Winter is here! The first snowfall conjures images of cozying up by the fire, spiced cider, and a table full of loved ones. As the holiday season approaches, I would like to encourage everyone to bring up a topic that may be heavier than this year’s turkey – your living will and advanced directives.
Why should I even consider this idea? You may think this is a terrible idea; who wants to discuss death around the holidays? I encourage you to adopt a different mindset. This time of year may be the only time adult children are back home together, and it’s a great time for everyone to get on the same page regarding medical care. Not sure where to start? Here’s a primer for having this difficult but very necessary conversation.
What documents should I have in place? There are two documents every patient should have prepared for their health care: advanced directives (formerly called living wills) and a medical power of attorney. Advanced directives tell your doctors what scope of care you wish to have if you become unable to tell us your wishes. They also remind your family of your wishes, which can give great comfort and direction to them during what may be a stressful and scary time in life. A medical power of attorney (MPOA) is a legal document designating the person you wish to have make health care decisions for you. This job generally falls to a spouse or adult child, but should clearly be spelled out in your MPOA.
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When should I make these documents? Any major milestone in life should prompt you to reevaluate your medical documents! None of us like to think about needing these documents, but the reality of the matter is that we all need to be prepared. I encourage my patients to evaluate their medical documentation at every major milestone: marriage, birth of child(ren), transition to assisted living, and any new major medical diagnoses. By frequently updating these documents, you’ll ensure that your loved ones are prepared.
Who should have a copy? Anyone involved in the discussion around making these documents should have a copy. This includes your lawyer, doctor, and adult children. You should have at least 2 copies at your home: one displayed prominently, like on your fridge, in case of emergency, and the second in a safe location at your house that your family can access.
Where can I find more information? There are many online resources to help, and most physician offices can offer some assistance as well. A great free online resource can be found at www.mydirectives.com. A discussion guide accompanies this form so you can have a good discussion about life goals and personal beliefs. One of my favorite resources is called Five Wishes and can be found at www.agingwithdignity.org.
