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The Role of a Living Will in Medical Decision-Making

Sanders & Sanders, Attorneys at Law June 16, 2025

When facing serious illness or injury, the ability to make clear medical decisions is extremely important. However, unexpected events can leave someone unable to communicate their wishes regarding medical care. In these situations, having legal documents in place can make a difference.

One of the most valuable tools in this context is a living will. A living will provides written instructions about a person’s preferences for medical treatment if they become incapacitated and are unable to speak for themselves. It addresses decisions about life-sustaining treatments, resuscitation, pain management, and other critical care options.

In the field of estate law, where attorneys often assist clients with estate planning and personal health care directives, living wills hold significant importance for protecting personal autonomy and reducing family conflict during difficult times.

Keep reading to learn what a living will is, how it differs from other advance directives, its role in medical decision-making, and why incorporating one into an estate plan can be a thoughtful, protective choice for you and your family.

What Is a Living Will?

A living will is a legal document that outlines a person’s preferences for medical care if they’re unable to make those decisions on their own. It typically addresses specific scenarios involving terminal illness, irreversible coma, or other severe health conditions where medical interventions might prolong life without offering meaningful recovery.

Unlike a last will and testament, which distributes property after death, a living will functions while a person is still alive but incapable of communication or decision-making. It’s often considered part of a comprehensive estate planning package, alongside powers of attorney, trusts, and other health care directives. Some typical treatment decisions include the following.

  • The use of ventilators or breathing machines

  • Artificial nutrition and hydration

  • Resuscitation efforts such as CPR

  • Dialysis or other life-prolonging interventions

  • Pain relief and comfort care measures

By documenting these preferences in advance, individuals can make clear their values and wishes regarding medical care, removing the burden of guesswork from family members during emotionally charged situations.

Living Will vs. Medical Power of Attorney

Many people confuse a living will with a medical power of attorney, but these two documents serve different, complementary roles. A living will states a person’s treatment preferences in writing, while a medical power of attorney (sometimes called a health care proxy) designates someone to make health care decisions on their behalf when they’re unable to do so.

In family law, professionals often recommend that clients prepare both documents as part of their estate planning process. The medical power of attorney covers a broader range of health care decisions that might not be addressed in a living will and gives legal authority to a trusted agent to advocate for the patient’s interests in unforeseen situations.

Together, these tools provide clarity and protection, reducing the risk of legal disputes and family disagreements about a loved one’s care during medical crises.

A Living Will in Medical Decision-Making

When a person becomes incapacitated due to illness, injury, or advanced age, decisions about their medical treatment must still be made. Without written guidance, these decisions often fall to family members or, in some cases, the courts.

A living will provides a clear, legally binding document that medical professionals and loved ones can consult when determining the best course of care. Here’s how a living will plays a role in real-life medical decision-making.

  • Clarifying treatment preferences: A living will removes ambiguity about whether a person would want to be placed on life support, receive artificial nutrition, or undergo invasive procedures when recovery is unlikely.

  • Reducing family conflict: In many cases, relatives may disagree about the type of care an incapacitated person should receive. A living will provides a clear record of the individual’s wishes, reducing the potential for conflict or emotional strain among family members.

  • Guiding medical providers: Health care professionals rely on advance directives to honor patient preferences. A living will helps doctors align their care decisions with the patient’s values and previously stated wishes.

  • Providing peace of mind: Knowing that decisions are documented can offer relief to both the patient and their family. It allows families to focus on offering emotional support rather than grappling with medical choices they’re unsure about.

This document is especially important in situations where no immediate family is available or when personal relationships are complicated. Professionals in family law frequently assist clients in preparing these documents to avoid such challenges.

Why Living Wills Matter in Family Law

In family law, attorneys don’t just deal with divorce or child custody cases—they often help clients plan for important life transitions and protect their loved ones' legal rights. Estate planning services, including the preparation of living wills, are a key component of these services.

When someone passes away without leaving advance directives like a living will, it can complicate an already difficult situation for family members. Disputes may arise over treatment decisions or whether to continue life-sustaining measures. These disagreements sometimes escalate into legal conflicts that require court intervention.

By encouraging clients to create living wills, family law professionals help prevent such outcomes and make difficult times less burdensome for surviving relatives. This guidance not only protects the individual’s autonomy but also fosters smoother, clearer decision-making for families facing medical crises.

How to Create a Living Will

The process of creating a living will doesn’t have to be overwhelming, but it does require careful thought and a clear understanding of your medical care preferences. This legal document is an important part of personal health care planning.

Working with a professional experienced in family law can help make sure it accurately reflects your wishes and complies with state-specific requirements. The process of creating a living will typically involves the following steps.

  1. Consult a family law attorney: A professional familiar with family law and estate planning can explain the legal requirements in your state and help draft a document tailored to your wishes.

  2. Consider your treatment preferences: Reflect on the types of medical interventions you would or wouldn’t want in specific health scenarios.

  3. Select a health care agent: While a living will outlines your wishes, it’s wise to designate a trusted person through a medical power of attorney to make decisions in situations not covered by your document.

  4. Discuss your wishes with loved ones: Talking openly with family members and your health care agent about your preferences reduces the risk of confusion or disputes later on.

  5. Keep copies accessible: Store copies of your living will with your attorney, primary care physician, and trusted family members. Having it readily available during a medical emergency is critical.

By taking these thoughtful, proactive steps, you not only protect your own right to control future medical care but also provide peace of mind for your loved ones.

Protect Your Medical Decisions With Our Legal Support

In family law, estate planning services that include living wills and other advance directives provide additional protection for clients and their families. If you haven’t yet prepared a living will, consider speaking with a family law professional in Clinton, Maryland; Bowie, Maryland; Fort Washington, Maryland; Largo, Maryland; or Washington D.C. about adding one to your estate plan. Contact Sanders & Sanders, Attorneys at Law for peace of mind and legal clarity when it matters most.