Are You Ready? How to help your loved ones help you when you ...


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Are You Ready? How to help your loved ones help you when you ...

  1. 1. Are You Ready? How to help your loved ones help you when you need it!
  2. 2. Advance Directives <ul><li>What are they? </li></ul><ul><ul><li>“ Advance Directive” is a general term that refers to your own oral and written instructions about your future medical care and financial matters, in the event that you become unable to speak for yourself </li></ul></ul><ul><ul><li>Each state regulates the use of advance directives differently </li></ul></ul><ul><ul><li>Types of Advance Directives </li></ul></ul><ul><ul><ul><li>Living Will </li></ul></ul></ul><ul><ul><ul><li>Durable Power of Attorney for Health Care </li></ul></ul></ul><ul><ul><ul><li>Durable Power of Attorney for Property </li></ul></ul></ul><ul><ul><ul><li>Do Not Resuscitate (DNR) Order </li></ul></ul></ul><ul><ul><ul><li>Mental Health Treatment Preference Declaration </li></ul></ul></ul>
  3. 3. Living Will <ul><li>Gives direction to attending physician on life support issues only </li></ul><ul><li>“ If I have a terminal condition, and there is no hope of recovery, I do not want my life prolonged by artificial means.” </li></ul><ul><li>Physician must determine that the ill person has a “terminal condition, with no hope of recovery” </li></ul><ul><li>State law defines when the living will goes into effect and which treatments to which the living will applies </li></ul>
  4. 4. Do Not Resuscitate (DNR) Order <ul><li>Cardiopulmonary resuscitation is used when a person’s heart and/or breathing stops </li></ul><ul><li>Physician’s order that you and (s)he sign </li></ul><ul><li>Must be visible in a medical crisis </li></ul><ul><li>If order is valid, emergency personnel will provide comfort care, but not life support </li></ul>
  5. 5. Power of Attorney for Health Care <ul><li>This document enables you to appoint someone you trust to make decisions about your medical care if you cannot make those decisions yourself because of incapacity </li></ul><ul><ul><li>More broad than a Living Will in that it applies not just to end of life decisions, but all health care decisions. </li></ul></ul>
  6. 6. Power of Attorney for Health Care <ul><li>Key components: </li></ul><ul><ul><li>Principal, agent and successor agent </li></ul></ul><ul><ul><li>Organ donation </li></ul></ul><ul><ul><li>Limitations on powers you grant to your agent </li></ul></ul><ul><ul><li>Preferences regarding life sustaining treatment </li></ul></ul><ul><ul><li>Dates directive becomes effective and when the powers end </li></ul></ul><ul><ul><li>Guardianship clause </li></ul></ul>
  7. 7. Who can be your health care agent? Who do you want to be your agent? <ul><li>In Illinois, an agent must be over 18-years-old. They can not be your health care provider. </li></ul><ul><li>Must be willing to speak on your behalf </li></ul><ul><li>Should be able to act on your wishes and separate them out from their feelings </li></ul><ul><li>Will talk with you about sensitive issues </li></ul><ul><li>Can be a strong advocate </li></ul>
  8. 8. What do you do after you choose your health care agent? <ul><li>Talk to your agent about your directives </li></ul><ul><li>Ask permission to name them as your proxy </li></ul><ul><li>Discuss your health care wishes and values with them </li></ul><ul><li>Provide a completed copy of your advance directive to them </li></ul><ul><li>Notify your physician who you have chosen </li></ul>
  9. 9. Mental Health Treatment Preference Declaration <ul><li>In this declaration, you may choose someone to make decisions about three types of mental health treatment if you are incapable </li></ul><ul><ul><li>Types of mental health treatment: </li></ul></ul><ul><ul><ul><li>Psychotropic medications </li></ul></ul></ul><ul><ul><ul><li>Electroconvulsive therapy </li></ul></ul></ul><ul><ul><ul><li>Short-term (up to 17days) admission to a treatment facility </li></ul></ul></ul>
  10. 10. Mental Health Treatment Preference Declaration <ul><li>Appointment of attorney-in-fact as well as secondary attorney-in-fact </li></ul><ul><li>Attorney-in-fact signs to accept appointment </li></ul><ul><li>May select one of the two physicians who will determine whether one is capable of consenting for treatment </li></ul><ul><li>Requires two witnesses </li></ul><ul><li>Only valid for three years </li></ul>
  11. 11. Five Wishes <ul><li>Combines a Living Will and Power of Attorney for Health Care </li></ul><ul><li>Unique because it addresses not only medical matters, but also personal, emotional and spiritual issues </li></ul><ul><li>Valid in Illinois, but not in all 50 states </li></ul>
  12. 12. Five Wishes <ul><li>Five Wishes lets your family and doctors know the following… </li></ul><ul><li>WISH ONE: Which person you want to make health care decisions for you when you can't make them  </li></ul><ul><li>WISH TWO: The kind of medical treatment you want or don't want  </li></ul><ul><li>WISH THREE: How comfortable you want to be  </li></ul><ul><li>WISH FOUR: How you want people to treat you  </li></ul><ul><li>WISH FIVE: What you want your loved ones to know </li></ul>
  13. 13. End-of-life care <ul><li>Treatment considerations </li></ul><ul><ul><li>Antibiotics </li></ul></ul><ul><ul><li>Respirator </li></ul></ul><ul><ul><li>Feeding tube </li></ul></ul><ul><ul><li>Dialysis </li></ul></ul><ul><li>What are your fears regarding end of life? </li></ul><ul><li>Would you want to have hospice care? </li></ul><ul><li>If you could plan it, what would the last day or week of your life be like? </li></ul><ul><li>What spiritual matters are important to you? </li></ul>
  14. 14. After Death Decisions <ul><li>Organ donation </li></ul><ul><li>Tissue donation </li></ul><ul><li>Would you agree to an autopsy? </li></ul><ul><li>Burial arrangements </li></ul><ul><ul><li>Burial v. cremation </li></ul></ul><ul><ul><li>Memorial service </li></ul></ul>
  15. 15. Power of Attorney for Property <ul><li>This written document enables you to appoint someone you trust to make decisions about your financial and property matters if you cannot make those decisions yourself </li></ul>
  16. 16. Components of a Power of Attorney for Property <ul><li>Principal, agent and successor agent </li></ul><ul><li>Listed powers </li></ul><ul><li>Scope of powers authorized </li></ul><ul><li>Agent authorized to </li></ul><ul><li>Agent entitled to reasonable compensation </li></ul><ul><li>Dates directive becomes effective and when the powers end </li></ul><ul><ul><li>It is considered effective immediately unless direction is provided </li></ul></ul><ul><li>Guardianship clause </li></ul><ul><li>Must be notarized and witnessed </li></ul>
  17. 17. Planning Your Financial Future <ul><li>How are your finances organized? </li></ul><ul><li>Who can pay bills on your behalf should a time come you can not ? </li></ul><ul><li>Where are key documents kept? </li></ul><ul><li>Financial and estate planning: </li></ul><ul><ul><li>Joint tenancy </li></ul></ul><ul><ul><li>Wills </li></ul></ul><ul><ul><ul><li>Who is the executor? </li></ul></ul></ul><ul><ul><li>Living Trust </li></ul></ul><ul><ul><ul><li>Who is your trustee? </li></ul></ul></ul>
  18. 18. Don’t forget to reexamine your advance directives <ul><li>Every five years </li></ul><ul><li>Whenever you experience the death of a loved one </li></ul><ul><li>If there is a divorce or family change </li></ul><ul><li>Your health status changes </li></ul>
  19. 19. Long-range planning <ul><li>Discuss “what ifs” before a crisis happens </li></ul><ul><li>Who do you want notified in a health emergency? </li></ul><ul><li>What would your wishes be if you needed more care? </li></ul><ul><li>What would your options for care look like? </li></ul><ul><ul><li>In home care v. assisted living v. nursing home care </li></ul></ul><ul><ul><li>What do your finances allow for? </li></ul></ul>
  20. 20. COMMUNICATION <ul><li>Communication is the single most important piece of health care and future planning </li></ul><ul><ul><li>It helps you think about what you want </li></ul></ul><ul><ul><li>It gives others a clear understanding of your wishes </li></ul></ul><ul><ul><li>It will help your loved ones make decisions on your behalf </li></ul></ul>
  21. 21. Medical Information <ul><li>A brief summary of your current health status and any illnesses you are being treated for </li></ul><ul><li>A brief summary of your past medical history </li></ul><ul><li>A brief summary of your past surgical history </li></ul><ul><li>Your preferred hospital location </li></ul>
  22. 22. Emergency Contact Person(s) <ul><li>Name </li></ul><ul><li>Relationship </li></ul><ul><li>Address </li></ul><ul><li>Home Phone </li></ul><ul><li>Cell Phone </li></ul><ul><li>Office Phone </li></ul><ul><li>E-mail address </li></ul><ul><li>Fax number </li></ul>
  23. 23. Physician Information <ul><li>Name </li></ul><ul><li>Hospital Affiliation </li></ul><ul><li>Specialty </li></ul><ul><li>Contact Phone Numbers </li></ul><ul><li>Date of last visit </li></ul>
  24. 24. Medication Information <ul><li>Current medications </li></ul><ul><ul><li>Prescription </li></ul></ul><ul><ul><li>Over the counter medications </li></ul></ul><ul><ul><li>Vitamins and supplements </li></ul></ul><ul><li>Allergies </li></ul>
  25. 25. Insurance Information <ul><li>Medicare Number </li></ul><ul><li>Medicare effective dates for parts A and B </li></ul><ul><li>Supplemental Insurance </li></ul><ul><ul><li>Type </li></ul></ul><ul><ul><li>Group number </li></ul></ul><ul><ul><li>Policy number </li></ul></ul><ul><li>Medicare part D </li></ul><ul><ul><li>Type </li></ul></ul><ul><ul><li>Group number </li></ul></ul><ul><ul><li>Policy number </li></ul></ul><ul><li>Attach copies of your insurance cards </li></ul>