Any helpful advice to add to Advanced Healthcare Directive for my mom?

OBM - here are some links to info that might interest you.

Advance Care Planning: Healthcare Directives

What Is Advance Care Planning?
Advance Care Planning Decisions
Getting Started with Advance Care Planning
Making Your Advance Care Wishes Known
How to Choose Your Healthcare Proxy
Making Your Healthcare Directives Official
What to Do After You Set Up Your Advance Directive
Be Prepared

https://www.nia.nih.gov/health/advance-care-planning-healthcare-directives

https://www.everplans.com/articles/checklist-creating-an-advance-health-care-directive

For those who want even more control over their final exit, there's an organization call Final Exit Network that advocates for right to die and peaceful ways to end one's life. If it's not for you, disregard it.

https://finalexitnetwork.org/about/mission-and-vision/

When my Mom did her medical POA it read like a living will. What her wishes

Your profile says Mom has Dementia/ALZ. Depending on how far into her Dementia she is, she may not be able to assign POA. She has to be of sound mind. Health directives are based on the wishes of the person having them written up.

My Moms medical POA read like a living will. She didn't want extraordinary measures. No feeding tube. She had a Do Not Resuscitate Order signed by her doctor. The lawyer asked her a list of questions and she answered yes or no.

I would say that AHD and a living will are the same. My Moms was so I chose not to do a living will.

I agree about the diagnosis of ALZ.

my advice is to have a lawyer prepare the document. Do not use an online form or book to create one. A lawyer will be familiar with local provincial/state laws and can be an ongoing resource.

Make sure the Will and POA are up to date too.

If you use any online forms, be sure that they are approved by your state's Bar Association, but I would recommend retaining an attorney anyway - that way, you are sure to have documents that are appropriate for your mom's particular situation. The Advance Directive can be confusing.

I had an attorney draw up my mother's Advance Directive, Health Care Power of Attorney and Durable POA just before she started on opioid pain medication. In the absence of a Last Will and Testament (Mom had nothing of value to warrant one), he also drew up a brief document giving me the sole rights to her personal letters and papers, as I was getting ready to publish a book that contained them.

The cost for these documents, including the recording fees, was $300. That may seem like a lot, but it gave me great peace of mind. The attorney carefully questioned her on each item to ensure that her wishes were indeed being stated clearly, and he explained every clause before she signed anything.

Having a disinterested third party create and witness everything also provides a "stamp of legitimacy" that could prove valuable later on.

A document called a POLST is much more detailed than a DNR.
there is a pamphlet you can get on line called Five Wishes and it has a lot of good information and it is pretty easy to complete.

I think it is very important to have the statement that any measures outside of what is specifically allowed is to be not allowed. Mthr's AD states that on the first page of the document, but hospice just kept the check boxes in her medical chart. It would have been nice to have that statement on the check box page.

The MOLST form (Medical Orders For Life Sustaining Treatment) is used in New York State. The person is supposed to carry this form with them whenever they leave their residence. The social worker at my mother’s AL facility completed the form with my mother. It was then witnessed by two people and notarized.

We live in AZ and had an attorney draw up Advanced Directive, which is called a Living Will here. But there was quite a bit of confusion about what is really needed by different agencies, so here is what I was told by our attorney...
1. A DNR is for the paramedics. We got it from the fire department and kept it by the front door of ALF. The facility also had a copy as did hospice.
2. The LW is a general document that the hospital and medical personnel will honor. When mom fell and went to hospital, we had to get them a copy ASAP, so they knew her wishes. Hospice also had a copy as did all of her doctors prior to hospice stepping in.
3. A hospital will require their form filled out if you go in for a procedure. It is only good for that procedure.

Crazy, huh?

Also, PLEASE have a list of all of your LO doctors and phone numbers printed up. When my mom broke her hip, and before we could get all the forms to the hospital (paramedics would not take them), they had scheduled mom for surgery. Due to Covid19, we could not go to hospital. Anyway, when we got the forms there by FAX, which the ALF did for us, the hospitalist called me. She then called the pulmonologist who told them mom was too high risk for surgery. Amazingly, I had updated all the information the day before mom fell and had emailed it to my dad. It turned out to be critical to moms care and for following her wishes.

each state is different.
You can go to your states statutes and codes and pull up the form and fill it out yourself

Follow your state's guidelines. Make sure that the facility,local hospital,ambulance company,local ambulance company, and her primary care physician have copies. Keep one for yourself. Make sure the completed document honors your mother's wishes. I found out when my mother was dying that the E.R physician reviewed her advanced directive to ensure that I didn't wish to override it. It is important that the surrogate understand and honor their loved one's wishes even if they do not agree. If your mother dies not wish to be resuscitated, the primary care physician must write a DNR order to place in her chart. If a person is person is unable to execute an advanced directive due to dementia, an advance directive document can not be executed for them.

By the way a POLST or DNR should be carried at all times. If in an emergency if a person is taken to the hospital they will do what is necessary to save your life, as will paramedics on the scene if the POLST or DNR is not available. Even if you say the person has either document if it is not there it "does not exist" until presented.

Perhaps you need an elder law attorney.