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advance care directives patients have a right to take an active role in their own health care unfortunately there are times such as sudden illness or an accident when this is not possible advanced care planning under the patient self-determination act PSD a 1990 gives a patient his right to make determinations regarding their medical care in advance based on personal values attitudes illness and death patients have a right to make medical decisions regarding their treatment appoint an agent to speak on their behalf when incapacitated determine or refuse their medical treatment and care two commonly used advanced directives are living will and power of attorney the living bill a living will tells medical professionals and your family which medical treatments you want to receive or refuse and under what conditions there are two parts in Portland you are asked to provide instructions concerning your future health care in Section B and C you may state the circumstances in which various for