The heart of the matter seems to me to be the direct interaction between one's making a poem in English and a poem in the language that one understands and values. I don't see how you can do it otherwise.
Every state in America has an end of life directive or durable power of attorney provision. For the peace of mind of your children and your spouse as well as the comfort of knowing the government won't make these decisions, it's a very popular thing. Just not everybody's aware of it.