1. Neighborhoods to Nursing Homes The Conversation Project at ECMC Campus

2. What We Want Versus What Happens 90% of us believe that it’s important to discuss end of life issues with our loved ones. Only 30% do. 60% of us say that it extremely important that our family is not burdened by tough decisions. 70% of us wish to die at home, yet 70% of us die in a Nursing Home or hospital.

3. What is “The Conversation” Tragedies, such as accidents and serious illness can come at any time, at any age, and in any location or circumstance. My Story

4. How Many of Us Have Had This Conversation? When entering into a marriage or committed partnership When a child reaches adulthood or on a significant birthday When a chronic illness is diagnosed When an adult reaches a milestone age ANYTIME When entering into a marriage or committed partnership When a child reaches adulthood When a chronic illness is diagnosed When an adult reaches a milestone age ANYTIME

5. Barriers to Conversation

6. Bringing Up the Subject Only you know the folks that you want to include in the conversation. Find an appropriate way of approaching them. Here are some suggestions: “I need your Help with something” “I was thinking about what happened when Uncle Joe passed” “I need to think about the future, will you help me?” “I’m OK now, but I’m concerned about what happens if I get sick”

7. This Issue Has National Attention!! ABC News Diane Sawyer Report

8. The Conversation is NOT just about Legal Documents It is about OUR wishes and values It is about family, friends, and loved ones and their understanding and commitment to carry out your end- of -life wishes It may result in important documents

9. Who Will Speak For You? NYS Surrogate Health Law Health Care Proxy MOLST Form

10. Medical Treatment Options

11. What is Comfort Care? Comfort care does not mean "no care."

12. One Person’s Advance Directive A Poem

13. What Matters To You? Remember, this “Event” is of a most personal nature!

14. Insurance is Important, But Assurance is Just As Important!