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every patient should have an active role in determining the medical care that they receive unfortunately sometimes this is not possible due to an event such as an accident or sudden illness this is when an advance directive comes into play so you may be wondering what is an advance directive its a legal document that allows a patient to specify what medical care he or she does or does not want to receive if they were no longer able to make decisions on their own the two types of advanced directives are 1. living will 2. durable power of attorney a living will is a legal document that states a patients medical care preferences in writing this includes which life-saving measures they wish to receive such as cpr and or intubation and mechanical ventilation it may also include end-of-life pain management and comfort measures as well a durable power of attorney on the other hand allows the patient to designate another person as an agent to carry out their wishes and make decisions on thei