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Advanced Care Planning Advanced Care Planning Having the Conversation

Wellness Series Presentation

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This is a powerpoint directly related to the Wellness Series at Felician Village

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Page 1: Wellness Series Presentation

Advanced Care Planning

Advanced Care Planning

Having the Conversation

Page 2: Wellness Series Presentation

Advanced Care Planning

Today’s Discussion

Basic Overview of Advanced Care Planning

Foster further thought and dialogue

Provide direction in obtaining Resources

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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

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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?

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Advanced Care Planning

What if you were in an accident or became suddenly ill? Who would speak for you?

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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.

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Advanced Care Planning

Why?

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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 bestCare and concern for others

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Advanced Care Planning

Why? I’m young and healthy…

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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.

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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”)

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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…

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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

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Advanced Care Planning

Decision #1

Choosing a decision maker (Health Care Agent) … What are the qualities you want in your Health Care Agent?

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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?

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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.

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Advanced Care Planning

Decision #3

Identifying personal, cultural, religious, and/or spiritual beliefs that may affect life-sustaining treatment decisions.

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Advanced Care Planning

The Documents

1. Durable Power of Attorney for Health Care

2. Living Will or Health Care Directive

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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.

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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.

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Advanced Care Planning

Remember!

The most important action:

Have the Conversation!

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Advanced Care Planning

Questions?