Can a revocable trust include medical directives?

Yes, a revocable trust can absolutely include medical directives, though it’s not a direct inclusion in the traditional sense; it’s more about coordinating and referencing those crucial documents within the trust framework.

What exactly *are* medical directives and why are they important?

Medical directives, also known as advance healthcare directives, are legal documents that allow you to express your wishes regarding your healthcare if you become unable to do so yourself. These typically include a Durable Power of Attorney for Healthcare (naming someone to make medical decisions on your behalf) and a Living Will (outlining your preferences for life-sustaining treatment). Approximately 60% of adults *do not* have these essential documents in place, leaving their families with difficult and potentially agonizing decisions during a crisis. A well-crafted revocable trust doesn’t *contain* the directives themselves, but it can seamlessly integrate them into your overall estate plan. It’s a matter of clear referencing and coordination, not direct inclusion.

How does a revocable trust work with a healthcare power of attorney?

A revocable trust primarily manages your *financial* assets. However, the trustee named in your trust can also be designated as your agent under your Durable Power of Attorney for Healthcare. This creates a unified approach; the same person managing your finances can also oversee your medical care, ensuring your wishes are consistently honored. Think of Mr. Abernathy, a retired naval officer, who meticulously planned his estate. He named his daughter, a physician, as both trustee of his trust *and* his healthcare agent. This streamlined process allowed her to efficiently manage his affairs when he unexpectedly suffered a stroke, knowing exactly what he would have wanted without any family conflict. This coordination isn’t just convenient, it’s critically important.

What happened when a client *didn’t* coordinate their directives?

I recall a case involving the Millers, a lovely couple who created a revocable trust years ago. However, they never updated their healthcare directives or specifically referenced the trust within those directives. When Mr. Miller suffered a severe accident, his wife, though named as trustee, wasn’t automatically authorized to make medical decisions. A protracted legal battle ensued involving family members disagreeing on his care, delaying crucial treatment and creating immense emotional distress. It took weeks and substantial legal fees to finally obtain guardianship, a situation easily avoidable with proper coordination. That case underscored the critical importance of not just *having* directives, but ensuring they work *in harmony* with your trust.

How did we fix a similar situation for the Henderson family?

Fortunately, we were able to help the Henderson family avoid a similar fate. Mrs. Henderson contacted us after her husband’s diagnosis, wanting to update their estate plan. We not only drafted new, comprehensive healthcare directives, but also specifically referenced the trust and the named trustee within those documents. We also provided her with a letter of instruction, detailing the location of all essential documents, including the trust and directives. When Mr. Henderson’s condition deteriorated, his wife, as both trustee and healthcare agent, was able to act swiftly and decisively, honoring his wishes without any legal hurdles. The family experienced a difficult time, but the peace of mind knowing his wishes were respected was invaluable. It was a powerful reminder that a well-integrated estate plan isn’t just about managing assets, it’s about protecting your loved ones and ensuring your values are upheld, even when you can no longer speak for yourself.


Who Is Ted Cook at Point Loma Estate Planning Law, APC.:

Point Loma Estate Planning Law, APC.

2305 Historic Decatur Rd Suite 100, San Diego CA. 92106

(619) 550-7437

Map To Point Loma Estate Planning Law, APC, a wills and trust attorney: https://maps.app.goo.gl/JiHkjNg9VFGA44tf9


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Legacy Protection: (minimizing taxes, maximizing asset preservation).

Crafting Living Trusts: (administration and litigation).

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