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Medical power of attorney, also known as an advanced directive or healthcare proxy, allows someone to appoint another person to make healthcare decisions on their behalf. The principle keeps control until determined incapacitated by their attending physician. Use is required in cases of coma, vegetative state, or mental impairment. Validity requires adherence to state laws, including witnesses or a notary public. The principle must be 18 years or older and of sound mind. Sound mind indicates the ability to think rationally.