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Understanding Advance Care Planning. Why do we Avoid it?I'm afraid to think of itIt just makes everyone sadIt
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1. Advance Care Planning Chippewa Valley
CARE Coalition
Committed to improving
end-of-life care through:
Communication
Advance Planning
Resources
Education
2. Understanding Advance Care Planning
Why do we Avoid it?
I’m afraid to think of it
It just makes everyone sad
It “weirds us out” to think of it
I’m too young to have to worry about it
I’m healthy and take good care of myself
I have to protect my loved ones from discussion
Does it mean I am giving up hope?
Will I disappoint those I love?
3. Who Should Have One?
Anyone Over
The Age
Of
18
Give me some examples of why this is important.Give me some examples of why this is important.
4. What is anAdvance Directive For Health Care? Directions In Advance Healthcare providers cannot honor your wishes unless they know what your wishes are
Healthcare providers cannot honor your wishes unless they know what your wishes are
5. Why Have One At All? Protects your autonomy
Makes it easier on your family
Accidents and illness happen to everyone
Assures that you get the care you choose as an individual
6. Choosing the Right One
Power of Attorney for Health Care
POA-HC
Vs.
Declaration to Physicians
Living Will
7. POA-HC Allows you to name a legal agent to speak for you if you need it, no matter what the situation
8. Living Will Declares Your Wishes
To Physicians
If
You are terminally ill
You are in a persistent vegetative state
9. Medical Technology Makes it essential to have a
POA-HC
We do many things with modern medicine because “we can,” but it doesn’t always follow a person’s life values.
10. What, no POA-HC?
Guardianship
Court System
Costly
Stressful
Lose Autonomy exampleexample
11. You are the Captain And you get to make choices
NOW
While life is relatively
Calm
12. Common Misunderstandings POAs are for the very old, the very sick, or the dying
It should be done “later” because it’s so complicated Start the Choices Video/DVD hereStart the Choices Video/DVD here
13. Who to Name as Agent 18 years of age or older
Relative or Friend
Can live near or far away
Does not have to be present
Trusted person who can stay calm and follow your wishes
Someone you can talk openly with
Let’s look at the state forms. Luther and SHH have packaged the state form differently. Key elements are identical
For the sake of practice we are going to fill out the form completely today.
General Statement of Authority granted. Let’s look at the state forms. Luther and SHH have packaged the state form differently. Key elements are identical
For the sake of practice we are going to fill out the form completely today.
General Statement of Authority granted.
14. Empowering the Agent To be a “Voice”
To talk with your doctors
To make decisions about
Feeding tubes
Long term care
15. The best answer is “Yes” Release Limitations
“I trust this person to make the best decisions possible given the situation, knowing who I am, what I believe in, and what makes life worth living for me.”
16. Statement of Desire Special requests
Express life values
What gives life meaning
What quality of life means Optional section, the website has suggested additional statements.Optional section, the website has suggested additional statements.
17. Organ Donation Saves lives
Does not cost the donor
Does not delay funeral
Does not disfigure
Elderly can be donors
You’d be amazed at what they can do with bone and tissue
18. Signing the Document Two witnesses
Age 18 or older
Non-medical
Non-family
All sign on the same date
19. What do I do with it? Give copies to:
Agents
Physicians
Hospital
Clinic
20. When is the POA-HC used?
It is used when you are unable to participate in your healthcare decision-making. Two physicians or a physician and a psychologist have to state you are incapable of thinking clearly, processing information, and making informed medical decisions. The POA-HC is then ‘activated’.
If you regain the ability to make decisions, the POA-HC will be ‘deactivated’.
21. The next step: Conversations to have with your agent/family What makes life worth living for you?
How much medical intervention would you want?
How long would you want it tried?
What worries you the most?
What are some of the most important things to you?
22. Medical Interventions Artificial nutrition
Artificial hydration
CPR (Cardio-Pulmonary Resuscitation)
Ventilators (Breathing Machines)
Kidney dialysis Handouts on website in the Advance Directive FAQ section. Click on titles of handouts or go to the Member Resources tab.Handouts on website in the Advance Directive FAQ section. Click on titles of handouts or go to the Member Resources tab.
23. What if I Change My Mind?
Update the old one
Name a different agent
Review at intervals
24. Traveling Vacationing-carry it with you
Having two homes-Get one made in each state
Have it faxed if needed at different facility
25. So Why Complete a POA-HC?
It is a gift to those you love
Directing healthcare providers to honor your wishes
26. Where Can I Get Help Making a POA-HC?
Your local hospital
Your healthcare clinic
CARE website
www.ChippewaValleyCARECoalition.org
You may wish to consult with an attorney. However, this document can be completed independently and free of charge.