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HEALTH CARE DIRECTIVES

living will

DNR ORDERS

body disposition

organ doantion

durable power of at�torney of health care

life prolonging care

Organ Donation

palliative care

Body Disposition

dnr orders

Organ Donation

ADVANCE DIRECTIVES

health care declaration

anatomical gifts

medical power of attorneymedical directive

designation of surrogate

These are a broad term used to describe health care documents that includes both a health care declaration and a durable power of attorney for health care. It is currently used in more than one-third of the states.A legal document in which you state your

wishes about life support and other kinds of medical treatments. The document takes e!ect if you can’t communicate your own health care wishes.A living will is more limited than a health care power of attorney. It generally applies only when you are unable to speak for yourself, and you are terminally ill or permanently unconscious. It also only gives written instructions about certain things that might happen and does not cover every health care situation that could come up. This means it may not cover your situation when you need it. With a living will, you cannot choose an agent or proxy to make decisions for you or be sure that your wishes are carried out.

Some people who do not wish to receive life-prolonging treatment when close to death -- most likely those who are already critically ill -- may also want to prepare a “do not resuscitate” order, or DNR order. If a medical emergency occurs, this form alerts emergency personnel that you do not wish to receive cardiopulmonary resuscitation (CPR).

In more than half the states, there is a statutory obligation for survivors to honor the written wishes of the deceased, to follow your personal preference. The form gives you the right to authorize your own cremation or disposition in writing. The law clearly states that no one else’s consent - not your spouse’s, not your childrens’ - is required.

Organ donations are often referred to as “anatomical gifts”. All fifty states have passed some version of the Uniform Anatomical Gift Act, generally providing that you may make a gift of your organs and tissues during your lifetime with the gift to take e!ect on your death. Additionally, family members may gener-ally donate your organs and tissues after your death if there is no indication you were opposed to such a donation.

A legal document in which you give another person permission to make medical decisions for you if you are unable to make those decisions yourself.

VISUALIZED INFORMATION

ARTIFICIAL NUTRITION AND HYDRATION

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NUMBER OF PATIENTS IN THEU.S. WHO RECEIVE TUBE FEEDING

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93%

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20%

ADVANCE DIRECTIVES

A set of written instructions that a

person gives to specify what

actions should be taken for their

health if they are no longer able to

make decisions for themselves.

ATTITUDES TOWARD

ADVANCE DIRECTIVES

Source:

N Engl J Med 1991

MODEL SCENARIOS

How Important Is A Pain Free Existence To You? How Much Pain Can You Tolerate? A Good Death Toolkit RaisesThese Intricate Issues, Encouraging You To Consider Them.

The current content is not interactive or dynamic

LIVING WILLWhich of the following do you fear most

near the end of life?

Being in pain To be aloneLosing the ability

to thinkOR OR

you were in severe discomfort most of the time, such as nausea, diarrhea:

Want Treatment

Do notWant Treatment

2 3 4 51

WHAT IF...

SENSE OF COMMUNITY

YES NOOR SKIPOR

Now that you have choosen a person you can trust with your health care issues, it’s

important that you share your decision with this person.

Would you like to send him a message?

To:

Subject: Health Care Proxy!

SEND

Hey I have decided to make you my health care proxy. I trust you to make health care decisions as I would for myself if I lose the ability to make them.

I choose you because you are reliable and will uphold my wishes when I am unable to.

To continue this partnership, I would like to have a meaningful conversation with you!

I started a dialogue about my end-of-life intentions through agoodeath (link) .

Will you be my proxy?

COMPLEXITY VSSIMPLICITY

Lack of design thinking in the process

DID YOU KNOW?

� � More than 68,000 patients are on the national organ transplant waiting list. Each day, 13 of

them will die because the organs they need have not been donated. Every 16 minutes, a new

name will be added to that waiting list.

� � Organs you can donate: Heart, Kidneys, Pancreas, Lungs, Liver, Intestines.

� � Tissue you can donate: Cornea, Skin, Bone Marrow, Heart Valves, Connective Tissue.

� � To be transplanted, organs must receive blood until they are removed from the body of the

donor. Therefore, it may be necessary to place the donor on a breathing machine temporarily or

provide other organ-sustaining treatment.

� � If you are older or seriously ill, you may or may not have organs or tissue suitable for

transplant. Doctors evaluate the options at or near the time of death.

� � The body of an organ donor can still be shown and buried after death.

Tool #5

After Death Decisions

to Think About Now

Name & Date_______________________________________

After the death of a loved one, family and friends are often left with some tough decisions. You

can help ease the pain and anxiety by making your wishes—about burial, autopsy, and organ

donations—clear in advance.

1. Do you want to donate viable ORGANS for transplant? (Circle one)

Yes

Not sure

No If Yes, check one:____ I will donate any organs.

____ Just the following: _______________________________

2. Do you want to donate viable TISSUES for transplant? (Circle one)

Yes

Not sure

No If Yes, check one:____ I will donate any organs.

____ Just the following: ____________________________

Attention! If you circled Yes for either of the above, be sure to write this into your health care

Advance Directive. You may also fill out an organ donor card or register as an organ donor when

you renew your driver’s license. But be sure to tell your proxy and loved ones. Make sure they will

support your wishes. Even with an organ donor card, hospitals will usually ask your proxy or

family to sign a consent form.

ORGAN AND TISSUE DONATION

TITLEEXIT

MENUE

INFO

STATISTICS

SOURCE

OPTION 1 OPTION2

tHIS IS WHERE THE QUESTION GOES

PROGRESS BAR

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