Advance Care Planning - Heart 'n Home Hospice & Palliative Care, LLC

Advance Care Planning

Advance Care Planning
A Road Map for Your Loved Ones and Medical Team

Talking about end-of-life healthcare wishes is difficult even in the best of circumstances; however, making decisions for a loved one in an emergency is even more complicated.

End-of-life care planning is the process of making your healthcare wishes known, in the event that something should happen unexpectedly, leaving you unable to communicate your preferences and personal beliefs in healthcare. Part of the planning process includes completing advance directives, which is putting your preferences into writing.

Advance directives are written, legal instructions that are recognized and valid throughout the United States (Living Will and Medical Power of Attorney). Advance directives guide your healthcare provider and loved ones to make appropriate medical choices on your behalf. It is not necessary to have a lawyer fill out an advance directive with you. Once you complete it and have it signed by the required witness, it becomes valid. Also, advance directives do not expire, but if you complete a new one, the previous version is now unacceptable for use.

Another way of thinking about advance care planning is similar to planning a road trip. Most people would not travel to an unfamiliar place without doing some kind of pre-planning. For instance mapping your route, determining attractions and dining preferences, etc. Yet only 30 percent of Americans have a Living Will, a map that guides loved ones and your healthcare provider through the medical treatment you wish to receive if you are unable to communicate.

These open conversations can reduce anxiety about a situation we are all subject to face. If you have not completed your advance directives, now is the time to do so. To find resources on how to start this conversation visit www.goHOSPICE.com.

Kandice Dickinson
Public Relations Specialist
Heart ‘n Home Hospice & Palliative Care, LLC

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Related Posts

New Reimbursement for Advance Care Planning Conversations

FOR IMMEDIATE RELEASE

New Reimbursement for Advance Care Planning Conversations
This Will Help Medicare Beneficiaries Make More Informed Decisions on Care

Beginning January 1, 2016, physicians can now bill Medicare for advance care planning conversations. Heart ‘n Home Hospice & Palliative Care supports the new rule that provides physician compensation for what are important and complicated conversations with patients who are Medicare beneficiaries. We are pleased that the Centers for Medicare and Medicaid recognizes the value of these meaningful discussions between physicians and their patients.

“For years, Heart ‘n Home has advocated for individuals to talk about their healthcare wishes with loved ones and healthcare providers. As Americans live longer, it’s more important than ever to have these conversations,” says Cindy Lee, RN, CHPN, CHPCA, and CEO/Owner of Heart ‘n Home.

Conversations will likely involve patient goals of care, discussions of advance care planning,  and help understanding advance directives. These topics are helpful for patients, their family caregivers, and the professionals caring for them during the course of a serious illness.  Get free tools and resources for advance directives.

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National Healthcare Decisions Day – Make Your Wishes Known

While making healthcare decisions is often difficult in the best of circumstances, making decisions for others is even more complicated. Each of us has the ability to guide our healthcare providers and our loved ones about what we want. Advance directives give you the ability to document the types of healthcare you do and do not want, and to name an “agent” to speak for you if you cannot speak for yourself. As Terri Schiavo’s situation vividly revealed, having an advance directive can be valuable for all adults, regardless of current age or health status.

Please help us make history, again.  April 16, 2014, will be the 7th annual National Healthcare Decisions Day.  The inaugural event, which was formally recognized by Congress and Advance-directive-factnumerous state and local governments, included participation by 76 of the most prominent national healthcare, religious, and legal associations and organizations.  By the second year, over 700 local and state organizations throughout the country also participated.  At every level, the goal of this nationwide initiative is to ensure that all adults with decision-making capacity in America have both the information and the opportunity to communicate and document their future healthcare decisions.  The first years’ results were impressive—over 750,000 people obtained resources to make their healthcare decisions known—but there remain millions of Americans to go.

With the Patient Self-Determination Act of 1990, Congress affirmed the right of every citizen to set forth his or her future healthcare wishes in writing with an “advance directive.” Yet, various estimates suggest that only about 25% of all Americans have done so.  Because advance directives can be created without a lawyer, for free, and relatively easily, this figure is astonishingly low.  In recognition of this, National Healthcare Decisions Day strives to provide much-needed information to the public, reduce the number of tragedies that occur when a person’s wishes are unknown, and improve the ability of healthcare facilities and providers to offer informed and thoughtful guidance about advance healthcare planning to their patients.

With healthcare, “your decisions matter;” however, others need to know your wishes to honor them. There are no wrong answers when thinking about healthcare choices and completing an advance directive. Please use April 16, 2014, to decide, discuss, and document your wishes, whatever they may be.

Not sure how to start the difficult conversation about advance directives? We can help! Click here to view the Heart to Heart Conversations guide.

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Advance Care Planning: Have You Had the Conversation?

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Have you ever thought about what would happen should you end up in a situation where you couldn’t make healthcare decisions for yourself?  What about your loved ones?  What if they were in a situation where they couldn’t express their wishes for healthcare? Who would you want to make those decisions for you?  Would they know your wishes for which treatments you would or would not want?

As difficult as it may be, it’s an important conversation; Advance Care Planning. Advance Care Planning involves learning about the decisions you may have to make during a crisis or at the end of your life and then preparing a plan for how you would want healthcare decisions made for you. Whether you don’t know how to bring up the subject, you don’t want to think about a loved one, or yourself, being in a position where you couldn’t make your own decisions, or you just haven’t thought about it; planning for end-of-life can be a difficult subject. Starting the conversation though is the first step. If not addressed, a healthcare crisis could occur and you’ll find yourself unable to express your desires.

Advance Directive

There are a few documents that are necessary for Advance Care Planning and one of them is the Advance Directive, or sometimes called a Living Will. Once you’ve started the conversation, you’ve thought about what is most important to you concerning your healthcare, and you know who you would want to make healthcare decisions on your behalf if you were unable to, then you need to put it down on paper.  An Advance Directive is a form you would use to document all this information. To find your state’s form you can visit caringinfo.org and visit their Advance Care Planning page.  You can find that information by clicking this quick link to the page.  Once there, you can click on your state and find your appropriate form. These forms are free and include step-by-step instructions that help you complete your Advance Directives.

When filling out your Advance Directives you will find that there are two main parts to it.  First, a section where you can record your wishes for healthcare treatments such as whether or not you want to go via ambulance to the hospital for treatment, whether or not you would be on a ventilator or other life-support,  or whether or not you want to be resuscitated.  This section helps you put down your wishes in writing.  The second section is the place where you would appoint who will be your healthcare surrogate; who will make decisions for your healthcare if you are unable to.  You will want to have a conversation with the person you choose and share with them your wishes and this document.

Completing your Advance Directive is a very important step.  It gets your wishes down on paper and it becomes a legal document. Once it’s completed the final step is to give a copy to your healthcare provider and keep a copy in a safe place. If at any time you want to adjust your form, you are welcome and encouraged to.  Just make sure to give your doctor all updated forms.

Benefits to completing Advance Directives

There are numerous benefits to having an Advance Directive. One main benefit is that it ensures that a person’s healthcare preferences are carried out.  Family members also report less stress during crisis situations because they already know their loved one’s desires.  Doctors and nurses are able to have meaningful conversations about care choices and it gives healthcare professionals time to proactively plan for those choices. Unwanted hospitalizations are avoided. And families receive comfort during the end-of-life process because they can rely on the knowledge that their loved one’s wishes were followed.

These reasons and more are enough to make anyone want to complete their own Advance Directive.  The first step is to START THE CONVERSATION!  If you need some help starting the conversation, Heart ‘n Home has an online resource called “Heart to Heart Conversations.  You can download a copy hereThe Conversation Project website also has some wonderful resources that are helpful in guiding these often difficult conversations.

Heart ‘n Home Hospice is committed to helping spread information about the benefits of Advanced Care Planning.  As National Healthcare Decisions Day approaches, we encourage you to complete your own paperwork and to start the conversation with your loved ones.  If you have a loved one who has a life-limiting illness or health declines due to age, we can help you find resources that will improve your quality of life.  Contact us today and we can help.

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