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A medical power of attorney (MPOA), also known as an advanced directive or healthcare proxy, allows an individual to appoint someone to make healthcare decisions on their behalf when they are unable to do so. The principal maintains control over their healthcare until a physician determines they lack the capacity to make decisions. Situations that may require an MPOA include coma, vegetative states, or mental impairments that affect decision-making. For the MPOA to be valid, it must be signed according to state laws, typically requiring witnesses or a notary. The principal must be at least 18 years old and of sound mind, capable of understanding the implications of the document.