Advance Care Advance Care PlanningPlanning

Down with ACP and Still Down with ACP and Still

Rockin’ the VoteRockin’ the Vote

L. Raquel Clary-Lantis, L. Raquel Clary-Lantis, D.O.D.O.

Life and DeathLife and Death

• The day you are born is usually The day you are born is usually expected, anticipated and brings expected, anticipated and brings great joy.great joy.

• The day you die is often not The day you die is often not expected, nor anticipated and brings expected, nor anticipated and brings great sadness.great sadness.

PlanningPlanning

• The birth of a child often involves The birth of a child often involves much planning and preparation.much planning and preparation.

• Sudden or chronic illness often Sudden or chronic illness often involves much suffering and grief.involves much suffering and grief.

• With the illness and possible death With the illness and possible death of a loved one, we are never quite of a loved one, we are never quite prepared…advance care planning prepared…advance care planning can help.can help.

Why Advance Care Planning Why Advance Care Planning (ACP)?(ACP)?

• No one wants to burden their family No one wants to burden their family with having to make complex medical with having to make complex medical decisions surrounding their care.decisions surrounding their care.

• When our loved ones are under When our loved ones are under emotional strain, these decisions emotional strain, these decisions become even more complex. become even more complex.

• Planning ahead so our family won’t Planning ahead so our family won’t have to is what ACP is all about.have to is what ACP is all about.

Advance Care PlanningAdvance Care Planning

• ACP is a process of planning for future decisions surrounding our care, as well as selecting who we would want to represent us if we were unable to express these decisions ourselves.

• It is important that we:– understand potential future situations– understand the choices we have– consider what is best for us, taking into

account any particular cultural or religious beliefs

– discuss these choices and plans with those we might need to advocate for us

When an ACP becomes When an ACP becomes an ADan AD

• When we do advance care planning, our When we do advance care planning, our decisions can be expressed in a legal decisions can be expressed in a legal document called an Advance Directive.document called an Advance Directive.

• An Advance Directive gives specific An Advance Directive gives specific instructions on how we want our instructions on how we want our medical care directed when we are medical care directed when we are unable to do so. unable to do so.

• An Advance Directive is not activated An Advance Directive is not activated unless you are incapacitated and unless you are incapacitated and cannot speak for yourself.cannot speak for yourself.

Advance DirectiveAdvance Directive

• In Jackson County, Michigan, there In Jackson County, Michigan, there are two types of documents are two types of documents recognized:recognized:– Durable Power of Attorney for Health Durable Power of Attorney for Health

Care (DPOA-HC)Care (DPOA-HC)– MI-POST (Physician Orders for Scope of MI-POST (Physician Orders for Scope of

Treatment)Treatment)

DPOA-HCDPOA-HC

• Durable Power of Attorney for Health Durable Power of Attorney for Health Care allows you to give another person Care allows you to give another person the power to make health care decisions the power to make health care decisions for you only when you are unable to.for you only when you are unable to.

• This person is called your “Patient This person is called your “Patient Advocate.”Advocate.”

• They must act in alignment with your They must act in alignment with your wishes by taking reasonable steps to wishes by taking reasonable steps to follow your instructions you expressed follow your instructions you expressed when you were able.when you were able.

Durable Power of Attorney Durable Power of Attorney for Health Care (DPOA-HC)for Health Care (DPOA-HC)

MI-POSTMI-POST

• The Michigan Physician Orders for The Michigan Physician Orders for Scope of Treatment is a legal Scope of Treatment is a legal document in which you can express:document in which you can express:– whether or not you would want CPR if you whether or not you would want CPR if you

had no pulse and were not breathinghad no pulse and were not breathing– the types of interventions you would want the types of interventions you would want

if you did have a pulse and/or were if you did have a pulse and/or were breathingbreathing

– your wishes regarding artificially your wishes regarding artificially administered nutritionadministered nutrition

MI-POST frontMI-POST front

MI-POST backMI-POST back

When Should You Do When Should You Do This?This?

• There will never be a time that feels There will never be a time that feels “right.” “right.”

• Advance Care Planning is something Advance Care Planning is something most of us don’t want to think about but most of us don’t want to think about but it is important that we do.it is important that we do.– It will allow our voice to still be heard, It will allow our voice to still be heard,

even when we cannot speak.even when we cannot speak.– It will help alleviate some of the burden on It will help alleviate some of the burden on

our loved ones if they know what we would our loved ones if they know what we would want.want.

Appropriate Age for ACPAppropriate Age for ACP

• ACP is not just for elderly and/or ACP is not just for elderly and/or chronically ill people.chronically ill people.

• Terry Schiavo, Karen Ann Quinlan Terry Schiavo, Karen Ann Quinlan and Nancy Cruzan were all in their and Nancy Cruzan were all in their 20s when they had catastrophic life 20s when they had catastrophic life events that left them unable to events that left them unable to express their healthcare decisions.express their healthcare decisions.

Some Birthday Some Birthday MilestonesMilestones

• 0, the day we are born0, the day we are born• 10, double digits10, double digits• 13, becoming a teenager13, becoming a teenager• 16, getting your driver’s license and 16, getting your driver’s license and

choosing if you want to register to choosing if you want to register to become an organ donorbecome an organ donor

• 18, becoming an adult…18, becoming an adult…– Registering to voteRegistering to vote– Advance Care Planning and completing an Advance Care Planning and completing an

Advance DirectiveAdvance Directive

HarrisonHarrison

• You tube video: You tube video: http://www.youtube.com/watch?v=rJhttp://www.youtube.com/watch?v=rJdbYyIe-tw&feature=youtu.bedbYyIe-tw&feature=youtu.be

EighteenEighteen

• When we turn 18, we are legally an adult. When we turn 18, we are legally an adult. • We can express our own choices by:We can express our own choices by:

– Registering to voteRegistering to vote– Initiating Advance Care PlanningInitiating Advance Care Planning– Completing an Advance DirectiveCompleting an Advance Directive

• We can update periodically thereafter whenever We can update periodically thereafter whenever we want and:we want and:– When we renew our driver’s licenseWhen we renew our driver’s license– When our decisions may changeWhen our decisions may change– When we are diagnosed with a terminal illnessWhen we are diagnosed with a terminal illness

ACP + AD = Honoring ACP + AD = Honoring ChoicesChoices

• In the 80s it was “Rock the Vote”In the 80s it was “Rock the Vote”• It is time to start rockin’ the vote It is time to start rockin’ the vote

again and get “Down with ACP”again and get “Down with ACP”• Linking Advance Care Planning and Linking Advance Care Planning and

Advance Directives with registering Advance Directives with registering to vote when we turn 18 just makes to vote when we turn 18 just makes sense.sense.

Need Assistance?Need Assistance?

• I’m down with ACP, yes, you know me.I’m down with ACP, yes, you know me.• I’ve got my AD done, now it’s time for I’ve got my AD done, now it’s time for

fun.fun.• If you need help, you can contact your If you need help, you can contact your

primary care provider who will help or primary care provider who will help or refer you to a social worker for refer you to a social worker for assistance.assistance.– Including help understanding and Including help understanding and

completing your forms completing your forms

Thank YouThank You