E N D
2. Our Vision
3. Who We Are
4. Who We Are National Organization
– Over 60 Chapters and Affiliates
– 30,000 Members
Non-Profit
Comprehensive Public Resource
5. C & C Objectives Promote the use of Advance Directives
Advocate for improved palliative care
Encourage state-of-the art pain management
Support patient-directed aid-in-dying
Encourage use of POLST (Physicians Orders for Life Sustaining Treatment)
6. What We Do
7. What We Do Educate the public, lawmakers, and healthcare professionals
Support and promote end-of-life decisions
Advocate legislation that improves end-of-life care
8. Healthcare Information
9. Demographics
10. Demographics
11. Health Care Costs Americans’ Current Health Care Expenditures Over Life Span
12. Health Care Costs
Medicare spends 27% of its funds on patients in their last year of life
13. Health Care Costs
14. Health Care Costs It’s estimated that it costs $100,000 annually to care for a PVS (Persistent Vegetative State) patient
It’s estimated that there are between 10,000 and 25,000 PVS patients living in nursing homes across the country
25,000 PVS patients x $100,000 = $2.5 billion
15. Medical Information
16. Leading Causes of DeathGeorgia Males
17. Disabilities of Georgians by Age
18. Alzheimer’s Disease
4.5 million cases in America (Alzheimer’s Association, 2004)
Prevalence of Alzheimer's expected to increase to 11.3-16 million cases in America by 2050 (Alzheimer’s Association, 2004)
4 million cases of Alzheimer's in the US (Alzheimer’s Disease Education and Referral Center (ADEAR)
19 million people had a family member with Alzheimer's in the US (ADEAR)
Nearly 50% of those over 85 years in the US have Alzheimer's (ADEAR)
19. Medical Treatment
20. Future of Hospice Care
21. Palliative Care Focus on cost associated with palliative care. Consider benefits (e.g., lower anxiety, increased satisfaction)Focus on cost associated with palliative care. Consider benefits (e.g., lower anxiety, increased satisfaction)
22. Pain Status at End-of-Life in Georgia
23. Causes of Unrelieved Pain Unnecessary Fear of Addiction
Health Care Providers’ Fear of Litigation
Ethical and Religious Objections
Inadequate Training of Health Care Professionals
Emotional Need to Experience Pain
24. Legal Issues
25. Recognition of Rights
26. Refusal By Physician To Comply
27. Family Involvement Discuss advance directives with family members
Inform family of location of all relevant documents
Provide copies of documents to family members, physicians, hospital or health care organizations
28. Legislative Issues
29. Georgia’s Status 35% of adult Georgians have completed a written document that expresses their wishes for End-of-Life Care…
which means 4.3 million adult Georgians have not made their wishes known
30. Living Will Authority
31. Durable Power of Attorney for Health Care
32. Georgia Advance Directives For Health Care Living Will and Durable Power of Attorney for Health Care are combined: Advance Directive for Health Care
Developed by a multidisciplinary committee
User friendly
Specific choices regarding terminal condition or state of permanent unconsciousness
Automatic revocation of prior documents
(Signed May 17, 2007)
33. Proposed Legislation
34. Legislative Proclamations
35. Legislative Issues
36. States With Advance Directive Registries
37. National Legislative Initiatives for Advanced Directives
38. Physician Orders for Life-Sustaining Treatment (POLST)
39. Physician Orders for Life-Sustaining Treatment (POLST)
40. Physician Orders for Life-Sustaining Treatment (POLST)
41. Physician Orders for Life-Sustaining Treatment (POLST)
42. Development of the POLST *need list of members and organizations (I.e., roster) for appendix*need list of members and organizations (I.e., roster) for appendix
43. End of Life Concerns
44. Good Things About Aging…
45. And Some Worries…
46. What You Can Do
47. What You Can Do Join us!
Advocate
Volunteer
Speakers Bureau
Donate
48. Advocate Tell your legislators how you feel
Discuss your health care decisions with family
and friends
Prepare and sign your own Advance Directives
Participate in public education
49. Donate C&C entirely supported by membership and donations
Allow C&C to expand its current and future programs and initiatives
Help to secure the future of C&C
50. Contact Us
Laura Pace
Speakers Bureau Coordinator
Compassion and Choices of Georgia
lapace7@comcast.net
(cell) 404/606-2059
51. Memorial Society of Georgia Incorporated in 1973
Non-profit organization
Assists with end-of-life concerns
Nominal lifetime fee
52. Memorial Society of Georgia Member of Funeral Consumer Associates
Commitments with licensed funeral directors
Selection of cremation or burial
Predetermined minimal cost
53. Memorial Society of Georgia Pre-arrangement form
Funeral director selection
Decisions regarding details of ceremonies and rituals
Disposition of remains
At time of death
Funeral director notified
Arrangements carried out
54. Memorial Society of Georgia Educational programs:
Wills
Powers of attorney
Long term care
Estate planning
Grief support
Body, organ and tissue donation
55. Contact Us
Roland J. Knobel, Ph.D.
President, Memorial Society of Georgia
knob23@comcast.net
(404) 636-0755