"My aunt is 80 years old and a widow. She’s in good health and lives alone. My cousin and I are very close to her, but I live in North Carolina and my cousin in California. That makes it hard for us to help her as much as we would like to. She wanted to do some estate planning and asked us to help her find an elder law attorney. I did some homework and research and after many inquires, found Mr. Niemann. He came recommended to me by several sources. Mr. Niemann was the perfect match for my aunt. He demonstrated a kindness and sensitivity that made us feel welcomed and comfortable. He met with us right away and was caring and patient with my aunt and answered all of our questions. He even called my aunt to make sure she was following up on his advice. Mr. Niemann offered us ideas and solutions we hadn’t even thought of. We very much appreciated that. My aunt truly values having Mr. Niemann as her attorney. So do I."
—Robert Newell, Raleigh, NCDo You Need an Advance Health Care Directive or Living Will in New Jersey?
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People of all ages and medical circumstances are concerned about their right to make their own health care decisions. This is particularly true when questions of whether to use or maintain life-sustaining procedures arise. Because the human body can be maintained, even when consciousness is irretrievably lost, these decisions do and will continue to arise.
New Jersey affirms the right of each individual to give instructions about his or her health care under the New Jersey Health Care Decisions Law. The following documents are used to indicate an individual’s desires with regard to health care:
New Jersey law integrates previous legislation and documents into a comprehensive statute allowing for Advance Health Care Directives.
Appointing an Agent: You may appoint someone else – your spouse, son or daughter, friend (called the “agent”) – to make health care decisions for you if and when you cannot do so for yourself. It allows the important informed consent process to be carried out with your designated agent making decisions as you would most likely want them made. The person you name in your document should know whether or not you want such treatment and either grant or refuse permission on your behalf. A physician who respects the decision of this person, your agent, cannot be held liable for doing so.
Health Care Instructions: In addition to appointment an agent, you may also give health care instructions. You may explain how you want to be treated, for example, if you are permanently incapacitated and/or imminently facing death and unable to make your own decisions about suggested life-sustaining treatment.
Discussion with your Physician: Most important, your physician must know of your wishes about the use of life-prolonging treatments and procedures in the event that you are terminally ill or irrevocably unconscious. If your physician cannot assure you that they will respect your decisions or those of your health care agent, then you should consider a change to another physician who will agree to your wishes.
“Form” Documents: There is a statutory form for the Advance Health Care Directive. However, for crucial decisions likely to be needed when one is permanently incapacitated, you may find that it (and other forms) fails to provide the specificity that could be necessary. The power to make life or death decisions is an important one and should be given only after obtaining good advice, with full understanding and with explicit instructions that reflect the signer’s wishes and accommodate any special needs. In most cases, it is recommended that you work with an attorney who is knowledgeable about the important medical legal issues involved in preparing your Advance Health Care Directive.
Summary: A properly drafted Advance Health Care Directive satisfies the need for “surrogate” decision-making should incapacity strike. Thus, it can also avoid the possible need for a court-ordered guardianship or conservatorship of the person. Such a proceeding can cost in excess of $3,500. Instead, each individual is able to choose the person who will act on his or her behalf. An Advance Health Care Directive, if properly drafted, can be one of the least expensive forms of insurance one can buy. Even more important than documents that specify how we want our property disposed of upon death, the Advance Health Care Directive can ensure for each of us personal dignity and bodily integrity by detailing how decisions are to be made about our health care while we are still alive. Anyone who is age eighteen or over should consider signing such a document.
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Fredrick P. Niemann
(732) 863-9900