Get the free An Advance Care Plan is a written statement of

Advance Care PlanningFACT SHEET An Advance Care Plan is a written statement of your wishes regarding your future medical treatment that is signed and dated. It is sometimes called a statement of wishes, advance

How to fill out an advance care plan

How to fill out an advance care plan

1. Step 1: Start by gathering the necessary documents, such as the advance care plan form, medical history records, and any legal documents related to healthcare.
2. Step 2: Begin the form by providing your personal information, including your full name, date of birth, and contact information.
3. Step 3: Consult with your healthcare provider to understand and document your current medical condition, any existing medical treatments, and your preferences for future medical care.
4. Step 4: Indicate your healthcare proxy, someone who will make medical decisions on your behalf if you are unable to do so. Make sure to discuss this role with the chosen individual beforehand.
5. Step 5: Specify your preferences for life-sustaining treatments, such as CPR, ventilator use, or feeding tubes. You can choose to receive or refuse specific interventions.
6. Step 6: Express your wishes regarding pain management, palliative care, and hospice care.
7. Step 7: Include any additional instructions or preferences you may have, such as religious or cultural considerations.
8. Step 8: Review the completed form with your healthcare provider and any relevant family members or loved ones. Make sure they understand your wishes and have a copy of the plan.
9. Step 9: Keep the advance care plan in a safe and easily accessible place, such as a folder labeled 'Important Documents' or provide a copy to your healthcare provider and designated healthcare proxy.
10. Step 10: Periodically review and update your advance care plan as your medical condition or preferences change.

Who needs an advance care plan?

1. Anyone who wants to ensure that their wishes regarding medical care are respected and followed should consider creating an advance care plan.
2. Individuals with chronic illnesses or terminal conditions may particularly benefit from having an advance care plan in place.
3. Older adults, especially those who live alone or have limited family support, can greatly benefit from having their medical preferences documented in an advance care plan.
4. Caregivers and family members of individuals with serious medical conditions can use advance care plans to guide their decision-making and ensure they are acting in accordance with the individual's wishes.
5. Medical professionals, including doctors, nurses, and other healthcare providers, can also encourage their patients to create advance care plans to better understand their medical preferences and provide appropriate care.

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What is an advance care plan?

An advance care plan is a document outlining an individual's preferences for medical treatment and end-of-life care.

Who is required to file an advance care plan?

Any individual who wants to ensure their medical wishes are followed in case they are unable to communicate their preferences.

How to fill out an advance care plan?

An advance care plan can be filled out with the assistance of a healthcare provider or legal professional, and should include detailed instructions for medical treatment.

What is the purpose of an advance care plan?

The purpose of an advance care plan is to provide guidance to healthcare providers and family members in making medical decisions on behalf of the individual.

What information must be reported on an advance care plan?

An advance care plan should include preferences for life-sustaining treatment, organ donation, and other medical interventions.