Name financially savvy, calm, available people who respect boundaries and can collaborate. Designate alternates and a health-care agent who understands values around pain control, hospital transfers, and life support. Hold a family conversation now, document preferences in writing, and confirm willingness so the call at midnight is clear, compassionate, and honored.
Use state-specific forms, sign correctly with witnesses or notary, and attach concise treatment preferences. Create a one-page medical summary, medication list, allergies, and physician contacts. Store copies in a labeled folder, digital vault, and glove box. Place wallet cards and fridge magnets so paramedics and hospitals see directions immediately.