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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows a person to designate someone to make healthcare decisions on their behalf. The principal retains control over their healthcare decisions until they are deemed unable to do so by their attending physician. This instrument is applicable in situations of incapacitation, such as a coma, vegetative state, or mental impairment. For validity, the document must comply with state laws, often requiring witnesses or a notary public during signing. The principal must be at least 18 years old and of sound mind. Being of sound mind means the principal understands the nature and consequences of their decisions.