Presentation on theme: "Presented by Julie Stanton, BCH. A two part legal document ◦ Healthcare Decisions- a person’s wishes for end of life medical treatment. ◦ Durable Power."— Presentation transcript:
A two part legal document ◦ Healthcare Decisions- a person’s wishes for end of life medical treatment. ◦ Durable Power of Attorney for Health Care- designates a person (agent/proxy) to make health care decisions when a person is unable to. ◦ Recommend for adults 18 years and older.
Choose a person with “strength of character”. Can not be a person hired to provide healthcare services for you. Must be 18 years or older. (check your state’s requirements) Recommended to choose a person who will not gain financially from your death.
“Against my beliefs-values.” “I’m too young.” Cultural beliefs or customs. “Already have one.”
Step 1: Introduce the conversation “This is important to me.” Step 2: Explore personal beliefs and values * Write done what is important to discuss Step 3: Discuss with medical provider & family * Discussion with medical provider & family Step 4: Document wishes *Fill out an Advance Directive or Five Wishes document
Timing is everything! * Not in a crisis Private, comfortable place (Intimate conversation- have “reinforcements” ) Explain the importance of discussing your end-of-life wishes
Quality of life or quantity? ◦ (treated with dignity) What gives you strength? ◦ (Spirituality & Loved ones) Discuss with Family & Friends ◦ (reduce anxiety, guilt, grief, & bereavement)
Choices & Decisions ◦ Where do you want to spend your last days N ursing care facility, home care, assisted living ◦ What kind of medical care do you want? Hospice ◦ What will be your final arrangements ? Funeral arrangements Trust and/or Will
Recommend a notarized signature ◦ Integrity of the document- (not required in New Mexico) Always keep your Advance Directive up to date! (Review on your birthday) You Can revoke or change any part(s) of your advance directive. Give a copy to your Agent, Healthcare Providers, and family. (Never lock it away!)
Healthcare POA or Durable POA scope of decision making. ◦ Terminates at death Organ donation vs. Body donation Funerals are for the living ◦ “don’t want to be a burden or bother…”
Provides support and care for those in the last phases of life-limiting illness Recognizes dying as part of the normal process of living Affirms life and neither hastens nor postpones death Focus on quality of life for individuals and their family caregivers
Patient’s Personal Provider Hospice Physician Nurses (CHPN) Licensed Social Workers Certified Nursing Assistants Spiritual Counselors/Chaplains Volunteers Other Integrated Healthcare Therapists
Develops the plan of care ◦ Family ◦ Facility Staff ◦ Care Giving Agencies Manages pain and symptoms Attends to the emotional, psychosocial and spiritual aspects of dying and care giving Teaches the family how to provide care Advocates for the patient and family Provides bereavement care and counseling
Medications – associated with their hospice diagnosis DME and Supplies Routine Care Respite Care Acute Care Inpatient Services
General ◦ Life-limiting illness, prognosis 6 months or less if disease takes normal course ◦ Live in service area ◦ Consent to accept services ◦ Patient no longer seeking curative treatment, only comfort care