Lecture Notes
(from Instructor's Manual by Ronald J. Schwartz, J.D., L.L.M. for textbook
Law and Aging - Essentials of Elder Law - 1st Edition - Pearson Publications)

Advance Directives

Topical Outline

a. Durable Power of Attorney
b. Healthcare proxy
c. Living Will
d. Appointment of a guardian
e. the Law of Principle and Agent
f. Revocation of Advance Directives
g. Surrogate Healthcare Decision Making
h. Patient Self-Determination Act of 1990
i. Failure to Have a Healthcare Proxy
j. Anatomical Gifting - The Uniform Anatomical Gifts Act

Learning Objectives
a. to understand the general rules of the Law of Principle and Agent as it relates to the use of advance directives in Elder Care Law.
b. to understand the theory of advance directives and how they are treated as an integral tool in the practice of elder law.
c. to have a thorough understanding of surrogate healthcare decision making and its historical background, as well as an analysis of the landmark cases in the area.

Job Competencies
a. to determine what advance directives an elder law client should execute.
b. to be able to draft advance directives including: Healthcare Proxies, Living Wills, Powers of Attorney and Advance Directives for the Appointment of a Guardian.
c. to research the current case law in this area and follow it as it continues to evolve
d. to have the ability to explain to clients in detail what advance directives are and why they need them.

Key Concepts
One of the key facets of elder care law is the use of advance directives in healthcare decision making. It is important to understand the concept of surrogate healthcare decision making and what occurs if an individual does not have advance directives, i.e. how the medical establishment and the judicial system treat such individuals. The core issues is the individual's rights versus the state's rights. An understanding of the current case law is crucial.