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Can the individual appointed make a decision contrary to my express wishes or against medical practice?

No. The individual must follow your express wishes stated in your Advance Directive and must consider the physician’s recommendations. The decision by the individual appointed must be in accordance with accepted medical practice, and in this facility, with the Ethical and Religious Directives for Catholic Health Care Services.

Will an Avera facility always follow directions either specifically stated in the living will or as authorized to be made by the appointed individual under my durable power of attorney for health care?

Facility members of Avera, a Catholic health care organization, have adopted and operate in compliance with what is known as the Ethical and Religious Directives for Catholic Health Care Services approved by the United States Conference of Catholic Bishops. These directives prohibit certain treatments or non-treatments as not in keeping with Catholic doctrine. If your request or that of the individual appointed under a Durable Power of Attorney for Health Care would violate one of these directives, then the request would be denied and treatment alternatives discussed. Examples of prohibited treatment/non-treatment actions include, but are not limited to, euthanasia, abortion and non-medically necessary sterilization. Facilities managed by Avera also comply with the Ethical and Religious Directives.