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National Healthcare Decisions Day April 16
Advance Care Planning: Your Decisions Matter
Presented By:[Name][Title][Organization]
[Date]
National Healthcare Decisions Day April 16
National Healthcare Decisions Day April 16
1. Discover the value of advance care planning
2. Learn how to talk about your future healthcare decisions
3. Understand how to document your healthcare decisions using advance directives
4. Encourage others to honor National Healthcare Decisions Day
National Healthcare Decisions Day April 16
Involves: Learning about treatment options
Thinking about your values
Talking about your decisions
Documenting your wishes
National Healthcare Decisions Day April 16
Advance Care Planning
&
Health Care DirectivesThanks to Hospice Minnesota for use of their content in this presentation.
National Healthcare Decisions Day April 16
1900 -- 47
Most people died quickly from accident or infection.
2000 -- 78
Most will die slowly from chronic disease.
National Healthcare Decisions Day April 16
If you are 50. . .81.8 (women)
77.9 (men)
If you are 65. . .84.2 (women)
81.3 (men)
U. S. Centers for Disease Control and Prevention
National Healthcare Decisions Day April 16
cancer pattern (20%)--long illness with decline just before death
dementia pattern (30%)--grow progressively more frail over time, up to 10 years
organ system failure (30-40%)--series of hospitalizations over several years leading up to sudden death
from Center to Improve Care for the Dying
National Healthcare Decisions Day April 16
63% die in hospitals. 17% die in long-term care facilities. Patients typically spend 8 days in ICU
comatose or on a ventilator before they die.
(Foley, 1995; Isaacs and Knickman, 1997)
National Healthcare Decisions Day April 16
A 1999 study showed that. . . 70% of people in the U.S. face tough medical
decisions at the end of life.
Baby-boomers were more willing to talk about sex and drugs with their teens than about end-of-life care with an aging parent.
National Hospice Foundation
National Healthcare Decisions Day April 16
Learning
Thinking
Talking
Putting it in writing
National Healthcare Decisions Day April 16
exercise your right to control your own care
guide others in making decisions for you
clarify your wishes in case of confusion or disagreement
National Healthcare Decisions Day April 16
Document which. . . states your preferences about health care
names someone to make decisions for you
applies ONLY when you cannot make decisions or communicate your wishes
National Healthcare Decisions Day April 16
a will or trust to distribute property and assets after death
a power of attorney for financial affairs
National Healthcare Decisions Day April 16
You WILL receive medical care. Your family may struggle with tough choices. You will have no choice about who makes decisions
for you. Decision-makers may disagree. You may not receive the kind of care you want.
National Healthcare Decisions Day April 16
Living Wills (1989)
Durable Power of Attorney for Health Care (1993)
Minnesota Health Care Directive (1998)
National Healthcare Decisions Day April 16
Naming an Agent – (Durable Power of Attorney for Health Care)
Health Care Instructions – (Living Will)
(may contain one or both)
National Healthcare Decisions Day April 16
be in writing be dated state the person’s name & bear the person’s
signature or mark be verified by a notary or two witnesses include either health care power of attorney or
health instructions or both be executed by person with capacity to do so
National Healthcare Decisions Day April 16
Talk to the person(s) before you make it official
Explain your beliefs, preferences and expectations
Make sure agent is willing to act on your behalf
National Healthcare Decisions Day April 16
at least 18 years old
willing to act on your behalf and carry out your wishes
not easily intimidated--a good advocate
able to make difficult, possibly life-or-death, decisions
physically near or available
National Healthcare Decisions Day April 16
Decide if agents will act
alone or together.
National Healthcare Decisions Day April 16
You are related to that person
or
You state why you want that person to serve as your health care agent
National Healthcare Decisions Day April 16
give permission for, refuse or withdraw a treatment, service or procedure
select health care providers
choose residence when related to health care
obtain copies of medical records
(Additional powers may be assigned.)
National Healthcare Decisions Day April 16
Make decisions even if I’m able
Carry out wishes about funeral, burial, etc.
Make mental health treatment decisions
Determine whether to continue pregnancy
Continue even if marital status changes
National Healthcare Decisions Day April 16
Health care goals Feelings about specific treatments Religious and spiritual beliefs Beliefs about quality and length of life Wishes for care when dying Preferences about organ donation
National Healthcare Decisions Day April 16
pain control
ventilator/respirator
nutrition support and hydration
cardiopulmonary resuscitation (CPR)
dialysis, medications (including antibiotics),
surgery, chemotherapy
National Healthcare Decisions Day April 16
DNR - Do Not Resuscitate (use CPR or mechanical means to restart breathing or heartbeat)
DNI - Do Not Intubate (insert tube and connect person to mechanical breathing device such as ventilator/respirator)
National Healthcare Decisions Day April 16
are different and separate from a health care directive
must be issued by a doctor
are recognized in Minnesota
National Healthcare Decisions Day April 16
The document must be
signed and dated
witnessed by a Notary Public or two individuals*
*Note limits on who can witness.
National Healthcare Decisions Day April 16
primary physician other health care providers health care agent(s) family members and close friends
Keep a list of who has copies!
National Healthcare Decisions Day April 16
Talk to your family and doctor(s) about your wishes.
Keep a current copy with you if you travel.
Keep your directive up to date.
National Healthcare Decisions Day April 16
Your health status changes
You move to another state
Your agent is no longer able to act on your behalf
National Healthcare Decisions Day April 16
Notify agent, family, doctor, and replace all old copies with new ones.
Destroy all old copies.
Your health care directive can bechanged or revoked as long as
you have capacity to do so.
National Healthcare Decisions Day April 16
Why should I complete a health care directive if I trust my family?
Can I be required to complete a health care directive?
What if I’ve already completed a Living Will or Durable Power of Attorney for Health Care?
Do I need an attorney to complete a health care directive?
National Healthcare Decisions Day April 16
Will my health care directive be valid if I am in another state?
Do I need a directive if I want all possible treatment?
How can I be sure that my directive will be honored?
National Healthcare Decisions Day April 16
You do not have to complete all of the questions or blanks on the form.
You may not have answers to some of the questions.
There are no right or wrong answers.
Starting the process is an important step.
National Healthcare Decisions Day April 16
Hospice Minnesota
(651) 659-0423
1-800-214-9597
National Healthcare Decisions Day April 16