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Passare and Y Collaborative™ explain how-to maintaining
control of your medical wishes for
end-of-life medical care.
©2013 Passare Inc. All Rights Reserved
Those who have the strength and the love to sit with a dying patient in
the silence that goes beyond words will know that this moment is
neither frightening nor painful, but a peaceful cessation of the
functioning of the body.
Elisabeth Kuebler-Ross

©2013 Passare Inc. All Rights Reserved
Advanced Healthcare Directive (AHD)
• An AHD gives you the power to choose
the level of care you want if you are
unable to communicate.
• Without an AHD, you will probably receive
the most aggressive treatments, even
when the chances of helping you are very
small.
• AHD is used interchangeably with the term
“Living Will.”
©2013 Passare Inc. All Rights Reserved
Do Not Resuscitate (DNR) Directive
• A legal medical instruction to both your physician and
family
• Eliminates the potential for conflict and declares whether or
not you want to be resuscitated when you are unable to
speak for yourself
• The physician and family must honor the patient’s
declaration under the DNR
• You may request a DNR form from your physician to fill out
at home or in the hospital.
• You may also request a DNR device that is worn as a
necklace or bracelet in lieu of a DNR form.
• The DNR form must be signed and witnessed by at least
two people.
• If you decide that you want to be resuscitated, doctors will
administer cardiopulmonary resuscitation, or CPR.
©2013 Passare Inc. All Rights Reserved
Healthcare Proxy or
Healthcare Power of Attorney
• A healthcare proxy is also called
healthcare power of attorney
• It is a person who is legally authorized to
speak for you:
• should know you well
• be trusted to do what you want
• be able to remain focused in a crisis.

©2013 Passare Inc. All Rights Reserved
Supplemental Letter
• An additional letter, video or tape that you
may leave for important people in your life
and for those who will be making decisions
for you after your death.
• It is a way to express your personal thoughts
and feelings.
• There is no right or wrong way to write or
create a supplemental letter.
• Use the supplemental letter to let your loved
ones know more about you, how you think
and what your wishes for them may be.
©2013 Passare Inc. All Rights Reserved
Why You Need to Know Your State Laws
• Advance health directive forms vary by
state.
• Use the state form of your primary
residence to make sure your wishes are
carried out. Refer to:
• AHD In Your State – Part 1 (Alabama – Montana)
• AHD In Your State – Part 2 (Nebraska – Wyoming)

• If you live in more than one state, it’s a
good idea to fill out forms for each.
©2013 Passare Inc. All Rights Reserved
There’s MORE!
1. AHD Checklist to specify your wishes
2. Example of a Healthcare Proxy
3. Glossary of AHD Terms

Download Our FREE
Advanced Healthcare Directive
eBook
Get Your FREE eBook

©2013 Passare Inc. All Rights Reserved

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End-of-Life Management Workshop #5: Advanced Healthcare Directive (AHD)

  • 1. Passare and Y Collaborative™ explain how-to maintaining control of your medical wishes for end-of-life medical care. ©2013 Passare Inc. All Rights Reserved
  • 2. Those who have the strength and the love to sit with a dying patient in the silence that goes beyond words will know that this moment is neither frightening nor painful, but a peaceful cessation of the functioning of the body. Elisabeth Kuebler-Ross ©2013 Passare Inc. All Rights Reserved
  • 3. Advanced Healthcare Directive (AHD) • An AHD gives you the power to choose the level of care you want if you are unable to communicate. • Without an AHD, you will probably receive the most aggressive treatments, even when the chances of helping you are very small. • AHD is used interchangeably with the term “Living Will.” ©2013 Passare Inc. All Rights Reserved
  • 4. Do Not Resuscitate (DNR) Directive • A legal medical instruction to both your physician and family • Eliminates the potential for conflict and declares whether or not you want to be resuscitated when you are unable to speak for yourself • The physician and family must honor the patient’s declaration under the DNR • You may request a DNR form from your physician to fill out at home or in the hospital. • You may also request a DNR device that is worn as a necklace or bracelet in lieu of a DNR form. • The DNR form must be signed and witnessed by at least two people. • If you decide that you want to be resuscitated, doctors will administer cardiopulmonary resuscitation, or CPR. ©2013 Passare Inc. All Rights Reserved
  • 5. Healthcare Proxy or Healthcare Power of Attorney • A healthcare proxy is also called healthcare power of attorney • It is a person who is legally authorized to speak for you: • should know you well • be trusted to do what you want • be able to remain focused in a crisis. ©2013 Passare Inc. All Rights Reserved
  • 6. Supplemental Letter • An additional letter, video or tape that you may leave for important people in your life and for those who will be making decisions for you after your death. • It is a way to express your personal thoughts and feelings. • There is no right or wrong way to write or create a supplemental letter. • Use the supplemental letter to let your loved ones know more about you, how you think and what your wishes for them may be. ©2013 Passare Inc. All Rights Reserved
  • 7. Why You Need to Know Your State Laws • Advance health directive forms vary by state. • Use the state form of your primary residence to make sure your wishes are carried out. Refer to: • AHD In Your State – Part 1 (Alabama – Montana) • AHD In Your State – Part 2 (Nebraska – Wyoming) • If you live in more than one state, it’s a good idea to fill out forms for each. ©2013 Passare Inc. All Rights Reserved
  • 8. There’s MORE! 1. AHD Checklist to specify your wishes 2. Example of a Healthcare Proxy 3. Glossary of AHD Terms Download Our FREE Advanced Healthcare Directive eBook Get Your FREE eBook ©2013 Passare Inc. All Rights Reserved