Advance Care Plans are never complete. Unexpected medical situations may arise. It is difficult to anticipate every medical condition that might develop or every medical treatment that might become available. In the event a medical condition should develop which is not anticipated in your Advance Care Plan Document, your doctor should serve you according to the spirit of your instructions. Sometimes doctors must make a difficult decision when there is some hope for improvement or recovery.
Some documents ask doctors to certify that there is no hope for improvement.
These terms and phrases confuse doctors and prompt them to do more medical procedures, not less. Many patients dying from cancer, terminal heart or lung disease, or with Alzheimer's disease may not want doctors to prevent them from dying a peaceful death. Personal Choices Regarding CPR Orders Should Always be Discussed With Your Physician. Currently, in the State of Florida, a separate form must be signed by your physician to ensure that CPR will not be performed. In the future, we are hoping to have a National Central Registry established that can easily be accessed via computer, where your Advance Care Plan is available to health care professionals around the country.