Advance Care PlanningAdvance Care Planning

VAN ForumVAN ForumOctober 12, 2010 October 12, 2010

Michele Fedderly Michele Fedderly

Minnesota Network of Hospice & Palliative CareMinnesota Network of Hospice & Palliative Care

Advance Care Planning – Advance Care Planning – Giving A Gift Giving A Gift

Holiday SeasonHoliday Season Over 18? Over 18? To yourself and to othersTo yourself and to others Start Early Start Early Peace of Mind Peace of Mind

Advance Care Planning Advance Care Planning

Making your wishes known Making your wishes known

Discuss choices with family, loved ones, and Discuss choices with family, loved ones, and providersproviders

Reflect upon these choices in light of personal Reflect upon these choices in light of personal values, goals, and religious or cultural beliefsvalues, goals, and religious or cultural beliefs

Choose a Health Care Agent Choose a Health Care Agent Complete a Health Care Directive and POLST Complete a Health Care Directive and POLST

formform

Advance Care Planning Advance Care Planning

Conversations That Matter Conversations That Matter

Health Care Directives Health Care Directives

POLSTPOLST

Advance Care Planning Advance Care Planning

Why do it?Why do it? Most of us will die under the care of a health Most of us will die under the care of a health

professionalprofessional Up to 50% of people are unable to make their own Up to 50% of people are unable to make their own

health care decisions when they are near deathhealth care decisions when they are near death Health professionals typically treat when they are Health professionals typically treat when they are

uncertainuncertain Loved ones has a significant chance of not Loved ones has a significant chance of not

knowing a person’s views without discussion knowing a person’s views without discussion

Advance Care Planning Advance Care Planning

What may it include ?What may it include ? Who makes decisions … health care agent Who makes decisions … health care agent Their authorityTheir authority How decisions should be made How decisions should be made When medical treatment should be continued or When medical treatment should be continued or

forgoneforgone What it means to live wellWhat it means to live well

Advance Care Planning – Advance Care Planning – Conversations That MatterConversations That Matter

How to get started? How to get started? Remember it is a gift!Remember it is a gift! Conversation could be with a parent, spouse or Conversation could be with a parent, spouse or

friend friend Easier to have the conversation when death is not yet Easier to have the conversation when death is not yet

an issuean issue Talk about what you have done to prepare Talk about what you have done to prepare Discuss situation of a friend who may be illDiscuss situation of a friend who may be ill Mention an article you have read Mention an article you have read

Advance Care Planning – Advance Care Planning – Conversations That MatterConversations That Matter

Or if that does not work…Or if that does not work…

Ask a friend or relative to talk with themAsk a friend or relative to talk with them Their doctorTheir doctor Their lawyerTheir lawyer Their faith person Their faith person

Advance Care Planning – Advance Care Planning – Conversations That MatterConversations That Matter

When you have a conversation …When you have a conversation …

Uninterrupted or Distracted Uninterrupted or Distracted Listen, Listen Listen, Listen Can be awkwardCan be awkward ConversationConversationss Practical Details Practical Details

Health Care Directive Health Care Directive

Written document Written document

Purpose of a Health Care DirectivePurpose of a Health Care Directive Allows you to appoint a Health Care AgentAllows you to appoint a Health Care Agent Provides a place for your written instructions Provides a place for your written instructions Gives you an opportunity to give additional Gives you an opportunity to give additional

information for your designated health care agentinformation for your designated health care agent Requires that you and two witnesses signRequires that you and two witnesses sign

Health Care Directive Health Care Directive

Should be reviewed when you…Should be reviewed when you…

Start a new decade of your lifeStart a new decade of your life Experience the death of a loved oneExperience the death of a loved one Get married, divorced, or have a major family Get married, divorced, or have a major family

changechange Receive a diagnosis of a serious health conditionReceive a diagnosis of a serious health condition Find your health condition is declining Find your health condition is declining

Health Care Directive Health Care Directive

Honoring Choices Minnesota Honoring Choices Minnesota

Community-wide effort Community-wide effort All metro health care systems will be using the All metro health care systems will be using the

same form [different logos] and can transfer easily same form [different logos] and can transfer easily between health systems between health systems

Trained facilitators to assist in completing the Trained facilitators to assist in completing the Health Care Directive Health Care Directive

POLSTPOLST

Provider Orders for Life Sustaining TreatmentProvider Orders for Life Sustaining Treatment

Turns your Health Care Directive into Provider Turns your Health Care Directive into Provider Orders Orders

Provider = MD, DO, and NP/PA [when delegated]Provider = MD, DO, and NP/PA [when delegated] When first-responders arrive can honor the orders When first-responders arrive can honor the orders Being used in the metro area and in other self-Being used in the metro area and in other self-

selected communities … will be expanded selected communities … will be expanded

Questions Questions

Contact information:Contact information: Minnesota Network of Hospice & Palliative Care Minnesota Network of Hospice & Palliative Care

www.mnhpc.org 651-659-0423 651-659-0423