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Dying Well

Aging Well | Last Active: 3 hours ago | Replies (53)

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Profile picture for Susan, Volunteer Mentor @grammato3

@fabia01: Good points. Here are some helpful documents to consider for Advance Care Planning and what they mean: Durable Power of Attorney (someone to make decisions for you if you’re unable to); Living Will (your preferences for medical treatment or withholding of same); Physician/Medical Orders for Life Sustaining Treatment (aka POLST or MOLST, a portable medical order for specific choices in serious illness). Also consider organ donation, Last Will and Testament, list of financial accounts, passwords - in secure location or with a trusted individual.

For information on long term care insurance, see this article is from the National Council on Aging: https://www.ncoa.org/article/how-much-does-long-term-care-insurance-cost-and-is-it-worth-it/

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Replies to "@fabia01: Good points. Here are some helpful documents to consider for Advance Care Planning and what..."

@grammato3 that is a good list to consider. Just as an FYI, a Living Will does not stand up in court at least here in the State of Michigan! I just attended a seminar and the director of Hospice and Palliative Care from University of Michigan spoke s out end of life issues.

He did reiterative the importance of the POLST/MOLST. He also said do not get hung up on what specific procedures you want performed or not performed. He said what is more important is the generalities. He said 75% of the people that come through their hospital end up dying there. And it never fails when a crises comes it is at 2 am and trying to get hold of family or even your Medical POA isn’t feasible for most! So let people know I. General, I do t want to die in Intensive Care hooked up to God knows what, all alone. Let people know I want to die at home in my own bed, surrounded by family who are singing or playing music and who just sit with my as my soul leaves this earth. Or I do not want to die st hone, I fo t want my family to have that memory of me dying at home, I want to receive palliative or hospice care and I want to ge jn a nice clean and comfortable hospice facility where staff is around 24/7 to make sure I am not in any pain as I prepare to die. He said having those general directives will help inform your medical team what actions to take or not to take. He also highly advised that people have a Dementia Care Plan. You medical directive may look very different if you have progressed in dementia where you do not know it recognized any of your family members and your quality of life had significantly changed due to the dementia. He said as dementia cases will triple in the US in the next few decades more and more of us will develop dementia before a medical condition takes us. He advises being prepared for both scenarios! There are lawsuits going on when someone has a medical directive that was made before the Dementia came and now one’s wishes may be significantly different!