S5E39: Advance Directives – A Guide to Documenting Your Healthcare Wishes

If you are incapable of making medical decisions, who would you want to speak for you? How do you let them know what is important to you in your care? We discuss the importance of preparation at any age, how to do it, and what resources are available to help.

In this episode we delve deep into Advance Directives. We often have misconceptions that advance directives are only for older people or people that are dying. But did you know the whole reason they exist were from two young people that had terrible accidents, leaving friends and family members to fight for what they knew they would want? These documents are valid for anyone 18 or older who want to take control of their own bodies.

In this Episode:

Five Wishes, My wish for:
- The person I want to make care decisions for me when I can't
- The kind of medical treatment I want or don't want
- How comfortable I want to be
- How I want people to treat me
- What I want my loved ones to know
Five Wishes is an advance directive that talks about your personal, emotional, and spiritual needs as well as your medical wishes. Five Wishes lets you say exactly how you wish to be treated if you get seriously ill.
  • 00:00 – Intro: Five Wishes and Advance Directives
  • 01:13 – Ways to Communicate Your Wishes
  • 03:44 – Intro: S1E09 Rebroadcast
  • 04:41 – St. Germain Cocktail
  • 06:27 – History of Advance Directives; It Actually Arose from Young People
  • 18:43 – How Advance Directives Work
  • 24:34 – Healthcare Proxy
  • 26:59 – It Doesn’t Have to be All or Nothing – Tailor Directives for Situation
  • 29:33 – Artificial Food and Fluids – Situations to Think About
  • 33:18 – Durable Power of Attorney, Living Will, and Will
  • 39:06 – Why Does E1D Have a 3rd Half? 
  • 40:08 – Interview-A Daughter’s Perspective on an Advance Directive Decision
  • 46:45 – How to Protect Yourselves from Scams
  • 51:03 – Outro

Related Content:

Additional References and Resources:

Need help? The National Institute on Aging had an email series on advance care planning (ACP)! By signing up for this series, you will receive weekly emails over the next seven-weeks designed to help you.

S1E09 Rebroadcast: Advance Directives

Rashomon (1950). The rape of a bride and the murder of her samurai husband are recalled from the perspectives of a bandit, the bride, the samurai’s ghost and a woodcutter. Director: Akira Kurosawa

Marianne talks about the history of advance directives, and Charlie discusses more some of his personal experience in the field, including his recommendations for four prepared documents: a healthcare proxy, living will, durable power of attorney, and will.

An example of the reason we need advance directives is given from the film Rashomon (1950). Our memories are like this film.  Many people do not have an advance directive because they say they never “got around to doing it”.  We encourage people to do it for themselves, and if not that, to complete one to make it easier for the family.  Please read the blog post for this week written by a man who was suddenly confronted with a very difficult and sudden decision for his wife when she was unable to make decisions for herself.  He writes about how he used her advance directive with his family to make decisions. 

But did having an advance directive really help the family?  Today we are talking with his daughter, Abby about her perception of the use of the advance directive.  Like the movie Roshamon, people see the same story from their own unique perspectives.

Dr. Seuess Does Advance Directives

We finish with an introduction to a fantastic poem by Tim Boon, RN, the CEO of Good Shepherd Community Care in Newton, MA. He is helped along by ZDoggMD in this fun video.

What if Dr. Seuss wrote a poem on Advance Directives? It would probably sound a bit like this!

Resources

Advance Directives

  • Instructions given by a patient while they still have decisional capacity concerning medical treatment they would or would not want.
  • Formal advance directives typically consist of either a living will or a written health care proxy.

Durable power of attorney for health care

  • A legal document that an individual signs, while competent, to designate who will make their healthcare decisions if they become incompetent (e.g. comatose, confused).

Other Links:

The Vultures are Circling

Charlie shares more with us about some of the scams being cooked up by evil-doers in the wake of COVID-19 and how you can protect yourself.

Recipe of the week

This week isn’t so much a recipe as a drink served up by our Executive Producer:

  • 2 ounces fresh grapefruit juice
  • 2 ounces vodka
  • 1 ounce St. Germain Elderflower
  • Splash of lime

Try it with a sprig of rosemary or lavender!


Do you have any stories of how an advanced directive has impacted your family? Or what does it mean to you? Why do you feel it is important? Tell us in your comments or join the discussion on Facebook!


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