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contact🧑⚕️ Health Care Agent (POA)Primary health care agent *Agent contact Grant HIPAA/relevant privacy authorization to agent? *— Select Choice —NoYesAlternate agent appointed?NoYesAlternate agentPreviousNextSave and Resume Later📜 Agent Authority & LimitsAgent mayChoose facilityHire/fire providersAccess recordsConsent/Refuse treatmentDisposition of remainsAutopsy/organ donation decisions;Specific limits or instructions to agent❤️ Goals of CareOverall goal if seriously ill *— Select Choice —Prolong life as much as possibleBalance life prolongation with comfortComfort-focused onlyNotes on quality of life considerations (e.g., independence, communication ability)PreviousNextSave and Resume Later🫁 Life-Sustaining TreatmentsCPR (resuscitation) Attempt CPRDo Not Resuscitate (DNR)Mechanical ventilationYes—no time limitYes—trial periodNoVentilation trial lengthArtificial hydration (IV fluids) YesYes—trialNoArtificial nutrition (tube feeding) Yes—no time limitYes—trial periodNoFeeding tube 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