Advance Medical Directive - ​​ AMD

Advance Care Planning for Future Health Crises

Advance Care Planning (ACP) and Advance Medical Directive (AMD) are two tools that you can use to indicate your preferences for medical care for future contingencies, when you are not able to make decisions for yourself. These directives guide healthcare professionals and your loved ones when making decisions on your behalf, and more importantly, it relieves loved ones of the burden of not knowing what you would have wanted.

“By indicating your preferences in advance, you can ensure that you will get the medical care you desire during a future medical crisis,” says Ms Sumytra Menon, Senior Assistant Director, Centre for Biomedical Ethics (CBmE), Yong Loo Lin School of Medicine, National University of Singapore (NUS). The ACP process consists of a series of wide-ranging discussions with loved ones you have selected and doctors and facilitated by a trained ACP facilitator on your future health and personal care preferences. At the end of the discussion, this discussion is summarized in an ACP document. The advance care plan is a document that states how you want to be cared for in the event that you are seriously ill and unable to express yourself or make your own decisions. This is not a legal document and can be as detailed as you would like it to be.

Advance care planning is for everyone, regardless of age or health condition. What you could consider:
  • Ask a healthcare professional about an ACP.
  • Have an ACP conversation with a trained ACP facilitator. ACP facilitators can be found at Singapore General Hospital (SGH), the National Heart Centre Singapore (NHCS) and other hospitals.
  • Share the ACP document with your doctor and family members.
  • You can change, review and update your advance care plan at any time throughout your life.
  • Appoint a person you trust to make decisions for you if you are mentally incapacitated in the future. The person you appoint to speak on your behalf is typically a trusted friend or family member who is at least 21 years old. This person can be formally appointed using a Lasting Power of Attorney (LPA).

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