1. Advance Care Planning Down with ACP and Still Rockin’ the Vote L. Raquel Clary-Lantis, D.O.

2. Life and Death The day you are born is usually expected, anticipated and brings great joy.The day you are born is usually expected, anticipated and brings great joy. The day you die is often not expected, nor anticipated and brings great sadness.The day you die is often not expected, nor anticipated and brings great sadness.

3. Planning The birth of a child often involves much planning and preparation.The birth of a child often involves much planning and preparation. Sudden or chronic illness often involves much suffering and grief.Sudden or chronic illness often involves much suffering and grief. With the illness and possible death of a loved one, we are never quite prepared…advance care planning can help.With the illness and possible death of a loved one, we are never quite prepared…advance care planning can help.

4. Why Advance Care Planning (ACP)? No one wants to burden their family with having to make complex medical decisions surrounding their care.No one wants to burden their family with having to make complex medical decisions surrounding their care. When our loved ones are under emotional strain, these decisions become even more complex.When our loved ones are under emotional strain, these decisions become even more complex. Planning ahead so our family won’t have to is what ACP is all about.Planning ahead so our family won’t have to is what ACP is all about.

5. Advance Care Planning ACP is a process of planning for future decisions surrounding our care, as well as selecting who we would want to represent us if we were unable to express these decisions ourselves. It is important that we: – –understand potential future situations – –understand the choices we have – –consider what is best for us, taking into account any particular cultural or religious beliefs – –discuss these choices and plans with those we might need to advocate for us

6. When an ACP becomes an AD When we do advance care planning, our decisions can be expressed in a legal document called an Advance Directive.When we do advance care planning, our decisions can be expressed in a legal document called an Advance Directive. An Advance Directive gives specific instructions on how we want our medical care directed when we are unable to do so.An Advance Directive gives specific instructions on how we want our medical care directed when we are unable to do so. An Advance Directive is not activated unless you are incapacitated and cannot speak for yourself.An Advance Directive is not activated unless you are incapacitated and cannot speak for yourself.

7. Advance Directive In Jackson County, Michigan, there are two types of documents recognized:In Jackson County, Michigan, there are two types of documents recognized: –Durable Power of Attorney for Health Care (DPOA-HC) –MI-POST (Physician Orders for Scope of Treatment)

8. DPOA-HC Durable Power of Attorney for Health Care allows you to give another person the power to make health care decisions for you only when you are unable to.Durable Power of Attorney for Health Care allows you to give another person the power to make health care decisions for you only when you are unable to. This person is called your “Patient Advocate.”This person is called your “Patient Advocate.” They must act in alignment with your wishes by taking reasonable steps to follow your instructions you expressed when you were able.They must act in alignment with your wishes by taking reasonable steps to follow your instructions you expressed when you were able.

9. Durable Power of Attorney for Health Care (DPOA-HC)

10. MI-POST The Michigan Physician Orders for Scope of Treatment is a legal document in which you can express:The Michigan Physician Orders for Scope of Treatment is a legal document in which you can express: –whether or not you would want CPR if you had no pulse and were not breathing –the types of interventions you would want if you did have a pulse and/or were breathing –your wishes regarding artificially administered nutrition

11. MI-POST front

12. MI-POST back

13. When Should You Do This? There will never be a time that feels “right.”There will never be a time that feels “right.” Advance Care Planning is something most of us don’t want to think about but it is important that we do.Advance Care Planning is something most of us don’t want to think about but it is important that we do. –It will allow our voice to still be heard, even when we cannot speak. –It will help alleviate some of the burden on our loved ones if they know what we would want.

14. Appropriate Age for ACP ACP is not just for elderly and/or chronically ill people.ACP is not just for elderly and/or chronically ill people. Terry Schiavo, Karen Ann Quinlan and Nancy Cruzan were all in their 20s when they had catastrophic life events that left them unable to express their healthcare decisions.Terry Schiavo, Karen Ann Quinlan and Nancy Cruzan were all in their 20s when they had catastrophic life events that left them unable to express their healthcare decisions.

15. Some Birthday Milestones 0, the day we are born0, the day we are born 10, double digits10, double digits 13, becoming a teenager13, becoming a teenager 16, getting your driver’s license and choosing if you want to register to become an organ donor16, getting your driver’s license and choosing if you want to register to become an organ donor 18, becoming an adult…18, becoming an adult… –Registering to vote –Advance Care Planning and completing an Advance Directive

16. Harrison You tube video: http://www.youtube.com/watch?v=rJdbYyIe- tw&feature=youtu.beYou tube video: http://www.youtube.com/watch?v=rJdbYyIe- tw&feature=youtu.be http://www.youtube.com/watch?v=rJdbYyIe- tw&feature=youtu.be http://www.youtube.com/watch?v=rJdbYyIe- tw&feature=youtu.be

17. Eighteen When we turn 18, we are legally an adult.When we turn 18, we are legally an adult. We can express our own choices by:We can express our own choices by: –Registering to vote –Initiating Advance Care Planning –Completing an Advance Directive We can update periodically thereafter whenever we want and:We can update periodically thereafter whenever we want and: –When we renew our driver’s license –When our decisions may change –When we are diagnosed with a terminal illness

18. ACP + AD = Honoring Choices In the 80s it was “Rock the Vote”In the 80s it was “Rock the Vote” It is time to start rockin’ the vote again and get “Down with ACP”It is time to start rockin’ the vote again and get “Down with ACP” Linking Advance Care Planning and Advance Directives with registering to vote when we turn 18 just makes sense.Linking Advance Care Planning and Advance Directives with registering to vote when we turn 18 just makes sense.

19. Need Assistance? I’m down with ACP, yes, you know me.I’m down with ACP, yes, you know me. I’ve got my AD done, now it’s time for fun.I’ve got my AD done, now it’s time for fun. If you need help, you can contact your primary care provider who will help or refer you to a social worker for assistance.If you need help, you can contact your primary care provider who will help or refer you to a social worker for assistance. –Including help understanding and completing your forms

20. Thank You