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Conversations About Advance Care Planning PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Conversations About Advance Care Planning” by Zoltán Hidasi MD

This medical PowerPoint presentation is about advance care planning (ACP), a process of reflection, communication, and documentation that allows individuals to express their preferences for medical care in the event that they become unable to make their own decisions. It is a proactive approach to ensure that a persons values, goals, and preferences are respected when they are no longer able to make decisions for themselves.

ACP involves conversations with family members, healthcare providers, and other loved ones to discuss medical treatment options, such as life-sustaining treatments like CPR or artificial ventilation, as well as end-of-life care preferences. These conversations can be difficult, but they are important to ensure that a persons wishes are respected and that their loved ones are not left making difficult decisions on their behalf.

The ultimate goal of ACP is to ensure that a persons wishes are honored and that they receive care that aligns with their values and beliefs. It can also reduce stress and anxiety for both the individual and their loved ones during difficult times. ACP is recommended for all adults, but is particularly important for those with chronic or life-limiting illnesses, as well as older adults.

Tags : advance care planning, Geriatrics, Geriatric Medicine, Geriatrics PowerPoint presentation

Published on : May 02, 2023 | Views : 1211 | Downloads : 0

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1 The purpose of this presentation is to promote the benefits of and improve processes for advance care planning and having meaningful conversations about it in health care settings and in the broader community in general. This presentation was created by the Advance Care Planning Workgroup of the Kenosha County Care Transitions Coalition (KCTC). Conversations About Advance Care Planning
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2 Conversations About Advance Care Planning Today’s Topics Discover advance care planning and what it means Reflect on your values, beliefs and wishes Next Steps Select a health care agent Complete a document expressing your values, beliefs and wishes Share your plan
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3 Conversations About Advance Care Planning What do you understand about advance care planning? What fears or concerns do you have about this type of planning? If you have completed an Advance Directive in the past, what did you hope the document would do for you?
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4 Conversations About Advance Care Planning Advance Care Planning is: Planning ahead for future health care decisions If a sudden, unexpected event (like a car accident or sudden illness) Left you unable to communicate and make your own health care decisions And others would need to make decisions for you.
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5 Conversations About Advance Care Planning What is an Advance Directive? Defined as “A written instruction, such as a living will or durable power of attorney for health care, recognized under state law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated. ” - Federal Patient Self Determination Act
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6 Three types of legal documents: A Living Will: A document declaring an individual’s wishes and directing their physician to refuse certain life sustaining procedures when the principal’s death is imminent due to a terminal condition or when the principal is in a persistent vegetative state. Power of Attorney for Healthcare (POA-HC): A document that authorizes another person (called the “agent”) to make health care decisions for the person executing the document (called the “principal”), consistent with the terms of the document and based on the wishes of the principal, effective when the principal is unable to make health care decisions. Do Not Resuscitate (DNR) order: A DNR order may only be issued by an attending physician and only applies to a “qualified patient” (an adult who has a terminal condition or would suffer pain or harm from resuscitation or when resuscitation would be unsuccessful). The qualified patient must also request the DNR order, consent to it, and sign the written order. Conversations About Advance Care Planning
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7 Conversations About Advance Care Planning Why is an Advance Directive important? Because we all have the right to our own choices, and have those choices honored Wisconsin law treats family members, including spouses, as strangers for decision-making purposes. Wisconsin is NOT a “next of kin” or “family consent” state for adults. Because the people who care about you will be very grateful to know what you would have wanted if its ever needed. Because doing it later could be too late.
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8 It’s a personal choice…
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9 Three points to consider: 1. Discussing and deciding on your goals of care in the event of a severe accident or sudden illness 2. Identifying any personal, cultural or religious beliefs that may affect treatment decisions 3. Choosing a decision-maker (health care agent) Conversations About Advance Care Planning
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10 Conversations About Advance Care Planning How do you make Advance Care Planning meaningful? Reflect on your experiences…. Some things that you could talk about….. Pain Control Caregiver Stress Emotional Stress Time testing treatment
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11 Conversations About Advance Care Planning Living well Have you thought about what experiences or activities are most important for you to live well? Have they changed over time?
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12 Conversations About Advance Care Planning Exploring goals for medical care/treatment You have a serious accident or sudden illness that leaves you unable to communicate. You are receiving all the medical care required to keep you alive, but the doctors believe there is little chance you will ever recover the ability to know who you are or those around you. What does this situation mean to you?
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13 Conversations About Advance Care Planning What would you want? Assume you would be kept comfortable, no matter what treatments you would want or not want. Would you want life sustaining treatments to continue? Would you prefer care focused on keeping you comfortable without using medical interventions to keep you alive?
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14 Conversations About Advance Care Planning Explore religious, cultural or personal beliefs What helps you when you face serious challenges in your life? Do you have beliefs that might influence your preferences for using life-sustaining treatment interventions? Do you need to discuss these beliefs or clarify any concerns with others?
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15 Conversations About Advance Care Planning Things to think about when choosing a health care agent (decision-maker) Responsibilities of a health care agent include – making choices about medical care, reviewing and releasing medical records, arranging for medical care and treatment, making decisions on living situation, deciding which providers can provide treatment Consider Choosing a person who can make difficult decisions under pressure or in emotional situations. Choosing a person who understands your preferences, values and goals Choosing a person you know and trust to follow your preferences, even if they are different from their own
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16 Conversations About Advance Care Planning Starting the conversation with a prospective agent: “I was thinking about what happened to ______, and it made me realize….” “Even though I’m okay right now, I’m worried that _______, and I want to be prepared.” “If I get sick in the future and can’t make my own decisions, would you work with my doctors and help make medical decisions for me?”
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17 Conversations About Advance Care Planning DESIGNATION OF HEALTH CARE AGENT If I am no longer able to make health care decisions for myself, due to my incapacity, I hereby designate ___________________________________ _________________________________________________________ (print name, address and telephone number) to be my health care agent for the purpose of making health care decisions on my behalf. If he or she is ever unable or unwilling to do so, I hereby designate___________________________________________________________________________________________________________ to be my alternate health care agent for the purpose of making health care decision on my behalf.
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18 Conversations About Advance Care Planning ADMISSION TO NURSING HOMES OR COMMUNITY-BASED RESIDENTIAL FACILITIES My health care agent may admit me to a nursing home or community-based residential facility for short-term stays for recuperative care or respite care. If I have checked “Yes” to the following, my health care agent may admit me for a purpose other than recuperative care or respite care, but if I have checked “No” to the following, my health care agent may not so admit me: A nursing home -- Yes No A community-based residential facility -- Yes No If I have not checked either “Yes” or “No” immediately above, my health care agent may admit me only for short-term stays for recuperative care or respite care.
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19 Conversations About Advance Care Planning PROVISION OF FEEDING TUBE If I have checked “Yes: to the following, my health care agent may have a feeding tube withheld or withdrawn from me, unless my physician has advised that, in his or her professional judgment, this will cause me pain or will reduce my comfort. If I have checked “No” to the following, my health care agent may not have a feeding tube withheld or withdrawn from me. My health care agent may not have orally ingested nutrition or hydration withheld or withdrawn from me unless provision of the nutrition or hydration is medically contraindicated. Withhold or withdraw a feeding tube -- Yes No If I have not checked either “Yes” or “No” immediately above, my health care agent may not have a feeding tube withdrawn from me.
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20 Conversations About Advance Care Planning STATEMENT OF DESIRES, SPECIAL PROVISIONS OR LIMITATIONS In exercising authority under this document, my health care agent shall act consistently with my following stated desires, if any, and is subject to any special provisions or limitations that I specify. The following are any specific desires, provisions or limitations that I wish to state (add more items if needed): _____________________________________________________ _____________________________________________________ _____________________________________________________
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21 Conversations About Advance Care Planning STATEMENT OF WITNESSES I know the principal personally and I believe him or her to be of sound mind and at least 18 years of age. I believe that his or her execution of this power of attorney for health care is voluntary. I am at least 18 years of age, am not related to the principal by blood, marriage, domestic partnership, or adoption, and am not directly financially responsible for the principal’s heath care. I am not a health care provider who is serving the principal at this time, an employee of the health care provider, other than a chaplain or a social worker, or an employee, other than a chaplain or a social worker, or an inpatient health care facility in which the declarant is a patient. I am not the principal’s health care agent. To the best of my knowledge, I am not entitled to and do not have a claim on the principal’s estate. Witness Number 1 (Print Name) ___________________________________ Date ___________ Address _______________________________________________________ Signature _______________________________________________________
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22 Conversations About Advance Care Planning Next Steps… Give copies to your health care agent and health care professionals Keep a copy for yourself where it can be easily found Talk to the rest of your family and close friends. Tell them who your health care agent is and what your wishes are Take a copy with you if are admitted to the hospital or nursing home and ask for it to be entered into your medical record. Periodically review your advance directive, it is a process, as our wishes may change as our circumstances change.
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23 Conversations About Advance Care Planning For fillable forms, more information and tips on having conversations with family members and friends on this important topic, go to: www.theconversationproject.org (Conversation Starter Kit) The State of Wisconsin Power of Attorney for Health Care form can be found online at: http://www.dhs.wisconsin.gov/forms/advdir
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24 Conversations About Advance Care Planning “A goal without a plan is just a wish.” ― Antoine de Saint-Exupéry