Compass: Advance Directives

Compass: Advance Directives

Welcome to Compass…. ‘Ohana’s self-guided health education program.
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources Welcome to Compass…. ‘Ohana’s self-guided health education program.

Overview Defining Advance Directive Types of Advance Directives
Benefits of Advance Directives Preparing an Advance Directive Important Information Resources You’re probably here because you or someone you care about is considering

preparing an advanced directive and wants to learn more about them.
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources preparing an advanced directive and wants to learn more about them.

Overview Defining Advance Directive Types of Advance Directives
Benefits of Advance Directives Preparing an Advance Directive Important Information Resources ‘Ohana has created this program to help you learn about advance directives

and why having one might benefit you and your loved ones.
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources and why having one might benefit you and your loved ones.

At the end of this program, you’ll also find where to search
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources At the end of this program, you’ll also find where to search

for resources in your local area.
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources for resources in your local area.

Together, we’ll walk through the six sections of the program.
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources Together, we’ll walk through the six sections of the program.

You can stop at any time and work at your own pace.
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources You can stop at any time and work at your own pace.

At the end of the program, we have included some tools and exercises
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources At the end of the program, we have included some tools and exercises

to help you remember what you’ve learned here, plus
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources to help you remember what you’ve learned here, plus

more resources to help you or your loved one with advance directives.
Overview Defining Advance Directive Types of Advance Directives Benefits of Advance Directives Preparing an Advance Directive Important Information Resources more resources to help you or your loved one with advance directives.

Defining Advance Directive
An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. There may come a time when you or a loved one may not be able to

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. communicate the kind of medical care you desire due to a life threatening

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. injury or illness.

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. Preparing an advance directive, before this happens, is one way to ensure

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. that your future health care wishes are honored.

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. It’s a way of explaining to your doctor, your family and your caregivers what treatments you want or don’t want if you can’t speak for yourself. An advance directive is an effective means for explaining to your doctor,

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. It’s a way of explaining to your doctor, your family and your caregivers what treatments you want or don’t want if you can’t speak for yourself. your family and your caregivers what kind of care or treatment you want

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. It’s a way of explaining to your doctor, your family and your caregivers what treatments you want or don’t want if you can’t speak for yourself. or don’t want if you can’t speak for yourself. It can also designate someone

An advance directive provides instructions on the kind of medical care you want to receive in the event you become unable to make decisions about your care. It’s a way of explaining to your doctor, your family and your caregivers what treatments you want or don’t want if you can’t speak for yourself. to make important health care decisions on your behalf.

Types of Advance Directives
Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions There are several types of advance directives. You can provide verbal

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions instructions to your doctor or your family.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions These discussions can be very valuable in coordinating care if you don’t

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions have any written instructions, especially if your doctor

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions records them in your medical record.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions Another advance directive instructs others to donate your organs if you pass.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions This advance directive is so common that many states let you register as

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions an organ donor when you apply for or renew your driver’s license.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions You can sign a “do not resuscitate” order (DNR) which tells doctors and

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions your family that you don’t want CPR (cardiopulmonary resuscitation)

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions performed if your heart stops or you cease breathing.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions A living will can also be created.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your health care wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions This document details the kind of treatment you want or don’t want if

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your health care wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions you cannot direct your medical care yourself.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your health care wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions There is also a durable power of attorney for health care (DPA) which

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your health care wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions when you’re incapacitated designates someone to make medical decisions on your behalf.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your health care wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions when you’re incapacitated Living wills and DPAs for health care are more formalized advance directives

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your health care wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions when you’re incapacitated that can exist separately or in a combined legal document.

Verbal instructions Can help in the absence of written instructions Organ donation Instructs others to donate your organs Do not resuscitate order (DNR) States you don’t want CPR if your heart stops or you cease breathing Living will Document that expresses your health care wishes if you can’t speak for yourself Durable power of attorney for health care (DPA) Appoints someone to manage your health care decisions Let’s talk a little more about them.

Living wills outline treatments a patient wants or doesn’t want like… Living wills speak for people who are unable to speak for themselves.

Living wills outline treatments a patient wants or doesn’t want like… CPR They outline what treatments a patient may want or not want such as CPR

Living wills outline treatments a patient wants or doesn’t want like… CPR Tube feedings Extended care on a respirator Diagnostic tests Blood transfusions tube feedings, extended care on a respirator, diagnostic tests or

Living wills outline treatments a patient wants or doesn’t want like… CPR Tube feedings Extended care on a respirator Diagnostic tests Blood transfusions blood transfusions. They are often used for end-of-life decisions.

Living wills are not last wills and testaments One thing to note: living wills should not be confused with last wills and

Living wills are not last wills and testaments testaments. Those are separate legal documents that offer instructions

Living wills are not last wills and testaments about distributing a person’s wealth.

Durable Power of Attorney for Health Care (DPA) Appoints someone you trust to make health care decisions A DPA designates a health care “proxy”—someone to make health care

Durable Power of Attorney for Health Care (DPA) Appoints someone you trust to make health care decisions decisions for you in the event you can’t. Generally, this is someone you trust to

Durable Power of Attorney for Health Care (DPA) Appoints someone you trust to make health care decisions Power is limited to health care decisions carry out your wishes. With a durable power of attorney for health care,

Durable Power of Attorney for Health Care (DPA) Appoints someone you trust to make health care decisions Power is limited to health care decisions you can give as much power as you want to your agent (the person you choose

Durable Power of Attorney for Health Care (DPA) Appoints someone you trust to make health care decisions Power is limited to health care decisions to speak for you), but the power is limited to only health care decisions.

Comprehensive Health Care Directive A legal document that combines both a living will and a durable power of attorney A comprehensive health care advance directive combines both a living will

Comprehensive Health Care Directive A legal document that combines both a living will and a durable power of attorney and durable power of attorney. It’s available in some states, and many prefer to

Comprehensive Health Care Directive A legal document that combines both a living will and a durable power of attorney have this document because it’s broader and offers greater flexibility.

Benefits of Advance Directives
Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care Advance directives serve many purposes beyond informing your family and

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care medical staff of the kind of treatment you want.

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care First, they can relieve stress—yours and your family’s—because both you and

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care your loved ones know what to expect and what to do if

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care a life threatening injury or illness occurs.

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care A good advance directive an also reduce medical costs by preventing pointless

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care treatments that won’t do anything but prolong a level of functioning

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care that you may not want.

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care Finally, advance directives can prevent confusion and help avoid

Advance directives offer many personal benefits Relieve stress of patient and family Reduce medical costs Avoid legal disputes about care legal disputes that could occur over your health care.

Preparing an Advance Directive
Think about the care you want The first step in preparing an advance directive is to think about the kind of

Think about the care you want care you want in the event you can’t communicate your wishes.

Think about the care you want This might be tough at first, because it requires that you think

Think about the care you want about difficult situations.

Think about the care you want Areas to consider include: Level of functioning (i.e. permanent coma or unconsciousness) Prolonging life with tube feedings and hydration Prolonging life on a respirator Pain and comfort levels Areas to consider include: what to do if your level of functioning

Think about the care you want Areas to consider include: Level of functioning (i.e. permanent unconsciousness) Prolonging life with tube feedings and hydration Prolonging life on a respirator Pain and comfort levels is severely impaired by something like permanent unconsciousness

Think about the care you want Areas to consider include: Level of functioning (i.e. permanent unconsciousness) Prolonging life with tube feedings and hydration Prolonging life on a respirator Pain and comfort levels or whether you want your life prolonged with

Think about the care you want Areas to consider include: Level of functioning (i.e. permanent unconsciousness) Prolonging life with tube feedings and hydration Prolonging life on a respirator Pain and comfort levels tube feedings and hydration. You may also want to think about

Think about the care you want Areas to consider include: Level of functioning (i.e. permanent unconsciousness) Prolonging life with tube feedings and hydration Prolonging life on a respirator Pain and comfort levels whether you want to remain on a respirator if you can’t breathe on your own

Think about the care you want Areas to consider include: Level of functioning (i.e. permanent unconsciousness) Prolonging life with tube feedings and hydration Prolonging life on a respirator Comfort and pain levels and what measures you want taken for comfort and pain control.

Communicate that care, preferably in writing Once you’ve thought through these issues, you’ll need to communicate them.

Communicate that care, preferably in writing As mentioned, you can verbally express your wishes. But it would be better

Communicate that care, preferably in writing to write them down in a formal document and make it available to

Communicate that care, preferably in writing your family, health care providers and attorney.

Communicate that care, preferably in writing Advance directive forms are online, but it’s best to consult your physician, attorney or your state bar association before preparing one. There are many resources for preparing an advance directive. You can even

Communicate that care, preferably in writing Advance directive forms are online, but it’s best to consult your physician, attorney or your state bar association before preparing one. go online, do a search and find forms. However, many of these forms have

Communicate that care, preferably in writing Advance directive forms are online, but it’s best to consult your physician, attorney or your state bar association before preparing one. disclaimers, and each state may have their own requirements

Communicate that care, preferably in writing Advance directive forms are online, but it’s best to consult your physician, attorney or your state bar association before preparing one. for the form to be legal, so it’s a good idea to check with a reliable source like

Communicate that care, preferably in writing Advance directive forms are online, but it’s best to consult your physician, attorney or your state bar association before preparing one. your attorney, your physician or your state bar association.

Communicate that care, preferably in writing Advance directive forms are online, but it’s best to consult your physician, attorney or your state bar association before preparing one. You don’t need an attorney to prepare an advance directive. You don’t need an attorney to develop an advance directive, but consulting one

Communicate that care, preferably in writing Advance directive forms are online, but it’s best to consult your physician, attorney or your state bar association before preparing one. You don’t need an attorney to prepare an advance directive. can ensure your wishes are honored.

Provide your family, doctor and attorney with a copy of your advance directive. Keep a copy for yourself Once you’ve prepared your advance directive, distribute copies to your family,

Provide your family, doctor and attorney with a copy of your advance directive. Keep a copy for yourself your health care providers and your attorney.

Provide your family, doctor and attorney with a copy of your advance directive. Keep a copy for yourself Then, keep a copy for yourself,

Provide your family, doctor and attorney with a copy of your advance directive. Keep a copy for yourself preferably in an easily accessible area like your wallet.

Important Information
Most states will honor an advance directive from another state. As mentioned earlier, states may have different requirements about preparing

Most states will honor an advance directive from another state. an advance directive in order for it to be legal.

Most states will honor an advance directive from another state. However, most states will recognize advance directives

Most states will honor an advance directive from another state. that were prepared in another state. So, if something were to happen

Most states will honor an advance directive from another state. while traveling away from home, most likely, the wishes spelled out in

Most states will honor an advance directive from another state. your advance directive will be honored. This is also why it’s important to keep

Most states will honor an advance directive from another state. a copy of your advance directive in an easily accessible place like your wallet.

The Patient Self Determination Act (PSDA) requires many health care institutions and HMOs to advise patients of their rights regarding health care decisions. If you or a loved one is admitted to a hospital or nursing home, you may be

The Patient Self-Determination Act (PSDA) requires many health care institutions and HMOs to advise patients of their rights regarding health care decisions. given information on advance directives. This is because the Patient Self-

The Patient Self-Determination Act (PSDA) requires many health care institutions and HMOs to advise patients of their rights regarding health care decisions. Applies to most hospitals, nursing homes, home health agencies and HMOs. Determination Act requires most hospitals, nursing homes, home health

The Patient Self-Determination Act (PSDA) requires many health care institutions and HMOs to advise patients of their rights regarding health care decisions. Applies to most hospitals, nursing homes, home health agencies and HMOs. agencies and HMOs to provide patients with information on advance directives.

The Patient Self-Determination Act (PSDA) requires many health care institutions and HMOs to advise patients of their rights regarding health care decisions. Applies to most hospitals, nursing homes, home health agencies and HMOs. Health care institutions are also to ask if you have an advance directive,

The Patient Self-Determination Act (PSDA) requires many health care institutions and HMOs to advise patients of their rights regarding health care decisions. Applies to most hospitals, nursing homes, home health agencies and HMOs. but it’s up to you to make sure they have a copy on file.

If life changes, your advance directive can change, too. Review your advance directive periodically to see if it still meets your needs and desires Life changes, and so can advance directives.

If life changes, your advance directive can change, too. Review your advance directive periodically to see if it still meets your needs and desires In fact, advance directives might best be thought of as a process, because what

If life changes, your advance directive can change, too. Review your advance directive periodically to see if it still meets your needs and desires you want and need at one stage in your life might be very different at another.

If life changes, your advance directive can change, too. Review your advance directive periodically to see if it still meets your needs and desires. It’s a good idea to revisit your advance directive periodically to see if it’s still

If life changes, your advance directive can change, too. Review your advance directive periodically to see if it still meets your needs and desires. meeting your current wishes. If not, it can easily be changed.

If life changes, your advance directive can change, too. Review your advance directive periodically to see if it still meets your needs and desires. If you change your advance directive, make sure to distribute the new version. Just remember to distribute new copies of your advance directive to

If life changes, your advance directive can change, too. Review your advance directive periodically to see if it still meets your needs and desires. If you change your advance directive, make sure to distribute the new version. your family, health care providers and attorney.

Now that we’ve reached the end of the module, let’s review.
Summary Let’s take a few minutes and review what we’ve learned about advance directives. Now that we’ve reached the end of the module, let’s review.

We’ve defined advance directive and discussed several types.
Summary Let’s take a few minutes and review what we’ve learned about advance directives. Defined advance directive Identified several types We’ve defined advance directive and discussed several types.

Summary Let’s take a few minutes and review what we’ve learned about advance directives. Defined advance directive Identified several types Reviewed advantages We’ve looked at the advantages of having an advanced directive as well as

how to prepare them so they reflect your wishes. We’ve also explored
Summary Let’s take a few minutes and review what we’ve learned about advance directives. Defined advance directive Identified several types Reviewed advantages Discussed how to prepare an advance directive how to prepare them so they reflect your wishes. We’ve also explored

Summary Let’s take a few minutes and review what we’ve learned about advance directives. Defined advance directive Identified several types Reviewed advantages Discussed how to prepare an advance directive Explored important information such as how to change an advance directive some important information about advance directives such as changing them.

On the screen, you can see a list of resources for more information.
American Academy of Family Physicians American Association of Retired Persons (AARP) American Bar Association American Hospital Association American Medical Association Medicare Interactive National Hospice and Palliative Care Organization US Living Will Registry On the screen, you can see a list of resources for more information.

In addition to these, ‘Ohana offers Navigator—a searchable database of
Resources American Academy of Family Physicians American Association of Retired Persons (AARP) American Bar Association American Hospital Association American Medical Association Medicare Interactive National Hospice and Palliative Care Organization US Living Will Registry In addition to these, ‘Ohana offers Navigator—a searchable database of

programs near you. You will also find Navigator at www…. Or, call
Resources American Academy of Family Physicians American Association of Retired Persons (AARP) American Bar Association American Hospital Association American Medical Association Medicare Interactive National Hospice and Palliative Care Organization US Living Will Registry programs near you. You will also find Navigator at www…. Or, call

customer service at 888-###-####. Also, if you have more questions,
Resources American Academy of Family Physicians American Association of Retired Persons (AARP) American Bar Association American Hospital Association American Medical Association Medicare Interactive National Hospice and Palliative Care Organization US Living Will Registry customer service at 888-###-####. Also, if you have more questions,

or need more information, we encourage you to talk with your doctor or
Resources American Academy of Family Physicians American Association of Retired Persons (AARP) American Bar Association American Hospital Association American Medical Association Medicare Interactive National Hospice and Palliative Care Organization US Living Will Registry or need more information, we encourage you to talk with your doctor or

your care manager at ‘Ohana Health Plan.
Resources American Academy of Family Physicians American Association of Retired Persons (AARP) American Bar Association American Hospital Association American Medical Association Medicare Interactive National Hospice and Palliative Care Organization US Living Will Registry your care manager at ‘Ohana Health Plan.

Resources American Academy of Family Physicians www.familydoctor.org
American Association of Retired Persons (AARP) American Bar Association American Hospital Association American Medical Association Medicare Interactive National Hospice and Palliative Care Organization US Living Will Registry Thank you!

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