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What Are the Key Components of an Effective Living Will?

Sanders & Sanders Jan. 28, 2026

Planning for future medical decisions isn’t something most people rush to do, yet it is one of the most meaningful steps a person can take. A living will allows someone to express health care preferences in advance, particularly when they may not be able to speak for themselves. 

A living will isn’t about predicting every possible medical event. Instead, it is about clearly communicating values, priorities, and instructions so others can act consistently with those wishes. Experienced estate planning attorneys can help.

At Sanders & Sanders, Attorneys at Law, we know how important it is to plan for future medical decisions and put your wishes into writing with care. Located in Upper Marlboro, Maryland, we serve clients throughout Maryland, including Clinton, Bowie, Fort Washington, and Largo, as well as the Washington, D.C. area, so guidance is available no matter where you are.

We take the time to listen, discuss your goals, and explain your options clearly so you can make informed decisions about a living will and related planning documents. Contact us today to discuss your situation and take the next step with Sanders & Sanders, Attorneys at Law.

Clarifying Health Care Preferences in Advance

At its core, a living will focuses on medical treatment decisions when a person becomes unable to communicate. This commonly includes situations involving serious illness, permanent unconsciousness, or end-of-life care. By addressing these matters in advance, a living will guides physicians and loved ones during stressful moments.

We often explain that clarity is one of the most important components. Vague statements can leave too much room for interpretation, leading to disagreements or uncertainty. A well-prepared living will uses direct language to describe the types of treatment a person would or wouldn’t want. Common areas addressed include:

  • Life-sustaining treatments such as ventilators or feeding tubes.

  • Use of resuscitation measures.

  • Pain management and comfort care preferences.

These topics can feel heavy, so it’s normal for people to pause or reflect before making decisions. Transitioning from general values to specific instructions helps bridge that gap. When values are clearly stated, medical providers have the context to apply the written instructions in real situations.

Appointing a Trusted Health Care Decision-Maker

While a living will sets out written instructions, many people also choose to name a health care agent through a related document, often called an advance directive. This person speaks on the individual’s behalf when medical decisions arise that are not directly addressed in the living will.

We encourage clients to carefully consider whom they trust to carry out these wishes. The right person is often someone who can stay calm under pressure, communicate clearly with medical staff, and follow instructions, even when emotions run high. When choosing a decision-maker, it helps to consider:

  • Willingness to follow the living will as written.

  • Ability to communicate effectively with doctors and family.

  • Availability during emergencies.

A living will works best when the appointed agent understands the document thoroughly. That’s why open conversations are so important. Discussing expectations ahead of time can reduce confusion later and help align everyone involved. This connection between written instructions and personal advocacy strengthens the overall planning process.

Addressing Specific Medical Scenarios Thoughtfully

An effective living will often goes beyond general statements and addresses specific medical circumstances. These sections help guide decisions when situations fall into gray areas. For example, a person may accept temporary life support during recovery but decline prolonged treatment when recovery is unlikely.

We find that people appreciate breaking these decisions into manageable parts. Rather than considering everything at once, focusing on one scenario at a time makes the process more approachable. This also leads to clearer language within the living will itself. Common scenarios discussed include:

  • Terminal illness with a limited chance of recovery

  • Permanent unconsciousness or coma

  • Advanced stages of degenerative conditions

Including these details doesn’t mean every possibility must be covered. Instead, the goal is to offer meaningful direction that reflects the individual’s priorities. When medical professionals can see how someone views quality of life, they are better positioned to apply those wishes appropriately.

As these sections come together, the living will becomes more than a checklist. It becomes a personal statement that reflects careful thought and intention.

Keeping the Document Current and Accessible

A living will isn’t a one-time task. Life changes, and so do perspectives on medical care. Major life events such as marriage, divorce, a diagnosis of illness, or changes in family relationships can all affect how someone views future treatment decisions, which is something we regularly discuss with clients at Sanders & Sanders, Attorneys at Law.

We often recommend reviewing a living will periodically to confirm it still reflects current wishes. Even if no changes are needed, revisiting the document helps keep it familiar and relevant. This habit also provides an opportunity to update contact information or clarify language if needed, an issue that often comes up during routine estate planning conversations.

Accessibility is just as important as accuracy. A living will can’t guide care if no one knows it exists. Copies should be shared with health care providers, the appointed decision-maker, and trusted family members. Some people also keep a copy with other estate planning documents or note its location in an emergency file, an approach we frequently see discussed during planning meetings at Sanders & Sanders, Attorneys at Law.

Bringing the Components Together

When these elements work together, a living will becomes a powerful tool for communication. Clear treatment preferences, a trusted decision-maker, thoughtful consideration of medical scenarios, and regular review all contribute to its effectiveness.

We view the living will as part of a broader planning approach. While it focuses on health care decisions, it often prompts valuable conversations among family members and encourages reflection on personal values. Those conversations can be just as meaningful as the document itself.

For individuals in Upper Marlboro and surrounding Maryland communities, taking the time to prepare a living will can provide reassurance during uncertain times. It allows people to speak for themselves, even when they can’t do so directly. By approaching the process thoughtfully, a living will can offer guidance, clarity, and a sense of control over future medical care.

Our firm assists clients in Upper Marlboro, Maryland, as well as Clinton, Bowie, Fort Washington, Largo, and Washington, D.C., to prepare, review, and update their living wills and related documents.

Reach Out to Us Today

At Sanders & Sanders, Attorneys at Law, we recognize the importance of planning for medical decisions and creating a living will that reflects your wishes. If you want to take steps to clarify your health care preferences and provide guidance for your loved ones, reach out to us today. We’re here to offer thoughtful advice, clear explanations, and personalized support at every stage of the planning process with Sanders & Sanders, Attorneys at Law. Contact us today.