are you ready? how to help your loved ones help you when you

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Are You Ready? Are You Ready? How to help your loved How to help your loved ones help you when you ones help you when you need it! need it!

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Page 1: Are You Ready? How to help your loved ones help you when you

Are You Ready?Are You Ready?

How to help your loved ones help How to help your loved ones help you when you need it! you when you need it!

Page 2: Are You Ready? How to help your loved ones help you when you

Advance DirectivesAdvance Directives What are they?What are they?

““Advance Directive” is a general term that Advance Directive” is a general term that refers to your own oral and written refers to your own oral and written instructions about your future medical care instructions about your future medical care and financial matters, in the event that you and financial matters, in the event that you become unable to speak for yourselfbecome unable to speak for yourself

Each state regulates the use of advance Each state regulates the use of advance directives differentlydirectives differently

Types of Advance DirectivesTypes of Advance Directives Living WillLiving Will Durable Power of Attorney for Health CareDurable Power of Attorney for Health Care Durable Power of Attorney for PropertyDurable Power of Attorney for Property Do Not Resuscitate (DNR) OrderDo Not Resuscitate (DNR) Order Mental Health Treatment Preference Mental Health Treatment Preference

DeclarationDeclaration

Page 3: Are You Ready? How to help your loved ones help you when you

Living WillLiving Will Gives direction to attending physician Gives direction to attending physician

on life support issues only on life support issues only ““If I have a terminal condition, and If I have a terminal condition, and

there is no hope of recovery, I do not there is no hope of recovery, I do not want my life prolonged by artificial want my life prolonged by artificial means.” means.”

Physician must determine that the ill Physician must determine that the ill person has a “terminal condition, with person has a “terminal condition, with no hope of recovery” no hope of recovery”

State law defines when the living will State law defines when the living will goes into effect and which treatments goes into effect and which treatments to which the living will appliesto which the living will applies

Page 4: Are You Ready? How to help your loved ones help you when you

Do Not Resuscitate (DNR) Do Not Resuscitate (DNR) OrderOrder

Cardiopulmonary resuscitation is Cardiopulmonary resuscitation is used when a person’s heart and/or used when a person’s heart and/or breathing stopsbreathing stops

Physician’s order that you and (s)he Physician’s order that you and (s)he signsign

Must be visible in a medical crisisMust be visible in a medical crisis If order is valid, emergency If order is valid, emergency

personnel will provide comfort care, personnel will provide comfort care, but not life support but not life support

Page 5: Are You Ready? How to help your loved ones help you when you

Power of Attorney Power of Attorney for Health Care for Health Care

This document enables you to This document enables you to appoint someone you trust to appoint someone you trust to make decisions about your make decisions about your medical care if you cannot make medical care if you cannot make those decisions yourself those decisions yourself because of incapacitybecause of incapacity More broad than a Living Will in More broad than a Living Will in

that it applies not just to end of life that it applies not just to end of life decisions, but all health care decisions, but all health care decisions. decisions.

Page 6: Are You Ready? How to help your loved ones help you when you

Power of Attorney Power of Attorney for Health Carefor Health Care

Key components:Key components: Principal, agent and successor agentPrincipal, agent and successor agent Organ donationOrgan donation Limitations on powers you grant to Limitations on powers you grant to

your agentyour agent Preferences regarding life sustaining Preferences regarding life sustaining

treatmenttreatment Dates directive becomes effective Dates directive becomes effective

and when the powers endand when the powers end Guardianship clauseGuardianship clause

Page 7: Are You Ready? How to help your loved ones help you when you

Who can be your health care Who can be your health care agent? Who do you want to be agent? Who do you want to be your agent? your agent?

In Illinois, an agent must be over 18-In Illinois, an agent must be over 18-years-old. They can not be your health years-old. They can not be your health care provider.care provider.

Must be willing to speak on your behalfMust be willing to speak on your behalf Should be able to act on your wishes Should be able to act on your wishes

and separate them out from their and separate them out from their feelingsfeelings

Will talk with you about sensitive issuesWill talk with you about sensitive issues Can be a strong advocateCan be a strong advocate

Page 8: Are You Ready? How to help your loved ones help you when you

What do you do after you choose What do you do after you choose your health care agent?your health care agent?

Talk to your agent about your Talk to your agent about your directivesdirectives

Ask permission to name them as Ask permission to name them as your proxyyour proxy

Discuss your health care wishes and Discuss your health care wishes and values with themvalues with them

Provide a completed copy of your Provide a completed copy of your advance directive to themadvance directive to them

Notify your physician who you have Notify your physician who you have chosen chosen

Page 9: Are You Ready? How to help your loved ones help you when you

Mental Health Treatment Mental Health Treatment Preference DeclarationPreference Declaration In this declaration, you may In this declaration, you may

choose someone to make choose someone to make decisions about three types of decisions about three types of mental health treatment if you mental health treatment if you are incapableare incapable Types of mental health treatment:Types of mental health treatment:

Psychotropic medicationsPsychotropic medications Electroconvulsive therapyElectroconvulsive therapy Short-term (up to 17days) admission Short-term (up to 17days) admission

to a treatment facilityto a treatment facility

Page 10: Are You Ready? How to help your loved ones help you when you

Mental Health Treatment Mental Health Treatment Preference DeclarationPreference Declaration Appointment of attorney-in-fact as Appointment of attorney-in-fact as

well as secondary attorney-in-factwell as secondary attorney-in-fact Attorney-in-fact signs to accept Attorney-in-fact signs to accept

appointmentappointment May select one of the two May select one of the two

physicians who will determine physicians who will determine whether one is capable of whether one is capable of consenting for treatmentconsenting for treatment

Requires two witnessesRequires two witnesses Only valid for three yearsOnly valid for three years

Page 11: Are You Ready? How to help your loved ones help you when you

Five WishesFive Wishes

Combines a Living Will and Combines a Living Will and Power of Attorney for Health Power of Attorney for Health CareCare

Unique because it addresses Unique because it addresses not only medical matters, but not only medical matters, but also personal, emotional and also personal, emotional and spiritual issuesspiritual issues

Valid in Illinois, but not in all 50 Valid in Illinois, but not in all 50 statesstates

Page 12: Are You Ready? How to help your loved ones help you when you

Five WishesFive Wishes

Five WishesFive Wishes lets your family and doctors lets your family and doctors know the following…know the following…

WISH ONE: Which person you want to WISH ONE: Which person you want to make health care decisions for you make health care decisions for you when you can't make them  when you can't make them 

WISH TWO: The kind of medical WISH TWO: The kind of medical treatment you want or don't want  treatment you want or don't want 

WISH THREE: How comfortable you WISH THREE: How comfortable you want to be  want to be 

WISH FOUR: How you want people to WISH FOUR: How you want people to treat you  treat you 

WISH FIVE: What you want your WISH FIVE: What you want your loved ones to knowloved ones to know

Page 13: Are You Ready? How to help your loved ones help you when you

End-of-life careEnd-of-life care Treatment considerationsTreatment considerations

AntibioticsAntibiotics RespiratorRespirator Feeding tubeFeeding tube DialysisDialysis

What are your fears regarding end of What are your fears regarding end of life? life?

Would you want to have hospice Would you want to have hospice care? care?

If you could plan it, what would the If you could plan it, what would the last day or week of your life be like? last day or week of your life be like?

What spiritual matters are important What spiritual matters are important to you?to you?

Page 14: Are You Ready? How to help your loved ones help you when you

After Death DecisionsAfter Death Decisions

Organ donationOrgan donation Tissue donationTissue donation Would you agree to an autopsy?Would you agree to an autopsy? Burial arrangementsBurial arrangements

Burial v. cremationBurial v. cremation Memorial serviceMemorial service

Page 15: Are You Ready? How to help your loved ones help you when you

Power of Attorney Power of Attorney for Propertyfor Property

This written document enables This written document enables you to appoint someone you trust you to appoint someone you trust to make decisions about your to make decisions about your financial and property matters if financial and property matters if you cannot make those decisions you cannot make those decisions yourselfyourself

Page 16: Are You Ready? How to help your loved ones help you when you

Components of a Power of Components of a Power of Attorney for Property Attorney for Property

Principal, agent and successor agentPrincipal, agent and successor agent Listed powers Listed powers Scope of powers authorizedScope of powers authorized Agent authorized to Agent authorized to Agent entitled to reasonable Agent entitled to reasonable

compensationcompensation Dates directive becomes effective and Dates directive becomes effective and

when the powers endwhen the powers end It is considered effective immediately It is considered effective immediately

unless direction is providedunless direction is provided Guardianship clauseGuardianship clause Must be notarized and witnessedMust be notarized and witnessed

Page 17: Are You Ready? How to help your loved ones help you when you

Planning Your Financial FuturePlanning Your Financial Future How are your finances organized? How are your finances organized? Who can pay bills on your behalf Who can pay bills on your behalf

should a time come you can not ?should a time come you can not ? Where are key documents kept? Where are key documents kept? Financial and estate planning:Financial and estate planning:

Joint tenancy Joint tenancy WillsWills

Who is the executor? Who is the executor? Living TrustLiving Trust

Who is your trustee? Who is your trustee?

Page 18: Are You Ready? How to help your loved ones help you when you

Don’t forget to reexamine your Don’t forget to reexamine your advance directivesadvance directives

Every five yearsEvery five years Whenever you experience the Whenever you experience the

death of a loved onedeath of a loved one If there is a divorce or family If there is a divorce or family

changechange Your health status changesYour health status changes

Page 19: Are You Ready? How to help your loved ones help you when you

Long-range planningLong-range planning

Discuss “what ifs” before a crisis Discuss “what ifs” before a crisis happenshappens

Who do you want notified in a health Who do you want notified in a health emergency? emergency?

What would your wishes be if you What would your wishes be if you needed more care? needed more care?

What would your options for care look What would your options for care look like? like? In home care v. assisted living v. nursing In home care v. assisted living v. nursing

home carehome care What do your finances allow for? What do your finances allow for?

Page 20: Are You Ready? How to help your loved ones help you when you

COMMUNICATIONCOMMUNICATION

Communication is the single most Communication is the single most important piece of health care important piece of health care and future planningand future planning It helps you think about what you It helps you think about what you

wantwant It gives others a clear It gives others a clear

understanding of your wishesunderstanding of your wishes It will help your loved ones make It will help your loved ones make

decisions on your behalf decisions on your behalf

Page 21: Are You Ready? How to help your loved ones help you when you

Medical InformationMedical Information

A brief summary of your current A brief summary of your current health status and any illnesses health status and any illnesses you are being treated foryou are being treated for

A brief summary of your past A brief summary of your past medical historymedical history

A brief summary of your past A brief summary of your past surgical historysurgical history

Your preferred hospital locationYour preferred hospital location

Page 22: Are You Ready? How to help your loved ones help you when you

Emergency Contact Person(s)Emergency Contact Person(s)

NameName RelationshipRelationship AddressAddress Home PhoneHome Phone Cell PhoneCell Phone Office PhoneOffice Phone E-mail addressE-mail address Fax numberFax number

Page 23: Are You Ready? How to help your loved ones help you when you

Physician InformationPhysician Information

NameName Hospital AffiliationHospital Affiliation SpecialtySpecialty Contact Phone NumbersContact Phone Numbers Date of last visitDate of last visit

Page 24: Are You Ready? How to help your loved ones help you when you

Medication InformationMedication Information

Current medicationsCurrent medications PrescriptionPrescription Over the counter medicationsOver the counter medications Vitamins and supplementsVitamins and supplements

AllergiesAllergies

Page 25: Are You Ready? How to help your loved ones help you when you

Insurance InformationInsurance Information

Medicare NumberMedicare Number Medicare effective dates for parts A and BMedicare effective dates for parts A and B Supplemental Insurance Supplemental Insurance

Type Type Group numberGroup number Policy number Policy number

Medicare part DMedicare part D Type Type Group numberGroup number Policy number Policy number

Attach copies of your insurance cardsAttach copies of your insurance cards