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Community-wide End-of-life /Palliative Care Initiative Community Conversations on Compassionate Care Advance Care Planning Know your choices, share your wishes: Maintain control, achieve peace of
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How to fill out advance care planning booklet

How to Fill Out an Advance Care Planning Booklet:
Start by gathering all the necessary information:
01
Begin by collecting and organizing essential personal information, including your full name, contact details, and any emergency contact information.
02
Next, gather important medical details, such as your primary care physician's name, any diagnosed medical conditions you have, and any medications you are currently taking.
Identify and appoint a healthcare agent:
01
Select a trusted individual, such as a family member or close friend, to act as your healthcare agent. This person will make medical decisions on your behalf if you become unable to do so.
02
Discuss your wishes and values regarding medical treatments with your chosen healthcare agent to ensure they understand your preferences.
Specify your preferred medical treatments and interventions:
01
Consider your values, beliefs, and personal preferences when deciding on specific medical treatments or interventions. Examples include resuscitation, intubation, or other life-sustaining measures.
02
Consult with your doctor to better understand the potential benefits and risks associated with different treatment options.
Determine your end-of-life care wishes:
01
Think about your preferences for end-of-life care, such as whether you would like to receive palliative care, go through hospice, or die at home.
02
Consider any religious or cultural practices that may impact your end-of-life care preferences.
Communicate your preferences to your loved ones:
01
Once you have completed the advance care planning booklet, make sure to discuss your choices with your family members, close friends, and healthcare provider.
02
Share copies of your completed booklet with your healthcare agent, attending physician, and any other relevant healthcare providers.
Who Needs an Advance Care Planning Booklet?
Individuals of all ages:
Advance care planning is not exclusive to older adults or individuals with serious medical conditions. Ideally, everyone should engage in advance care planning as it ensures that their healthcare wishes are known and respected, regardless of age or health status.
Those with chronic illnesses or serious medical conditions:
Individuals diagnosed with chronic illnesses or serious medical conditions should consider completing an advance care planning booklet. It allows them to clarify their treatment preferences and ensures that healthcare providers understand their wishes.
Families and Caregivers:
Advance care planning is also important for family members and caregivers. Engaging in these conversations helps everyone involved better understand the wishes and values of their loved ones, enabling them to make more informed decisions on their behalf.
In conclusion, filling out an advance care planning booklet involves gathering personal and medical information, appointing a healthcare agent, specifying preferred treatments, determining end-of-life care wishes, and communicating these choices to loved ones. This process is relevant for individuals of all ages and particularly important for those with chronic illnesses or serious medical conditions, as well as their families and caregivers.
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What is advance care planning booklet?
Advance care planning booklet is a document that allows individuals to communicate their preferences for medical treatment in the event that they are unable to make their own decisions.
Who is required to file advance care planning booklet?
Individuals who are of legal age and have decision-making capacity are encouraged to complete an advance care planning booklet.
How to fill out advance care planning booklet?
To fill out advance care planning booklet, individuals should consult with their healthcare provider, family members, and legal counsel to document their medical treatment preferences.
What is the purpose of advance care planning booklet?
The purpose of advance care planning booklet is to ensure that an individual's medical treatment preferences are known and respected if they are unable to communicate them in the future.
What information must be reported on advance care planning booklet?
Information that must be reported on advance care planning booklet includes an individual's preferences regarding life-sustaining treatments, organ donation, and designated healthcare decision-makers.
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