Advanced care planning involves having conversations about end-of-life care preferences and appointing a health care agent to make decisions if someone is unable. More than 90% of people think these discussions are important but less than 30% have had them. Having advance care planning leads to better end-of-life experiences and outcomes for both patients and families. The process involves choosing a health care agent, discussing goals of care if recovery is unlikely, and identifying beliefs that impact treatment decisions. The most crucial part is starting the conversation with loved ones and one's doctor.

1. Advanced Care Planning
Advanced Care
Planning
Having the Conversation

2. Advanced Care Planning
Today’s Discussion
Basic Overview of Advanced Care
Planning
Foster further thought and dialogue
Provide direction in obtaining
Resources

3. Advanced Care Planning
Did You Know?
More than 90% of people believe it is important to discuss wishes for end-of-
life care. However, less than 30% have ever discussed what they or their family
wants.
70% of people state they prefer to die at home. However, 70% die in a hospital
or long-term care facility.
80% of respondents' when asked stated that if they were seriously ill, they
would want to discuss end-of-life care options. However, only 7% report having
had an end-of-life discussion about those options.
Family and care givers have 5X’s greater chance of PTSD and are 8.8X’s more
likely to have prolonged grief if patient dies in ICU compared to home/hospice.
Patients who have advance care planning spend 10 less days in the hospital
during their last two years

4. Advanced Care Planning
Have you had experiences
with family or friends who
became suddenly ill or
injured, such as in a car
accident, and could not
speak for themselves?

5. Advanced Care Planning
What if you were in an
accident or became
suddenly ill? Who would
speak for you?

6. Advanced Care Planning
Advance Care Planning
is a process of communication
that helps you
understand, reflect upon and discuss
goals, values and beliefs
for future health care decisions.

7. Advanced Care Planning
Why?

8. Advanced Care Planning
Why?...
Demonstrated Patient, Family & Provider
satisfaction with end of life care decisions
If we don’t make choices, others will choose for us
Just having legal documents in place does not
always work for the best
Care and concern for others

9. Advanced Care Planning
Why?
I’m young and healthy…

10. Advanced Care Planning
Even healthy adults need to
plan for sudden illness or
injury from which they are
unlikely to recover and
that leaves them unable to
make decisions.

11. Advanced Care Planning
What is the difference between Advanced Care Planning and Advanced Directives?
Advance Care Planning
A process
–understand, reflect, discuss
–across life’s stages
A conversation, with
–a Facilitator
–All Loved Ones
–Medical Providers
–Clergy/Spiritual counselors
Improves the quality of your Advance Directives
Advance Directives
•Written Plans
•Naming a Health Care Agent (Durable Power of Attorney for Health Care)
•Instructions (“living will”)

12. Advanced Care Planning
What is the most important part of advance care
planning?
Having the conversation
With all loved ones and with your provider
About hypothetical end-of-life choices…

13. Advanced Care Planning
Advance Care Planning involves 3 decisions
1. Choosing a decision maker (Health Care Agent).
2. Discussing your goals for care when doctors believe there
is little chance you will ever recover the ability to know
who you are or who you are with.
3. Identifying personal, cultural, religious, and/or spiritual
beliefs that may affect life-sustaining treatment decisions

14. Advanced Care Planning
Decision #1
Choosing a decision maker (Health Care
Agent) … What are the qualities you want in
your Health Care Agent?

15. Advanced Care Planning
Decision #1 Choosing a decision maker (Health
Care Agent)
Is this person willing to be my health care
agent?
Does she or he understand my preferences,
values, goals?
Will she or he follow my preferences?
Can she or he make decisions in sometimes difficult
and stressful situations?

16. Advanced Care Planning
Decision #2
Discussing your Goals for Care
When doctors believe there is little chance
you will ever recover, the ability to know
who you are,
where you are or
who you are with.

17. Advanced Care Planning
Decision #3
Identifying personal, cultural, religious,
and/or spiritual beliefs that may affect life-
sustaining treatment decisions.

18. Advanced Care Planning
The Documents
1. Durable Power of Attorney for Health Care
2. Living Will or Health Care Directive

19. Advanced Care Planning
Durable Power of Attorney for
Health Care
A legal document
where you appoint someone else--a Health Care
Agent– to make health care decisions for you in the
event that you become incapable of doing so.

20. Advanced Care Planning
Living Will or Healthcare Directive
Written instructions that tell physicians and
family members what life-sustaining
treatment you do or do not want at some
future time.. if you become unable to make
decisions.

21. Advanced Care Planning
Remember!
The most important action:
Have the Conversation!

22. Advanced Care Planning
Questions?