In Washington state, you have the right to make your own health care decisions. Under the principle of "informed consent," your medical care must be explained so you understand it and can make informed decisions. Treatment without consent, however, is allowed and will generally be provided in an emergency unless you indicate otherwise.
It is important to let your physician and loved ones know your wishes for treatment should you ever be near death and unable to express them. Most health facilities assume you want all available medical treatment, including life-sustaining care, unless you direct otherwise. Under Washington state law, a Health Care Directive (also known as a Living Will or Directive to Physicians) and a Durable Power of Attorney for Health Care can help convey your wishes for future medical care including non-treatment. You may choose to use both. If you travel, you may want to take copies of your documents with you, as other states may honor these forms.
If you have a serious health condition, you need to make decisions about life-sustaining treatment. A new form, called the POLST form, can be used to represent your wishes as clear and specific medical orders. Your physician may use the POLST from to write orders that indicate what types of life-sustaining treatment you want or do not want at the end of life.
Who Can Make Decisions for Me?
If you lose the ability to communicate and make decisions, Washington state law enables the following people, in order of priority, to make health care decisions for you, including withdrawing or withholding care:
- A guardian with health care decision-making authority, if one has been appointed
- The person named in the durable power of attorney with health care decision-making authority
- Your spouse
- Your adult children
- Your parents
- Your adult brothers and sisters
When there is more than one person, such as children, parents, or brothers and sisters, all must agree on the health care decision.