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Previously asked.
I would contact an elder law attorney at once. Sounds like (tho you don't tell us) that your loved one is in dire circumstances. This is emergent. Call tomorrow morning. Also contact hospital Social Services and begin grievance process.
Five Wishes documents are considered legally valid in almost every state, but some states require additional forms and mandatory notices. It currently meets requirements for 44 states.
If you live in Indiana, New Hampshire, Kansas, Ohio, Oregon or Texas, you will need to take additional steps beyond the Five Wishes document."
Source: https://www.seniorcarelifestyles.com/uncategorized/know-your-options-five-wishes-or-medical-power-of-attorney/#:~:text=Five%20Wishes%20documents%20are%20considered,meets%20requirements%20for%2044%20states.
Five Wishes is basically a Advanced Healthcare Directive (Living Will). Its purpose is to guide the *legal medical PoA* when making decisions for the LO's medical care.
If you are not his MPoA or legal guardian, Five Wishes may not give you enough authority here, as I'm interpreting it. FW allows you to have insight into his care but apparently does not give you the authority to make the actual decisions for him, regardless that you are his fiancee or not.
When we created our Trust and legal care documents with our elder law attorney, we did a Living Will but also assigned MPoAs. So, I think FW and MPoA are not the same.