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UR No.: ST. VINCENT MELBOURNE MY ADVANCE CARE PLAN HEALTH WISHES Surname: Given Name: D.O.B.: Please fill in if no Patient Label available I made this Advance Care Plan after I discussed it with my
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How to fill out my advance care plan

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How to Fill Out My Advance Care Plan:

01
Start by gathering the necessary documents and forms required for an advance care plan. This may include an advance directive form, a durable power of attorney for healthcare form, and any other relevant paperwork.
02
Consider your values, beliefs, and preferences when making decisions about your medical treatment and end-of-life care. Think about what matters most to you and what kind of care you would want in different situations.
03
Write down your healthcare preferences and treatment choices in the advance directive form. This may include instructions regarding life-sustaining treatments, organ donations, pain management, and other specific medical interventions.
04
Choose a trusted individual to be your healthcare proxy or durable power of attorney for healthcare. This person will make medical decisions on your behalf if you are unable to do so. Discuss your wishes with them and make sure they understand your values and preferences.
05
Fill out any additional sections of the advance care plan, such as personal information, contact details of healthcare providers, and specific instructions for funeral arrangements or burial preferences.
06
Once you have completed the advance care plan, make copies of the document and distribute them to relevant individuals. Give a copy to your healthcare proxy, primary care physician, and any other healthcare providers involved in your care.

Who Needs My Advance Care Plan:

01
Anyone over the age of 18 should consider having an advance care plan in place. While it is particularly important for individuals with chronic illnesses, terminal conditions, or who are approaching the end of life, unexpected medical emergencies can happen to anyone.
02
It is especially important for individuals with specific healthcare wishes or religious beliefs that may conflict with standard medical practices. An advance care plan ensures that healthcare providers understand and respect these preferences.
03
Family members and loved ones also benefit from having access to an individual's advance care plan. It eliminates confusion and potential disagreements when making difficult decisions regarding medical treatment, providing peace of mind for everyone involved.
In conclusion, filling out your advance care plan involves considering your values and preferences, making important healthcare decisions, and choosing a healthcare proxy. This plan is essential for individuals of all ages and is meant to guide medical professionals and loved ones in providing the desired care during challenging times.
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Your advance care plan is a legal document that outlines your wishes for medical treatment in case you are unable to communicate them yourself.
You are required to file your advance care plan with your healthcare provider and make sure that your loved ones are aware of its existence.
You can fill out your advance care plan by discussing your preferences with your healthcare provider and completing the necessary forms.
The purpose of your advance care plan is to ensure that your medical treatment aligns with your wishes in case you cannot communicate them.
Your advance care plan should include information about your preferred medical treatments, healthcare proxy, and end-of-life care preferences.
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