Sample Pix and GraphicsSample Pix and GraphicsTo be used for presentations/posters

Included here in no particular order

Gathered from presentations of all six coalitions.

Health Planning Council

Betty Falcão, eaf6@cornell.edu

Who will make your Who will make your health care the health care the

decisions?decisions?

Health Care AgentHealth Care Agent

Family/friendsFamily/friends

StrangersStrangers

The GovernmentThe GovernmentIt’s up to each one of us!

Advance Care Planning: A GiftAdvance Care Planning: A Gift Clarify values, Clarify values,

beliefs beliefs

Choose an agentChoose an agent

Understand life-Understand life-sustaining sustaining treatmentstreatments

Practical issuesPractical issuesCompassion and Support

at the End of Life

Clarifying Your Clarifying Your Values and BeliefsValues and Beliefs

Speak to yourSpeak to your: Health Care Agent: Health Care Agent FamilyFamily Spiritual AdvisorSpiritual Advisor PhysicianPhysicianAbout YourAbout Your::ValuesValues Spiritual Beliefs Spiritual BeliefsPersonal BeliefsPersonal Beliefs Hope and wishes Hope and wishes

What makes life worth living?What makes life worth living?What really matters to you?What really matters to you?

Advance Care PlanningAdvance Care Planning

BenefitsBenefits

BarriersBarriers

Misconceptions of CPR success may be Misconceptions of CPR success may be a result of what we see on television. a result of what we see on television. Popular television programs show an Popular television programs show an

unrealistic CPR success rate of unrealistic CPR success rate of approximately 67%.approximately 67%.

CPR on Television

Excellus BlueCross BlueShield

Advance Care PlanningAdvance Care Planning Why do it? Why do it?

Begins conversationBegins conversation

Builds trustBuilds trust

Establishes relationshipEstablishes relationship

Reduces uncertaintyReduces uncertainty

Helps to avoid confusion Helps to avoid confusion

and conflictand conflict

Practical Issues: Review and UpdatePractical Issues: Review and Update

PeriodicallyPeriodically

Major life eventsMajor life events

Newly diagnosed Newly diagnosed

chronic illnesschronic illness

Advancing chronic Advancing chronic

illnessillness

After complicated life-After complicated life-

sustaining treatmentssustaining treatments

The conversation is The conversation is the heart the heart

of the advance care of the advance care planning process.planning process.

You have choicesYou have choices

How the Majority How the Majority of of

Americans DieAmericans Die

How the Majority How the Majority of of

Americans Wish to Americans Wish to DieDie

Over 75% 80%

Patricia Bomba, M.D. Vice President & Medical Director, Geriatrics

Advance Care Planning: BenefitsAdvance Care Planning: Benefits

Maintain ControlMaintain Control

Achieve Peace of MindAchieve Peace of Mind

Assure Wishes are Assure Wishes are

honored when they are honored when they are

unable to communicate unable to communicate

for themselves.for themselves.

For the senior, frail elder.

Invite Someone to Be Your Agent

Do you need to see a lawyerDo you need to see a lawyerto complete a Health Care Proxy?to complete a Health Care Proxy?

““Cancer” Trajectory, Diagnosis to Cancer” Trajectory, Diagnosis to DeathDeath

TimeOnset of incurable cancer-- Often a few years, but decline usually < 2 months

Fun

ctio

n

Death

High

Low

Cancer

Possible hospice enrollment

15% of deaths Joanne Lynne, The Washington Home, Center for Palliative Care Studies

Organ System Failure TrajectoryOrgan System Failure Trajectory

Fun

ctio

n

Death

High

Low

(mostly heart and lung failure)

Begin to use hospital often, self-care becomes difficult

~ 2-5 years, but death usually seems “sudden”

Time

20% of deaths

Dementia/Frailty TrajectoryDementia/Frailty Trajectory

Time Quite variable -up to 6-8 years

Death

High

Low

Onset could be deficits in ADL, speech, ambulation

Function

Over 50% of deaths