Before we dig in to the details of what role a health care power of attorney document is and how it fits into the grand estate plan scheme let’s consider three hypotheticals.

Health hypothetical #1

Jill is in a serious car accident. While chances of recovery are good, it will take time. In the meantime, Jill is necessarily on serious painkillers and in recovery she’s sleeping much more than usual. Between her injuries, medications, and need for sleep, Jill isn’t particularly communicative.

Health hypothetical #2

Sam is beginning to suffer from early onset dementia. Things become harder to remember. He feels almost as if a fog is falling around him. It’s growing worse. Even simple concepts, or simple choices, are becoming more difficult for him.

Health hypothetical #3

Elizabeth suffers from manic depressive disorder. Most of the time, drugs, therapy, and a regime of proper exercise and sleep keep the disease in check. But, still she has “episodes” of an exhilarating, super energizing high, followed by a dark crash into deep depression.

Common Legal Need for Jill, Sam, and Elizabeth?

Jill, Sam, and Elizabeth have very different diagnoses and face very different challenges. But, in at least one way, Jill, Sam, and Elizabeth are the same. All three would be wise, for multiple common-sensical reasons, to execute a a health care power of attorney (“health care PoA”).

We’ll come back to Jill, Sam, and Elizabeth shortly, but first let’s discuss the basics of an estate plan and in particular a health care PoA.

Health Care PoA: One of Six “Must Have” Estate Plan Legal Documents

An estate plan is a set of legal documents to prepare you (and your family and loved ones) for your death or disability. There are six basic estate plan legal documents that nearly everyone should have:

1. Estate plan questionnaire
2. Last will and testament
3. Health care power of attorney (option for living will)
4. Financial power of attorney
5. Disposition of personal property
6. Disposition of Final Remains and Instructions

There are numerous other important estate planning tools, such as trusts, but these six documents are a common part of most everyone’s complete estate plan. And, the health care power of attorney document is certainly an important part of your overall estate plan.

Serious Incapacitation

A health care PoA becomes critically important when you’re seriously incapacitated and unable to make health care decisions for yourself. This new state of incapacitation, preventing you from making your own health care decisions, might be the result of serious illness, injury, lack of mental capacity, or some combination of all of these.

alarm clock with red cross on it

How Health Care PoA Works

A health care PoA is a legal document that allows you to select the person (your “agent”) that you want to make health care decisions on your behalf, if and when you become unable to make them for yourself.

Once your health care PoA goes into effect (typically most people elect to have this be the case only if an attending physician certifies you are unable to make medical decisions independently), your agent will then be able to make decisions for you based on the information you provided in your health care PoA. If there are no specifics in your health care PoA relating to a unique situation, your agent can and should make health care decisions for you based on your best interests. Obviously, the person you select as a your health care PoA agent should be someone in whom you have the utmost trust.

Equally important, your agent will be able to access your medical records, communicate with your health care providers, and so on.

Many Types of Health Care Decision

Keep in mind your health care PoA isn’t just about end-of-life decisions; it can cover many types of medical situations and decisions. For instance, you may choose to address organ donation, hospitalization, treatment in a nursing home, home health care, psychiatric treatment, and other situations in your health care PoA.

For people who feel strongly about not wanting to be kept alive with machines, specifically covered in a document that can be thought of as a part of your health care PoA known as a living will. brightly colored pills

What Happens Without Health Care PoA?

If don’t have a health care PoA and you should become disabled to the degree where you are unable to make health care decisions for yourself, your doctor(s) will ask your family and loved ones what to do.

You might disagree with the decision your family makes. Or, your family members may not be able to agree on how to handle your medical care.

Ultimately, if your immediate family members cannot agree on a course of action, they would have to go to an Iowa Court and have a conservator/guardian appointed for you. It may, or may not, be someone you would have chosen. Further, the conservator/guardian may make decisions you wouldn’t have made.

Going to court to plead for a guardianship and conservatorship is all very complicated, time consuming, and expensive. This is especially true when compared with the convenience of simply putting a health care PoA in place should the need arise. A healthc are PoA gives you control over how decisions are made for you, and the agent you choose will carry out your wishes.

No “One-Size-Fits-All” Health Care PoA

All Iowans are special and unique and have special and unique issues and concerns. It’s completely up to YOU as to what’s contained in your health care PoA. You name the agent(s). You decide what medical decisions will be covered and how. It’s all up to you.

Health Care PoAs in our Hypothetical Examples

Speaking of everyone’s unique needs, a health care PoA would help Jill, Sam, and Elizabeth, despite their disparate diagnoses and circumstances.

Jill, who suffered severe injuries in a car accident, could use a health care PoA.

Sam, who has early onset dementia, needs a health care PoA.

Elizabeth, with her mental health diagnosis, would benefit from a health care PoA.

Do you have a Health Care PoA Yet?

We never know when or if an accident or illness will befall us and if it will render us incapacitated. Of course, we all hope that’s never a reality, but it’s better to be prepared in the off chance the unexpected becomes existence.

Do you have further questions about a health care PoA for you or your family? You can email me anytime at or call me on my cell at 515-371-6077.

Are you interested in securing your future through putting into place a solid estate plan? A great first step is to download my helpful (and free!) Estate Plan Questionnaire.