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Utah DNR – POLST

People often refer to a “Do Not Resuscitate” document as a “DNR.”  As an attorney I routinely prepare estate planning documents often called “Living Wills” by the public.  I know that the documents I prepare are not a DNR, but people often hope the “living will” documents I prepare for them will act like a DNR.  Well, if you can’t say you learn something new every day, you aren’t trying hard enough.  Here’s what I learned today:  In Utah, “Living Will” documents do not function like a DNR, and, very importantly, A LAWYER CANNOT COMPLETE THIS FOR YOU.

In Utah, the document that acts like a DNR is called a “Physician Order for Life Sustaining Treatment.”  This document is not a do-it-yourself form and MUST BE PREPARED BY A QUALIFIED MEDICAL PROFESSIONAL, which must be a physician, an APRN, a physician’s assistant, or a licensed nurse or a licensed social worker, acting, under the supervision  of the physician, APRN, or PA who will sign the form, may prepare the form with the patient or surrogate, but the form must be signed by the physician, APRN or physician assistant

You can find this document on the web at the Utah Department of Health website http://health.utah.gov/ems/polst/.  The explanation of the document can be found on a link to the  POLST/Life with Dignity Provider Guide from the same page.

The Utah DNR, or POLST, is not a substitution for “living will” documents.  The POLST is best used, and healthcare providers should discuss the POLST with patients: 1) Who are facing life-threatening illness; 2) Who have specific preferences about life-sustaining measures (e.g. Jehovah Witness preference for no transfusion), or 3) Who want a DNR order when living outside of a licensed health facility.  In contrast to Advance Directives, which benefit all adults, the POLST is less helpful to individuals who are not in these three categories.

Please comment, add, refute, clarify or inquire regarding this posting if you are so inclined.  I would love for this blog to become a helpful dialogue and resource.

Remember the 1970′s American Express Traveler’s Cheques with Karl Malden – “Don’t Leave Home Without Them.”  Disaster can easily strike if you were to lose the cash you were carrying.  Credit cards were not so easy to use back then, so your choice was cash or some kind of check, so before people would leave on a big trip – business or vacation – they would head down to the bank or other agency to purchase American Express Traveler’s Cheques.

It is amazing how many clients come in to see me to get their wills and other estate planning documents done just before they take a big trip – usually out of the country.  And it seems to be something they almost put off to the last minute.  Why is this event a trigger?  Well, you never know what’s going to happen.  Watched any airplane disaster movies lately?

All joking aside, the decisions to be made in preparing a will and other estate planning documents are very serious and have very serious consequences for the families of those who make the wills.  Parents need to carefully consider who should raise their children if two parents should meet a simultaneous demise (die at the same time).  I always use the example of a couple being out on their Friday night date and a drunk driver crosses the road and takes the couple out, killing them both at the same time.  Should we never go out for fear that something will happen?  No, but we should be prepared if life, or death as the case may be, throws us that curve ball.

So I tell young couples that may not have much in the way of property, and perhaps mostly even have debts, that the most important purpose their will serves is to allow them to decide who should raise their child(ren) should be both “check out” at the same time.  Consider it carefully.

Parents should make sure they each have some life insurance on their own lives, enough to take care of the other spouse and the child(ren) should one of the parents die.  In the simultaneous death scenario, it makes it very important to state who will take care of that money for the children, who may not be the same person(s) designated to raise the children.  The simplest way this is usually done with a will is by a mechanism called a “pour over trust provision” in a will.  This creates a trust at the time of death of the testator (the person making the will) but not before, so you don’t have to worry about managing a trust during your lifetime.  This tool works really well for people whose estates are less than one million dollars.

Most people don’t have a lot of stuff that they need to worry about giving away when they die.  But who will raise the kids and take care of their money is REALLY important.

Please comment, add, refute, clarify or inquire regarding this posting if you are so inclined.  I would love for this blog to become a helpful dialogue and resource.  So remember, when to getting your wills and estate planning documents done, “Don’t leave home without them.”

Now is the time to answer life’s “what if” questions.  Read this article by M. Sue Bergin, written for normal people, not lawyers.

Welcome to Wills and Trusts Explained, a blog intended to provide meaningful information to clients and the public generally.  We welcome submissions and comments and hope to serve the public by increasing the public’s knowledge of the use and benefit of good estate planning for individuals to properly organize their affairs.

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