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ADVANCE STATEMENT An advance statement allows you to record how you would like to be treated should you lose the capacity to tell staff yourself. To help you do this, this form contains sections about

How to fill out advance statement

How to fill out an advance statement:

1. Start by gathering the necessary information: Before filling out an advance statement, take some time to gather the necessary information and documents. This may include your medical history, any existing healthcare directives or legal documents, and a list of your preferences and values regarding your healthcare.
2. Understand the purpose of an advance statement: An advance statement, also known as an advance care plan or a living will, allows you to express your wishes for medical treatment and care in the event that you are unable to communicate or make decisions for yourself. It helps guide healthcare professionals and your loved ones in making decisions that align with your values and preferences.
3. Choose a reliable person as your advocate: It is important to appoint a trusted individual who can act as your advocate and ensure that your advance statement is followed. This person should be someone who understands your values, preferences, and healthcare goals, and is willing to fulfill this responsibility.
4. Reflect on your healthcare preferences: Take some time to reflect on your healthcare preferences and values. Consider different scenarios such as end-of-life care, life-sustaining treatments, pain management, and quality of life. Think about your personal beliefs, religious or cultural considerations, and any specific medical treatments or interventions you would like or prefer to avoid.
5. Write down your wishes: Once you have contemplated your healthcare preferences, begin writing down your wishes in a clear and concise manner. Include specific instructions regarding the kind of care you would like to receive or avoid, as well as any specific medical treatments or interventions that you may or may not want. Be sure to address both medical and non-medical aspects, such as spiritual or emotional support.
6. Consult with healthcare professionals: It can be beneficial to consult with your healthcare professionals while filling out your advance statement. They can provide guidance and help ensure that your wishes are realistic and in line with medical possibilities. They can also address any questions or concerns you may have about certain treatments or medical conditions.

Who needs an advance statement:

1. Adults of all ages: While advance statements are often associated with older adults or those with chronic illnesses, it is important for adults of all ages to consider creating one. Unexpected medical emergencies or accidents can happen to anyone, and having an advance statement in place ensures that your preferences are known and respected.
2. Individuals with chronic illnesses: If you are living with a chronic illness, it is especially important to have an advance statement. It allows you to outline your preferences for ongoing care, specific treatments, and even end-of-life considerations.
3. Individuals with specific healthcare wishes: Some individuals may have strong beliefs or preferences regarding their medical care, regardless of their current health status. For example, if you have religious or cultural considerations that may impact your medical treatment, an advance statement can help ensure that your wishes are honored.
4. Those who want to have control over their healthcare decisions: Creating an advance statement gives you the opportunity to have control over your own healthcare decisions. It allows you to express your desires and provide guidance to your healthcare team and loved ones in the event that you are unable to communicate or make decisions for yourself.

In conclusion, to fill out an advance statement, gather information, understand the purpose, choose an advocate, reflect on your preferences, write down your wishes, and consult with healthcare professionals. Advance statements are important for adults of all ages, individuals with chronic illnesses, those with specific healthcare wishes, and those who want to have control over their healthcare decisions.

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What is advance statement?

An advance statement is a document that outlines a person's preferences, wishes, and instructions regarding their future health and social care.

Who is required to file advance statement?

Any individual who wants to communicate their wishes regarding their future healthcare and social care needs may file an advance statement.

How to fill out advance statement?

To fill out an advance statement, one should provide detailed instructions and preferences regarding their future health and social care needs, including any specific treatments or interventions they do or do not want.

What is the purpose of advance statement?

The purpose of an advance statement is to ensure that an individual's wishes and preferences regarding their future health and social care needs are known and respected, even if they are unable to communicate them themselves.

What information must be reported on advance statement?

Information regarding specific preferences for treatments, care options, living arrangements, and other important decisions related to future health and social care needs must be reported on an advance statement.