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A medical power of attorney, also known as an advanced directive or healthcare proxy, is a legal document that allows an individual (the principal) to designate someone else to make healthcare decisions on their behalf. The principal maintains control over their decisions until their attending physician determines they lack the capacity to make such decisions, which could occur in cases of incapacitation, such as a coma or severe mental impairment. To be valid, the document must be signed according to state laws, typically requiring witnesses or a notary public. Additionally, the principal must be at least 18 years old and of sound mind, meaning they are capable of making rational decisions.