A District of Columbia living will typically contains the following language:
“I _______________ have the primary right under The District of Columbia law to make my own decisions concerning treatment that might unduly prolong the dying process. By this declaration, I express to my physician, family, and friends my intent. If I should have a terminal condition, I desire that my dying not be prolonged by administrative of death-prolonging procedures. If my condition is terminal and I am unable to participate in decisions regarding my medical treatment, I direct my attending physician to withhold or withdraw medical procedures that merely prolong the dying process and are not necessary to my comfort or to alleviate pain. It is not my intent to authorize affirmative deliberate acts or omissions to shorten my life, and rather it is only my intent to permit the natural process of dying.”
Anyone who is competent and 18 years of age or older in The District of Columbia can make a District of Columbia living will by signing and dating a statement like that above, either typed or handwritten, before two witnesses. The witnesses must be at least 18 years of age and in order to avoid legal issues should not be related to the person signing the declaration, a beneficiary of his or her estate, or financially responsible for his or her medical care. Consider that while it is important to prepare a District of Columbia living will before any hospitalization or impending surgery you should avoid deciding the terms of your will in a short period of time.
The District of Columbia law provides significant limitations to the scope of a District of Columbia living will. Terms such as “death-prolonging procedure” and “terminal condition” are used to specify the circumstances to which a living will apply. Both of these terms are related to conditions where death will occur within a short period of time if additional treatment is not provided. A District of Columbia living will is intended only to avoid treatment when death is imminent and treatment ineffectively avoids or significantly delays death. Also, The District of Columbia statutes prohibits a living will from withholding or withdrawing artificially supplied nutrition and hydration, including sustenance supplied through a feeding tube or intravenously.
In The District of Columbia if you would like to provide health care instructions beyond the scope of a living will you may instead create a District of Columbia health care advance directive. A District of Columbia advance directive allows you to provide instruction regarding the degree of medical care you would like to receive in particular circumstances when you are unable to refuse treatment yourself. While a competent patient may refuse treatment for himself, an incompetent person may rely on a District of Columbia advance directive in order to ensure that his wishes are carried out. Recently, The District of Columbia courts have provided people the opportunity to exceed the limitations of living will statutes in The District of Columbia advance directives. Advance directives may include instructions to withhold or withdraw artificially supplied nutrition and hydration or other treatment and machinery, which may maintain a patient in a persistent vegetative state. Additionally, The District of Columbia advance directives do not need to be composed in any standard form and may include procedures that may or may not be used, as well as the effective time frames. However, like living wills, advance directives should be signed, dated, and witnessed.
It is essential to ensure that your District of Columbia living will or District of Columbia advance directives are easily accessible as they may be needed at a moment’s notice. While some people ensure that they continuously have a copy of your living will or advance directive, you should additionally provide your physician with a copy your living will or advance directive. This not only notifies the physician of your desires in the case of an emergency but additionally provides you with the opportunity to discuss your medical options. You should also provide a copy to your attorney-in-fact in the case of your incapacity. Additionally, if you are hospitalized it is important to ensure that a copy has been included in your medical records. It is wise to sign multiple copies of your living will or advance directive.
A District of Columbia living will be easily revoked or canceled. Under The District of Columbia law, either an oral or written statement may revoke your wishes. It is best to gather all copies of your District of Columbia living will and destroy all copies to prevent any confusion. Many state statutes require that a note of revocation of the living will be placed in your medical records.