communicate Your Wishes
    Talk openly with your healthcare agent, family, and care providers about your preferences.
  4. Document Your Wishes
    Complete an Advance Healthcare Directive.
  5. Review and Update Regularly
    Revisit your plan over time to ensure it reflects your current values and choices.

Having the Conversation

Starting the conversation with loved ones and healthcare providers is crucial.

  • Ask: “What matters most to me at the end of life?”
  • Identify the best time and setting for a calm and open discussion
  • Include your spouse, children, close friends, physician, and spiritual advisors

Talking to Family & Loved Ones

Ask yourself:

  • Who should know my wishes?
  • Who do I trust to act on my behalf?
  • When is the best time to talk?


These conversations can be deeply meaningful—and they ensure others know how to support you.

Talking to Your Physician

Even if you’re healthy, talking to your physician is key—especially if:

  • You’re over 65
  • You have a chronic or serious illness


Your doctor can help ensure your preferences are documented and guide care decisions in emergencies.

Essential Documents

Advance Healthcare Directives

Every adult should complete an Advance Healthcare Directive. This legal document includes:

  • Living Will – outlines your specific wishes for end-of-life care 
  • Durable Power of Attorney – names your healthcare agent

Other Important Documents in California

  • POLST (Physician Orders for Life-Sustaining Treatment) is designed to help medical professionals honor the end-of-life wishes of their patients. Learn more
  • Dementia Directive is a communication tool that provides a way to share your views with loved ones in case you have dementia. Learn more
  • Planning workbooks and toolkits can help you think through the questions related to your end-of-life care. Learn more

The Power of Sharing Your Story

Sharing your advance care planning experience can help others take their first step. Tell us:

  • How you chose your healthcare agent
  • What conversations you’ve had with loved ones
  • How this process has brought you peace of mind

Frequently Asked Questions

Advance healthcare planning is a process enabling individuals to make plans about their future healthcare. It applies to adults at all life stages, aiming to reduce stress for patients and families by improving end-of-life care.

Encouraging conversations about end-of-life wishes with loved ones, healthcare providers, and spiritual advisors is crucial. These discussions should focus on treatment preferences and values regarding life’s end. Guidance about starting the conversation.

An Advance Healthcare Directive, comprising a Living Will and a Durable Power of Attorney, is essential for everyone, allowing you to specify your healthcare wishes if you cannot speak for yourself, and designate someone to make healthcare decisions on your behalf. More on advance healthcare directives.

A Living Will lets you outline your desired medical treatment and care types if you’re unable to communicate your decisions. It covers your wishes regarding life-sustaining procedures. Explore Living Wills.

This document designates someone to make healthcare decisions on your behalf if you become incapacitated, ensuring your healthcare wishes are respected. Learn about Health Care Proxy.

The Physician Order for Life Sustaining Treatment (POLST) documents your end-of-life wishes in a medical order, making them accessible to healthcare providers across settings. Understanding POLST.

An Out-of-Hospital Do Not Resuscitate (DNR) order informs emergency medical services of your wish not to receive CPR or other life-saving measures in an emergency. More on DNR orders.

A Living Will for Dementia allows you to specify your medical intervention preferences at various dementia stages, helping loved ones make decisions aligned with your wishes. Unlike an Advance Healthcare Directive, a Living Will for Dementia is not legally binding. Explore dementia provisions.

Further Reading

Additional Resources for End of Life Planning

National Institute on Aging

Advance Care Planning – Offers guidance on healthcare directives for older adults, including how to prepare and discuss plans.

American Cancer Society

Advance Directives – Provides information on advance directives for individuals with cancer, covering how to create and use these legal documents.

AARP

State-by-State Advance Directive Forms – Offers free, printable advance directive forms tailored to the legal requirements of each state, making it easier to prepare these essential documents.

National POLST

Dedicated to promoting the understanding and use of POLST for those with serious illnesses or frailty towards the end of life, this site provides resources for patients and healthcare providers.

PREPARE for Your Care

An interactive website that guides individuals through the process of advance care planning, ensuring they are prepared to communicate their wishes effectively.