1. This presentation is meant to serve as a guide for your community presentation Modify slides as needed to be appropriate for your organization and community Add your local resources as needed To view speaker notes and edit presentation, click ‘edit,’ then ‘Edit Slides’ You can add your organizations’ logo on the master slide in the lower right corner Delete this slide before use National Healthcare Decisions Day April 16

2. Advance Care Planning: Your Decisions Matter Presented By: [Name] [Title] [Organization] [Date] National Healthcare Decisions Day April 16

4. 1. Discover the value of advance care planning 2. Learn how to talk about your future healthcare decisions 3. Understand how to document your healthcare decisions using advance directives 4. Encourage others to honor National Healthcare Decisions Day National Healthcare Decisions Day April 16

5. Involves:  Learning about treatment options  Thinking about your values  Talking about your decisions  Documenting your wishes National Healthcare Decisions Day April 16

6. Advance Care Planning & Health Care Directives Thanks to Hospice Minnesota for use of their content in this presentation. National Healthcare Decisions Day April 16

7.  1900 -- 47 Most people died quickly from accident or infection.  2000 -- 78 Most will die slowly from chronic disease. National Healthcare Decisions Day April 16

8. If you are 50... 81.8 (women) 77.9 (men) If you are 65... 84.2 (women) 81.3 (men) U. S. Centers for Disease Control and Prevention National Healthcare Decisions Day April 16

9.  cancer pattern (20%)--long illness with decline just before death  dementia pattern (30%)--grow progressively more frail over time, up to 10 years  organ system failure (30-40%)--series of hospitalizations over several years leading up to sudden death from Center to Improve Care for the Dying National Healthcare Decisions Day April 16

10.  63% die in hospitals.  17% die in long-term care facilities.  Patients typically spend 8 days in ICU comatose or on a ventilator before they die. (Foley, 1995; Isaacs and Knickman, 1997) National Healthcare Decisions Day April 16

11. A 1999 study showed that...  70% of people in the U.S. face tough medical decisions at the end of life.  Baby-boomers were more willing to talk about sex and drugs with their teens than about end-of-life care with an aging parent. National Hospice Foundation National Healthcare Decisions Day April 16

12.  Learning  Thinking  Talking  Putting it in writing National Healthcare Decisions Day April 16

13.  exercise your right to control your own care  guide others in making decisions for you  clarify your wishes in case of confusion or disagreement National Healthcare Decisions Day April 16

14. Document which...  states your preferences about health care  names someone to make decisions for you  applies ONLY when you cannot make decisions or communicate your wishes National Healthcare Decisions Day April 16

15.  a will or trust to distribute property and assets after death  a power of attorney for financial affairs National Healthcare Decisions Day April 16

16.  You WILL receive medical care.  Your family may struggle with tough choices.  You will have no choice about who makes decisions for you.  Decision-makers may disagree.  You may not receive the kind of care you want. National Healthcare Decisions Day April 16

17.  Living Wills (1989)  Durable Power of Attorney for Health Care (1993)  Minnesota Health Care Directive (1998) National Healthcare Decisions Day April 16

18.  Naming an Agent – (Durable Power of Attorney for Health Care)  Health Care Instructions – (Living Will) (may contain one or both) National Healthcare Decisions Day April 16

19.  be in writing  be dated  state the person’s name & bear the person’s signature or mark  be verified by a notary or two witnesses  include either health care power of attorney or health instructions or both  be executed by person with capacity to do so National Healthcare Decisions Day April 16

20.  Talk to the person(s) before you make it official  Explain your beliefs, preferences and expectations  Make sure agent is willing to act on your behalf National Healthcare Decisions Day April 16

21.  at least 18 years old  willing to act on your behalf and carry out your wishes  not easily intimidated--a good advocate  able to make difficult, possibly life-or-death, decisions  physically near or available National Healthcare Decisions Day April 16

22. Decide if agents will act alone or together. National Healthcare Decisions Day April 16

23.  You are related to that person or  You state why you want that person to serve as your health care agent National Healthcare Decisions Day April 16

24.  give permission for, refuse or withdraw a treatment, service or procedure  select health care providers  choose residence when related to health care  obtain copies of medical records (Additional powers may be assigned.) National Healthcare Decisions Day April 16

25.  Make decisions even if I’m able  Carry out wishes about funeral, burial, etc.  Make mental health treatment decisions  Determine whether to continue pregnancy  Continue even if marital status changes National Healthcare Decisions Day April 16

26.  Health care goals  Feelings about specific treatments  Religious and spiritual beliefs  Beliefs about quality and length of life  Wishes for care when dying  Preferences about organ donation National Healthcare Decisions Day April 16

27.  pain control  ventilator/respirator  nutrition support and hydration  cardiopulmonary resuscitation (CPR)  dialysis, medications (including antibiotics), surgery, chemotherapy National Healthcare Decisions Day April 16

28.  DNR - Do Not Resuscitate (use CPR or mechanical means to restart breathing or heartbeat)  DNI - Do Not Intubate (insert tube and connect person to mechanical breathing device such as ventilator/respirator) National Healthcare Decisions Day April 16

29.  are different and separate from a health care directive  must be issued by a doctor  are recognized in Minnesota National Healthcare Decisions Day April 16

30. The document must be  signed and dated  witnessed by a Notary Public or two individuals* *Note limits on who can witness. National Healthcare Decisions Day April 16

31.  primary physician  other health care providers  health care agent(s)  family members and close friends Keep a list of who has copies! National Healthcare Decisions Day April 16

32.  Talk to your family and doctor(s) about your wishes.  Keep a current copy with you if you travel.  Keep your directive up to date. National Healthcare Decisions Day April 16

33.  Your health status changes  You move to another state  Your agent is no longer able to act on your behalf National Healthcare Decisions Day April 16

34.  Notify agent, family, doctor, and replace all old copies with new ones.  Destroy all old copies. Your health care directive can be changed or revoked as long as you have capacity to do so. National Healthcare Decisions Day April 16

35.  Why should I complete a health care directive if I trust my family?  Can I be required to complete a health care directive?  What if I’ve already completed a Living Will or Durable Power of Attorney for Health Care?  Do I need an attorney to complete a health care directive? National Healthcare Decisions Day April 16

36.  Will my health care directive be valid if I am in another state?  Do I need a directive if I want all possible treatment?  How can I be sure that my directive will be honored? National Healthcare Decisions Day April 16

37.  You do not have to complete all of the questions or blanks on the form.  You may not have answers to some of the questions.  There are no right or wrong answers.  Starting the process is an important step. National Healthcare Decisions Day April 16

38. Hospice Minnesota (651) 659-0423 1-800-214-9597 National Healthcare Decisions Day April 16