
Planning Ahead for Medical Decisions in McKinney, Texas
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When it comes to our health and well-being, none of us can predict what the future holds. That’s why taking the time to plan for medical decisions is so important. It’s about more than just paperwork—it’s about peace of mind, clarity, and ensuring your wishes are respected when you might not be able to speak for yourself. I want to share why this planning matters, how it can protect you and your loved ones, and practical steps you can take today.
Why Planning for Medical Decisions Matters
Planning for medical decisions is a crucial part of protecting yourself and your family. Imagine a situation where you are seriously ill or injured and unable to communicate your preferences. Without clear instructions, your loved ones and healthcare providers may face difficult choices, often under emotional stress. This can lead to confusion, disagreements, or decisions that don’t align with your values.
By planning ahead, you provide a clear roadmap for your care. This helps reduce stress for everyone involved and ensures your voice is heard, even if you can’t speak. It also allows you to consider your options carefully, discuss them with your family, and make informed choices about treatments, life support, and other medical interventions.
In McKinney, Texas, where families value close-knit support and community, having these plans in place strengthens family bonds and provides reassurance. It’s a gift of clarity and compassion to those you care about most.

Understanding the Legal Side of Planning for Medical Decisions in Texas
Legal documents play a key role in planning for medical decisions. These ensure your wishes are legally recognized and followed. The most important in Texas include:
Medical Power of Attorney (MPOA): Appoints a trusted person (your healthcare agent) to make medical decisions if you can’t. Texas requires you to sign before two qualified witnesses (with restrictions on who may serve) or a notary.
Directive to Physicians and Family or Surrogates (often called a “living will”): States your wishes about life-sustaining treatment if your condition is terminal or irreversible. It must also be signed before two qualified witnesses or a notary.
Do-Not-Resuscitate (DNR) Orders: In Texas, this comes in two forms:
In-hospital DNR: A physician order entered into your medical record.
Out-of-Hospital DNR (OOH-DNR): A state-approved form or ID device that tells EMS personnel not to attempt resuscitation. The document must be kept accessible.
HIPAA Release (optional): Authorizes your loved ones or agent to access medical information and communicate with providers, even before the MPOA takes effect.
Important note: Texas does not have a statewide POLST program, unlike some states. Instead, Texans rely on the Directive to Physicians and DNR orders.
Working with a knowledgeable legal team in McKinney ensures these documents are correctly drafted, witnessed, and tailored to your situation—so you know your wishes will be honored.

What are the 5 Steps of Advance Care Planning?
To make the process manageable, it helps to break it down into clear steps. Here are five key steps to guide you through planning for your medical decisions:
Reflect on Your Values and Wishes
Think about what matters most to you. Consider your beliefs, quality of life, and what types of medical care you would or wouldn’t want.
Choose a Healthcare Agent
Select a trusted person who understands your values and can make decisions on your behalf if needed.
Discuss Your Wishes
Have open conversations with your healthcare agent, family, and doctors. Make sure everyone understands your preferences.
Document Your Decisions
Complete your Medical Power of Attorney and Directive to Physicians (and other forms you choose).
Review and Update Regularly
Life changes, and so might your wishes. Revisit your plans periodically to keep them current.
Following these steps can make the process less overwhelming and more effective. It also helps ensure your medical care aligns with your values and goals.

How to Start the Conversation with Your Loved Ones
Starting a conversation about medical decisions can feel uncomfortable, but it’s one of the most caring things you can do. Here are some tips to help you begin:
Choose the Right Time and Place: Find a quiet, relaxed setting where everyone feels comfortable.
Be Honest and Clear: Share your thoughts and feelings openly. Explain why this planning is important to you.
Listen Actively: Encourage questions and listen to concerns without judgment.
Use Resources: Bring brochures, forms, or websites to help explain the process.
Reassure Your Loved Ones: Let them know this is about making things easier for everyone, not about expecting the worst.
Remember, this conversation is ongoing. It’s okay to revisit it as needed and involve healthcare professionals or legal advisors for support.
Taking Action: Protecting Your Legacy and Peace of Mind
Once you’ve reflected, discussed, and documented your wishes, the next step is to take action. This means:
Distribute Copies: Give your MPOA and Directive to your healthcare agent, close family members, and doctors.
Inform Your Providers: Ask your McKinney doctors—whether at Texas Health, Medical City, or Baylor Scott & White—to scan your documents into your electronic medical record.
Keep Originals Safe: Store them in an accessible place (not locked away in a safety deposit box).
Consider Broader Planning: Pair your medical directives with estate planning documents like wills or trusts for full peace of mind.
By taking these steps, you’re not only protecting your health decisions but also supporting your family’s ability to care for you without added stress or confusion.
Planning for medical decisions is a thoughtful, proactive way to care for yourself and your family. It’s about respect, clarity, and compassion. Taking the time now ensures your wishes are followed and gives your loved ones the guidance they’ll need in difficult times.
If you’re in McKinney or Collin County and want help preparing these documents, our legal team can guide you every step of the way.







