Planning Ahead. A guide for patients and their carers

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Planning Ahead. A guide for patients and their carers"

Transcription

1 Planning Ahead A guide for patients and their carers Somerset Health Community January 2015

2 Planning ahead Content Page Introduction 3 Key references and useful websites 4 Section 1 Preferred priorities for care 5 Section 2 Putting your affairs in order and making a will 9 Section 3 Appointing someone to make decisions for you in the future 12 Section 4 Writing an advance decision (living will) 13 Useful phone numbers 19 Page 2

3 Planning ahead Planning ahead A guide for patients and their carers This guide has been put together by professionals working in palliative care and is designed to help you think ahead and to help you make any practical arrangements or decisions in advance of a crisis. We recommend that you talk through the issues raised with a friend, family member, doctor or nurse. This will help you to be clear in your decision-making and help ensure family and professionals are more aware of your wishes and concerns. We have found that the most useful part of the whole process is having the discussions about the future. The forms at the back of each section are for you to use if you wish. The completion of the forms should not become a goal in itself. There may be certain parts that are more relevant at any one time. However, it may be appropriate to come back to the other sections at a later date. This booklet is divided into four sections: 1. Preferred priorities for care - your advance wishes 2. Putting your affairs in order and making a will 3. Appointing someone to make decisions for you in the future 4. Writing an advance decision These do not need to be worked through as an exercise. Section1: Preferred priorities for Care is a very useful basic document, which we would encourage as many people as possible to complete. This gives an overview of your wishes for how you would like to be cared for. Appointing someone to make decisions for you, (a lasting power of attorney), or writing an advance decision, is something which is likely to be appropriate for only a minority of people. These are legal processes and documents and it may be helpful for you to know they exist. You can talk in detail with your specialist palliative care or hospital nurse or doctor, your GP, or your community nurse, about whether this is something which would be useful for you. Page 3

4 Planning ahead Key references and useful websites Dorothy House Hospice: Dorothy House 24 hour advice line: St Margaret s Hospice: St Margaret s Hospice 24 hour advice line: Weldmar Hospice: Weldmar Hospice 24 hour advice line: Weston Hospice: Weston Hospice 24 hour advice line: Planning for your future care a helpful leaflet: Somerset end of life website: Page 4

5 Preferred priorities for care 1. Preferred priorities for care Your advance wishes* What is this document for? The preferred priorities for care, also known as PPC, can help you prepare for the future. It gives you the opportunity to think about, talk about and write down your preferences and priorities for care at the end of your life. You do not need to do this unless you want to. The PPC can help you and your carers (your family, friends and healthcare professionals) to understand what is important to you when planning your care. If a time comes when, for whatever reason, you are unable to make a decision for yourself, anyone who has to make decisions about your care on your behalf will have to take into account anything you have written in your PPC. Sometimes people wish to refuse specific medical treatments in advance. The PPC is not meant to be used for such legally binding refusals. There is a separate section about this called Writing an advance decision (see page 13) and it would be advisable to discuss this with your doctors if this is something you wish to pursue. You may find that your feelings about your care change over time. This is entirely normal and simply reflects that different things become more or less important at different times and that we do not always cope or respond as we expect in a given situation. You should ensure that any plans you make are kept as up to date as possible. Should I talk to other people about my PPC? You may find it helpful to talk about your future care with your family and friends, although sometimes this can be difficult because it might be emotional, or people might not agree. Often just having this discussion can be very useful, just to get these difficult issues out in the open. It may be helpful to talk about any particular needs your family or friends may have if they are going to be involved in caring for you. Your professional carers, like your doctor, nurse or social worker, can help and support your family with this. Will my preferences and priorities be met? What you have written in your PPC will always be taken into account when planning care. However, sometimes things can change unexpectedly (like carers becoming over-tired or ill), or resources may not be available to meet a particular need. *(Adapted from National Preferred Priorities for Care document) Page 5

6 Preferred priorities for care What should I include in my PPC? Here are some things you may wish to consider: Where do you think you would like to be cared for if you are dying? (Hospital, nursing home, hospice, at home) Remember, you may find that when the time comes, your preferred place of care may not be an option. This could be due to the level of nursing required, lack of beds, need for hospital tests etc, or you may have changed your mind as to what is most suitable. However, this should not stop you considering your preferred care place. Whether you would want to be told when you are close to death (Assuming your doctors are able to predict this), and whether you want other people to know. Who should talk to any children, or other close family such as elderly parents, about your impending death if you are unable to do so? Who should look after your pets? How you want your final days to look and sound? (Flowers, pictures, photos, music, TV, radio etc) Who would you wish to visit you near the end? Is there anything that you would not want to happen to you? (For example being admitted to hospital, being told you are dying etc) Do you have any cultural, spiritual or religious needs that you would wish to be respected? Organ donation and medical research Would you want to donate certain organs such as your corneas, or to consider donating organs for medical research? You will need to sign specific documentation for this. There is a PPC form attached which you may wish to complete and share with family and the healthcare professionals looking after you. Some people find it helpful to record some thoughts and wishes around funeral arrangements too. There is a form covering details of funeral planning included as part of this information pack. Page 6

7 Preferred priorities for care Preferred Priorities for Care Document (A non-legally binding document to represent your future hopes and wishes) Ideally, you should keep this document with you and share it with anyone involved in your care. Please make copies for GP or district nursing notes and palliative care notes. Your name:... Address: Postcode:... Do you have a living will or advanced decision to refuse treatment? Yes / No If yes please give details (who has a copy?) Proxy / next of kin Who else would you like to be involved if it ever becomes difficult to make decisions? Contact 1... Relationship to you... Telephone... Do they have lasting power of attorney for personal welfare? Yes / No Contact 2... Relationship to you... Telephone... Do they have lasting power of attorney for personal welfare? Yes / No Do you have any special requests or preferences regarding your future care? If your condition deteriorates, where would you most like to be cared for? Page 7

8 Preferred priorities for care Is there anything you would ideally like to avoid happening to you? Do you have any comments or wishes that you would like to share with others? Are you happy for the information in this document to be shared with other relevant healthcare professionals? Yes / No Are you happy for the information in this document to be added to the electronic palliative care coordination system? Yes / No (please ask for details) Patient signature:... Date:... Witness:... Next of kin or carer signature (if present): Date:... Details of any other family members involved in advance care planning discussions. Details of healthcare professionals involved in advance care planning discussions. Reviewed on (give dates): Remember to regularly review whether this document still represents your wishes. Sign and date any changes you make. Page 8

9 Putting your affairs in order 2. Putting your affairs in order and making a will This is for personal use only. If you wish to use this list please remove it from the booklet and keep it somewhere safe. It is worth asking yourself, how easy is it for my next of kin to find all my important documents if I become ill, or die suddenly? How can I make it easier for them? This will save your family having to search through piles of paper to find the information they need, at a time of great stress. The instructions could include: Details of your bank, building society, credit cards, pension, tax district and any other financial contacts Telephone numbers and addresses of close (and distant) friends, family and colleagues Where you keep documents such as passport, house deeds, insurance, life and other policies, mortgage and hire purchase agreements, birth and marriage certificates There is a form overleaf which you may find useful to start documenting some of this practical information. We suggest this is kept in a safe place. There is also a check-list form to help when considering funeral plans. It can be helpful to discuss your thoughts with your faith leader, the hospice or hospital chaplain, or a funeral director. Writing a will Dying without leaving a will may cause problems for your relatives, often needing lawyers to sort them out. A do-it-yourself will form bought from a stationers or via the internet can be fine for straightforward situations, but bear in mind that a will is a technical and legal document and mistakes cannot be corrected after your death. The Law Society recommends that a will should be drawn up with face-to-face advice from a specialist solicitor. It may be helpful to start by making a list of all your possessions and the people or charities you want to provide for, including any property you may wish to divide in a certain way. A will can name guardians for any dependent children and record your wish to leave money or property in trust for children or grandchildren. Think about arrangements for the care of pets or other responsibilities. Page 9

10 Putting your affairs in order Putting your affairs in order check list Information you may wish to start putting together This is for personal use only. If you wish to use this list please remove it from the booklet and keep it somewhere safe. Bank details Account number Details Place Kept Insurance policies Credit cards Pension Passport Birth and marriage certificates Mortgage Hire purchase agreements Will Other important documents or contacts such as solicitors Page 10

11 Putting your affairs in order Funeral planning Person I wish to be responsible for making my funeral arrangements Details My preferred funeral director is My pre-paid funeral plan is with I wish to be buried or cremated I wish my funeral service to be at My wishes for music to be included in the service are I would like the following hymns or readings to be included I would like the following person(s) to conduct the service if possible Other details and information you would like to record such as donations to named charities, flowers, people to be informed Page 11

12 Appointing someone to make decisions 3. Appointing someone to make decisions for you in the future If you become unable to participate in decision-making at any point we, as healthcare professionals, will do everything possible to help you (such as hearing aids, large print, use of interpreters, etc). However, if we feel you still do not have the ability to be involved in decision-making, then a decision would be made that was considered to be in your best interests. Your next of kin and key carers, as well as the multi professional healthcare team, would all contribute to these discussions. For most people this way of making decisions is a good one. Patients with certain conditions, such as advancing Alzheimer s, are able to anticipate that they will deteriorate mentally. They may want to stipulate that a particular person can make decisions on their behalf when they are no longer able to do so. Such a person is given lasting power of attorney (LPA). The person you choose can be a friend, relative or professional. You can choose more than one person to act as an attorney on your behalf. Your LPA is specific to you - you decide who will have the power to control your affairs and the precise limits of that power. There are two types of LPA: Property and affairs LPA Such a person(s) can make decisions about financial matters such as selling your house or managing your bank account. They can do this as soon as the LPA is registered, even though you may still have capacity to make decisions. However, you can state that you only wish them to make decisions for you after you lose capacity. Personal welfare LPA Such a person(s) can make decisions about your health and personal welfare, such as where you should live, day-to-day care, or having medical treatment. A personal welfare LPA will only take effect when you lack capacity to make decisions. Forms are available to download from the Office of the Public Guardian You can also ask for the forms to be sent to you by post. The application has to be registered with the Office of the Public Guardian in order to be valid. You can appoint an attorney without a solicitor but the process is quite complex. Do remember that engaging a solicitor may incur significant cost. Page 12

13 Writing an advance decision 4. Writing an advance decision (living will) An advance decision to refuse treatment, also known as an ADRT, is different from preferred priorities for care, as it is a formal, legally binding document which allows an individual to refuse certain treatments. It does not allow for a request to have life ended and cannot be used to request medical treatments. An ADRT is very specific and is used in situations when particular treatments would not be acceptable to someone. An example would be if a person had a severe stroke which resulted in swallowing problems. If the thought of being fed by alternative methods was not tolerable then this could be documented formally as an ADRT. If you are considering making an ADRT, it is recommended that you seek advice from healthcare professionals (such as your GP or the person most closely involved with your current healthcare or treatment), or from an organisation that can provide advice on specific conditions or situations. You might also wish to consult with a solicitor. Refusal of treatment can be written or verbal, but if it includes the refusal of life sustaining treatment, it must be in writing, signed and witnessed and include the statement even if life is at risk. If you are unable to write, you may choose someone to sign the form for you. An ADRT will only be used if, at some time in the future, you lose the ability to make your own decisions about your medical treatment. To be valid, an ADRT must be made before you lose your ability to make such decisions. You can change your mind about your advance decision, or amend it at anytime, provided you still have the capacity to do so. Further Information National End of Life Care Programme guide to ADRT: Information about the Mental Capacity Act: National charities that have helpful information Alzheimer s Society: Age UK: Dying Matters: Motor Neurone Disease Association: Page 13

14 Writing an advance decision Documentation You will need up to five copies of this completed form: One for you to keep One for your GP to keep with your records One to be kept with someone who you wish to be consulted about your treatment should this ever be necessary (such as next of kin, solicitor) One to be kept with your palliative care team, community palliative care nurse/ hospice team/district nurse/mental health team and care home, as appropriate One for your hospital consultant Please also ask the healthcare team to add the information in this document to the electronic palliative care co-ordination system. This is an electronic communication system held by the Ambulance Service, available to the GP Out of Hours Service, hospices, district nurses and some departments at Yeovil District Hospital and Musgrove Park Hospital. The ADRT should be signed and dated. Your signature should be witnessed by someone who is not a close relative or expecting to benefit from your will (such as a healthcare professional). You might also wish to consult with a solicitor. Remember to review this document at regular intervals to ensure it still represents your wishes. Signing and dating at the bottom, when you do this, will indicate how recently you have thought about it. If you change your mind about anything you have written, tell your GP, hospice nurse, next of kin or appointed representative and amend the document accordingly. Page 14

15 Writing an advance decision Advance decision to refuse treatment (ADRT) My name If I become unconscious, these are the distinguishing features that could identify me: Address Date of birth: NHS number (if known): Hospital number (if known): Telephone number: What is this document for? This advance decision to refuse treatment has been written by me to specify in advance which treatments I don t want in future. These are my decisions about my healthcare, in the event that I have lost mental capacity and cannot consent to refuse treatment. This advance decision replaces any previous decision I have made. Advice to the carer reading this document Please check Please do not assume that I have lost mental capacity before any actions are taken. I might need help and time to communicate when the time comes to need to make a decision. If I have lost mental capacity for a particular decision check that my advance decision is valid, and applicable to the circumstances that exist at the time. If the professionals are satisfied that this advance decision is valid and applicable, this decision becomes legally binding and must be followed, including checking that it has not been varied or revoked by me either verbally or in writing since it was made. Please share this information with people who are involved in my treatment and need to know about it. Please also check if I have made an advance statement about my preferences, wishes, beliefs, values and feelings that might be relevant to this advance decision. Page 15

16 Writing an advance decision This advance decision does not refuse the offer or provision of basic care, support and comfort. Important note to the person making this advance decision If you wish to refuse a treatment that is (or may be) life-sustaining you must state in the boxes I am refusing this treatment even if my life is at risk as a result. Any advance decision that states that you are refusing life-sustaining treatment must be signed and witnessed. My name: I wish to refuse the following specific treatments: In these circumstances: My signature: (or nominated person) Date of signature: Page 16

17 Writing an advance decision Witness Witness signature: Name of witness: Address of witness: Telephone of witness: Date: Person to be contacted to discuss my wishes Name: Address: Relationship: Telephone: I have discussed this with Name (eg name of healthcare professional): Profession / job title: Contact details: Date: I give permission for this document to be discussed with my relatives / carers Yes No (please tick one) Optional review Comment: Date/time: My signature: (or nominated person) Witness signature: Page 17

18 Writing an advance decision The following list identifies which people have a copy and have been told about this advance decision to refuse treatment (ADRT) Name Relationship Telephone number Further information (optional) I have written the following information that is important to me. It describes my hopes, fears and expectations of life and any potential health and social care problems. It does not directly affect my advance decision to refuse treatment, but the reader may find it useful, for example to inform any clinical assessment if it becomes necessary to decide what is in my best interests. Original source National End of Life Care Programme January 2013: Advance Decisions to Refuse Treatment: a Guide for Health and Social Care Staff (2008). Adapted by the North East Deciding Right Programme with permission from National End of Life Care Programme. Page 18

19 Useful numbers Useful numbers Bristol Tissue Co-ordinator Dorothy House Hospice Dorothy House Hospice 24 hour advice line Musgrove Park Hospital End of Life Coordination Yeovil District Hospital End of Life Discharge Liaison Nurse St Margaret s Hospice 24 hour advice line Weldmar Hospice 24 hour advice line Weston Hospice 24 hour advice line Your own useful numbers Page 19

20 Somerset Clinical Commissioning Group Wynford House Lufton Way Yeovil Somerset BA22 8HR Phone: Fax: Website: This guide is adapted from Planning Ahead published by Weston Hospice, Ref 0902V2 It is available in other formats or languages by phoning

PLANNING AHEAD A RESOURCE FOR PATIENTS AND THEIR CARERS

PLANNING AHEAD A RESOURCE FOR PATIENTS AND THEIR CARERS PLANNING AHEAD A RESOURCE FOR PATIENTS AND THEIR CARERS This document has been reviewed and agreed upon by health care professionals and t users involved in end of life care strategic development in East

More information

Advance care planning planning for your future care

Advance care planning planning for your future care Advance care planning planning for your future care No decision about me, without me Department of Health, 2010 preparing for the future Helping with practical arrangements Allowing the right care to be

More information

Planning for Your Future Care

Planning for Your Future Care Planning for Your Future Care Advance Care Planning Preparing for the future Assisting with practical arrangements Enabling the right care to be given at the right time Adapted from the Weston Hospicecare

More information

Planning your Care in Advance

Planning your Care in Advance Planning your Care in Advance Using this booklet This booklet is about making an Advance Care Plan (ACP). You may be reading it because you have been diagnosed with a serious condition, as part of planning

More information

Planning for Your Future Care

Planning for Your Future Care Dorset Planning for Your Future Care Advance Care Planning Preparing for the future Assisting with practical arrangements Enabling the right care to be given at the right time This is a statement completed

More information

PLANNING FUTURE CARE. Wishes & Preferences for My Future Care. This Plan belongs to:

PLANNING FUTURE CARE. Wishes & Preferences for My Future Care. This Plan belongs to: PLANNING FUTURE CARE Wishes & Preferences for My Future Care This Plan belongs to: Planning Your Future Care What is this Plan for? This Care Plan is your opportunity to think ahead and write down what

More information

Planning for Your Future Care Advance Care Planning

Planning for Your Future Care Advance Care Planning Planning for Your Future Care Advance Care Planning Preparing for the future Assisting with practical arrangements Enabling the right care to be given at the right time Adapted from the Weston Hospicecare

More information

Future Matters. My Advance Care Plan. Gent le dusk

Future Matters. My Advance Care Plan. Gent le dusk Future Matters My Advance Care Plan Gent le dusk My Advance Care Plan What is this Plan for? The Plan can help you prepare for the future. It gives you an opportunity to think about, talk about and write

More information

Planning for Your Future Care Advance Care Planning

Planning for Your Future Care Advance Care Planning Planning for Your Future Care Advance Care Planning Preparing for the future Assisting with practical arrangements Enabling the right care to be given at the right time Adapted from the Weston Hospicecare

More information

Planning for your future care A GUIDE

Planning for your future care A GUIDE Planning for your future care A GUIDE 2 Planning for your future care Planning for your future care A GUIDE There may be times in your life when you think about the consequences of becoming seriously ill

More information

Advance care booklet spare 6/4/09 08:27 Page 1. Advance Care Plan. Personal preferences and choices for end of life care

Advance care booklet spare 6/4/09 08:27 Page 1. Advance Care Plan. Personal preferences and choices for end of life care Advance care booklet spare 6/4/09 08:27 Page 1 Advance Care Plan Personal preferences and choices for end of life care Advance care booklet spare 6/4/09 08:27 Page 2 What matters - the process of thinking

More information

Planning for your future care A GUIDE

Planning for your future care A GUIDE Planning for your future care A GUIDE 2 Planning for your future care Planning for your future care A GUIDE There may be times in your life when you think about the consequences of becoming seriously ill

More information

PLANNING FOR YOUR FUTURE CARE

PLANNING FOR YOUR FUTURE CARE PLANNING FOR YOUR FUTURE CARE March 2009 A Guide Planning for your future care - a guide There may be times in your life when you think about the consequences of becoming seriously ill or disabled. This

More information

NORTH LINCOLNSHIRE LOCALITY

NORTH LINCOLNSHIRE LOCALITY NORTH LINCOLNSHIRE LOCALITY My FUTURE CARE PLAN Making plans for my care Name: DOB: 1 INTRODUCTION There may be times in your life when you think about the consequences of becoming seriously ill or disabled.

More information

Living with dementia Planning ahead

Living with dementia Planning ahead Living with dementia Planning ahead Living with dementia Planning ahead 3 When you have been diagnosed with dementia you may already be dealing with changes that you did not expect. It can be even more

More information

My Future Care Plan. You can add to this as often as you like, and change your decisions at any time. This is YOUR plan.

My Future Care Plan. You can add to this as often as you like, and change your decisions at any time. This is YOUR plan. My Future Care Plan This plan is for you, to use to write down what you would like your friends, family/whanau, and health professionals caring for you to know. You can add to this as often as you like,

More information

Capacity, care planning and advance care planning in life limiting illness

Capacity, care planning and advance care planning in life limiting illness Capacity, care planning and advance care planning in life limiting illness A Guide for Health and Social Care Staff Contents Foreword... 3 Executive summary... 5 1. Aims... 9 Care planning and advance

More information

Planning for the future

Planning for the future Planning for the future My End of Life Care Plan You can put your Picture/Photo The care I here would prefer My Name is This document has been developed with the support of a small grant for adults with

More information

A Guide to Lasting Powers of Attorney

A Guide to Lasting Powers of Attorney A Guide to Lasting Powers of Attorney Why do I need a Lasting Power of Attorney (LPA)? There may come a time when you lose the ability to manage your financial affairs or make decisions about your own

More information

Your life and your choices: plan ahead

Your life and your choices: plan ahead Your life and your choices: plan ahead About this booklet About this booklet This booklet is about some of the ways you can plan ahead and make choices about your future care if you live in Northern Ireland.

More information

Georgia Advance Directive for Health Care

Georgia Advance Directive for Health Care Georgia Advance Directive for Health Care In order to have a legal document that expresses your wishes for the health care you want to receive at the end of your life, you should complete a Georgia Advance

More information

Health Care Directives

Health Care Directives Education for Justice Fact Sheets By Mid-Minnesota Legal Aid and Legal Services State Support e4j@mylegalaid.org Health Care Directives What is a Health Care Directive? A Health Care Directive is a document

More information

Advance decisions, advance statements and living wills

Advance decisions, advance statements and living wills Advance decisions, advance statements and living wills About this factsheet Advance decisions (sometimes referred to as living wills ) and advance statements are two ways to make sure others, including

More information

GEORGIA ADV ANCE DIRECTIV E FOR HEALTH

GEORGIA ADV ANCE DIRECTIV E FOR HEALTH GEORGIA ADV ANCE DIRECTIV E FOR HEALTH CARE Advance Directives: Your Right To Decide Georgia law gives competent adults the right to make choices about their own health care. This includes the right to

More information

VALUES HISTORY. A form to assist you in making health care choices in accordance with your values

VALUES HISTORY. A form to assist you in making health care choices in accordance with your values VALUES HISTORY A form to assist you in making health care choices in accordance with your values It is important that your medical treatment be your choice. The purpose of this form is to assist you in

More information

GEORGIA Advance Directive Planning for Important Health Care Decisions

GEORGIA Advance Directive Planning for Important Health Care Decisions GEORGIA Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

10 LC 38 1047 A BILL TO BE ENTITLED AN ACT

10 LC 38 1047 A BILL TO BE ENTITLED AN ACT House Bill 1178 By: Representatives Scott of the 2 nd, Bearden of the 68 th, and Butler of the 18 th A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 6 7 To amend Chapter 9 of Title 31 of the Official Code of Georgia

More information

POWERS OF ATTORNEY WHAT IS A GENERAL POWER OF ATTORNEY?

POWERS OF ATTORNEY WHAT IS A GENERAL POWER OF ATTORNEY? What do you do if you want someone to help look after your affairs? What if you become unable to look after yourself or make decisions about your own affairs? Who can make decisions about your welfare

More information

end of life care Preparing for End Stage Dementia Information for the family and carers of people with Dementia.

end of life care Preparing for End Stage Dementia Information for the family and carers of people with Dementia. end of life care Preparing for End Stage Dementia Information for the family and carers of people with Dementia. A guide to planning ahead for relatives and carers on behalf of a person with end stage

More information

Make and register your lasting power of attorney a guide

Make and register your lasting power of attorney a guide LP12 Make and register your lasting power of attorney a guide Financial decisions including: running your bank and savings accounts making or selling investments paying your bills buying or selling your

More information

Key tips and facts for making a Lasting Power of Attorney for Health and Welfare England and Wales

Key tips and facts for making a Lasting Power of Attorney for Health and Welfare England and Wales Key tips and facts for making a Lasting Power of Attorney for Health and Welfare England and Wales This factsheet aims to support you to fill in the form to make a Lasting Power of Attorney for Health

More information

LASTING POWER OF ATTORNEY QUESTIONNAIRE

LASTING POWER OF ATTORNEY QUESTIONNAIRE LASTING POWER OF ATTORNEY QUESTIONNAIRE The purpose of this questionnaire is to gather the information needed to complete your LPA(s). We will need your full name and address etc and those of your attorneys

More information

ORDINARY POWER of ATTORNEY - Guidance and notes

ORDINARY POWER of ATTORNEY - Guidance and notes ORDINARY POWER of ATTORNEY - Guidance and notes 89 93 Fonthill Road London N4 3JH T +44 20 7561 6820 F + 44 20 7561 6821 email info@prisonersabroad.org.uk www.prisonersabroad.org.uk Charity Number 1093710

More information

Need Help With Making Decisions?

Need Help With Making Decisions? Need Help With Making Decisions? Welfare, Health, Finances You can ask for this information in large print, Braille, in audio format or in other languages. Please telephone 01202 454979, or email caredirect@bournemouth.gov.uk

More information

Lasting Power of Attorney (LPA) Create your LPA. Health and welfare Property and financial affairs. Office of the Public Guardian

Lasting Power of Attorney (LPA) Create your LPA. Health and welfare Property and financial affairs. Office of the Public Guardian Office of the Public Guardian 1 Lasting Power of Attorney (LPA) Create your LPA Health and welfare Property and financial affairs This page is not an official part of the form Form LPA 1 Before you start

More information

OKLAHOMA Advance Directive Planning for Important Health Care Decisions

OKLAHOMA Advance Directive Planning for Important Health Care Decisions OKLAHOMA Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

IOWA Advance Directive Planning for Important Health Care Decisions

IOWA Advance Directive Planning for Important Health Care Decisions IOWA Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the National Hospice

More information

Parents of adults with autism: your rights

Parents of adults with autism: your rights Parents of adults with autism: your rights This document explains your rights in the UK as a parent of an adult with autism. Once your son or daughter reaches the age of 18, by law, you are not entitled

More information

MONTANA Advance Directive Planning for Important Health Care Decisions

MONTANA Advance Directive Planning for Important Health Care Decisions MONTANA Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

Georgia Advance Directive for Health Care

Georgia Advance Directive for Health Care Georgia Advance Directive for Health Care By: (Print Name) Date of Birth: (Month/Day/Year) This advance directive for health care has four parts: PART ONE Health Care Agent. This part allows you to choose

More information

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE Page1 GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE By: Date of Birth: (Print Name) (mm/dd/yyyy) This advance directive for health care has four parts: PART ONE HEALTH CARE AGENT. This part allows you to choose

More information

Power of Attorney for Health Care Illinois Statutory Short Form

Power of Attorney for Health Care Illinois Statutory Short Form Power of Attorney for Health Care Illinois Statutory Short Form Notice to the Individuals Signing the Power of Attorney for Health Care No one can predict when a serious illness or accident might occur.

More information

The LPA-PA and the LPA-HW Explained

The LPA-PA and the LPA-HW Explained The LPA-PA and the LPA-HW Explained Portology Ltd www.safehandsplans.co.uk Table of Contents Introduction... 3 The Lasting Power of Attorney - Property & Financial Affairs ('LPA-PA')... 4 An overview of

More information

DISTRICT OF COLUMBIA Advance Directive Planning for Important Health-Care Decisions

DISTRICT OF COLUMBIA Advance Directive Planning for Important Health-Care Decisions DISTRICT OF COLUMBIA Advance Directive Planning for Important Health-Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the

More information

Danetre Medical Practice Advance Directives Protocol

Danetre Medical Practice Advance Directives Protocol Danetre Medical Practice Advance Directives Protocol Introduction The term Advance Directive (AD) (sometimes known as a Living Will ) means a statement explaining what medical treatment an individual would

More information

MINNESOTA Advance Directive Planning for Important Health Care Decisions

MINNESOTA Advance Directive Planning for Important Health Care Decisions MINNESOTA Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CARINGINFO CaringInfo, a program of the

More information

ADVANCE DIRECTIVE FOR HEALTH CARE FORM

ADVANCE DIRECTIVE FOR HEALTH CARE FORM ADVANCE DIRECTIVE FOR HEALTH CARE FORM GEORGIA S ADVANCE DIRECTIVE FOR HEALTH CARE The Georgia General Assembly has long recognized the right of individuals to control all aspects of their personal care

More information

Health Care Directives

Health Care Directives Health Care Directives DUNNING PLACE March 2011 Health Care Directives The purpose of this booklet is to outline briefly the law and practice around health care directives. This booklet is a summary and

More information

DISTRICT OF COLUMBIA Advance Directive Planning for Important Health-Care Decisions

DISTRICT OF COLUMBIA Advance Directive Planning for Important Health-Care Decisions DISTRICT OF COLUMBIA Advance Directive Planning for Important Health-Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections,

More information

Legal and money matters

Legal and money matters Dementia handbook for carers Berkshire West Legal and money matters Legal issues 1 Money matters 5 Legal issues A diagnosis of dementia can bring with it some difficult decisions that have legal implications.

More information

Unified Do Not Attempt Cardiopulmonary Resuscitation (udnacpr) How it relates to the Mental Capacity Act (MCA) 2005

Unified Do Not Attempt Cardiopulmonary Resuscitation (udnacpr) How it relates to the Mental Capacity Act (MCA) 2005 Unified Do Not Attempt Cardiopulmonary Resuscitation (udnacpr) How it relates to the Mental Capacity Act (MCA) 2005 Unified Do Not Attempt Cardiopulmonary Resuscitation (udnacpr) How it relates to the

More information

Understanding Welfare Powers of Attorney - Scotland

Understanding Welfare Powers of Attorney - Scotland Understanding Welfare Powers of Attorney - Scotland This factsheet explains what a Welfare Power of Attorney is, how one can be used, and how to appoint one. This is applicable to people living in Scotland.

More information

ENDURING POWER OF ATTORNEY

ENDURING POWER OF ATTORNEY Department of Justice and Attorney-General Form 3 Queensland Powers of Attorney Act 1998 (Section 44(1)) ENDURING POWER OF ATTORNEY Long Form Use this document if you wish to appoint an attorney/s for

More information

M ARYLAND A DVANCE D IRECTIVE: P LANNING FOR F UTURE H EALTH C ARE D ECISIONS

M ARYLAND A DVANCE D IRECTIVE: P LANNING FOR F UTURE H EALTH C ARE D ECISIONS M ARYLAND A DVANCE D IRECTIVE: P LANNING FOR F UTURE H EALTH C ARE D ECISIONS A Guide to Maryland Law on Health Care Decisions (Forms Included) STATE OF MARYLAND OFFICE OF THE ATTORNEY GENERAL Douglas

More information

Health Care Directive

Health Care Directive PATIENT EDUCATION Health Care Directive Honoring Choices My Health Care Directive I created this document with much thought to give my treatment choices and personal preferences if I cannot communicate

More information

ADVANCE HEALTH DIRECTIVE

ADVANCE HEALTH DIRECTIVE Form 4 Queensland Powers of Attorney Act 1998 (Section 44(2)) ADVANCE HEALTH DIRECTIVE This form deals with your future health care. The time may come when you cannot speak for yourself. By completing

More information

WASHINGTON Advance Directive Planning for Important Health Care Decisions

WASHINGTON Advance Directive Planning for Important Health Care Decisions WASHINGTON Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the National

More information

LP1H. Lasting power of attorney. Health and care decisions. Form

LP1H. Lasting power of attorney. Health and care decisions. Form Form LP1H Lasting power of attorney Health and care decisions Registering an LPA costs 110 This fee is means-tested: see the application Guide part B Use this for: the type of health care and medical treatment

More information

End of Life Care. Best Interests Decisions for. End of Life Care. Emergency services please go to page 11

End of Life Care. Best Interests Decisions for. End of Life Care. Emergency services please go to page 11 Emergency services please go to page 11 Best Interests Decisions for End of Life Care End of Life Care Developed to support people with Advanced Dementia 1 Further Information Gloucestershire County Council

More information

How to Complete This Power of Attorney for Health Care

How to Complete This Power of Attorney for Health Care Overview How to Complete This Power of Attorney for Health Care The attached Power of Attorney for Health Care form is a legal document developed to meet the legal requirements for the State of Wisconsin.

More information

COLORADO Advance Directive Planning for Important Health Care Decisions

COLORADO Advance Directive Planning for Important Health Care Decisions COLORADO Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100 Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

Lasting Powers of Attorney for Health and Welfare England and Wales

Lasting Powers of Attorney for Health and Welfare England and Wales Lasting Powers of Attorney for Health and Welfare England and Wales This factsheet explains what a Lasting Power of Attorney for Health and Welfare is, how one can be used, and how to make one. This is

More information

Wills, trusts and Probate

Wills, trusts and Probate Wills, trusts and Probate Lasting Powers of Attorney www.pannone.com A Wills, beginner s Trusts and guide Probate to purchasing property in France They are one of the UK s leading regional law firms. Family

More information

NEW MEXICO Advance Directive Planning for Important Health-Care Decisions

NEW MEXICO Advance Directive Planning for Important Health-Care Decisions Advance Directive Planning for Important Health-Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CARING CONNECTIONS Caring Connections, a

More information

NEW YORK Advance Directive Planning for Important Healthcare Decisions

NEW YORK Advance Directive Planning for Important Healthcare Decisions NEW YORK Advance Directive Planning for Important Healthcare Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

ARKANSAS Advance Directive Planning for Important Health Care Decisions

ARKANSAS Advance Directive Planning for Important Health Care Decisions ARKANSAS Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St,, Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

My Voice. Advance Care Plan

My Voice. Advance Care Plan My Voice Advance Care Plan A message from the Prince Edward Family Health Team... Since its beginning in 2006 the Prince Edward Family Health Team (PEFHT) has been striving to provide comprehensive, accessible

More information

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE Revised April 2012 Purpose: In recognizing the right of individuals to (1) control all aspects of his or her personal care and medical treatment, (2) insist upon

More information

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE Purpose: GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE In recognizing the right of individuals to (1) control all aspects of his or her personal care and medical treatment, (2) insist upon medical treatment,

More information

Making Health Care Decisions in North Dakota:

Making Health Care Decisions in North Dakota: Making Health Care Decisions in North Dakota: A Summary of North Dakota Law Regarding Health Care Directives Published by: North Dakota Department of Human Services Aging Services Division 1237 W.Divide

More information

What is hospice care? Answering questions about hospice care

What is hospice care? Answering questions about hospice care What is hospice care? Answering questions about hospice care Introduction If you, or someone close to you, have a life-limiting or terminal illness, you may have questions about the care you can get and

More information

Health Care Directive

Health Care Directive Health Care Directive Overview Adults have the right to make choices about their health care. No treatments may be given to you if you do not want them. The attached Durable Power of Attorney for Health

More information

Advance Directives/ Decisions

Advance Directives/ Decisions Advance Directives/ Decisions Promoting end-of-life choices Introduction There are many different templates available for what were previously known as Living Wills and are now called Advance Directives

More information

POWERS OF ATTORNEY. Do the right thing see your lawyer first

POWERS OF ATTORNEY. Do the right thing see your lawyer first POWERS OF ATTORNEY Do the right thing see your lawyer first Contents 1. Powers of attorney 2. What is a general power of attorney? 3. What is an enduring power of attorney (EPA)? 4. A property EPA 5. A

More information

What to ask your health professional about dementia

What to ask your health professional about dementia What to ask your health professional about dementia Thankyou to Josephine Clayton MBBS PhD FRACP FAChPM; Associate Professor of Palliative Care, Sydney Medical School, University of Sydney; Staff Specialist

More information

My LIVING WILL A Minnesota Health Care Directive

My LIVING WILL A Minnesota Health Care Directive My LIVING WILL A Minnesota Health Care Directive Identification: The following information will be used to identify you and your family, if you experience a health crisis and are unable to speak for yourself.

More information

MAINE Advance Directive Planning for Important Health Care Decisions

MAINE Advance Directive Planning for Important Health Care Decisions MAINE Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the National Organization

More information

SOUTH DAKOTA Advance Directive Planning for Important Health Care Decisions

SOUTH DAKOTA Advance Directive Planning for Important Health Care Decisions SOUTH DAKOTA Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the National

More information

What is a Lasting Power of Attorney?

What is a Lasting Power of Attorney? What is a Lasting Power of Attorney? A Lasting Power of Attorney is a legal document that you (the Donor) can make which allows you to choose someone now (the Attorney) that you trust to make decisions

More information

The Medical Power of Attorney: What Do I Need to Know?

The Medical Power of Attorney: What Do I Need to Know? The Medical Power of Attorney: What Do I Need to Know? What is a Medical Power of Attorney? A Medical Power of Attorney is a legal instrument that allows you to select the person that you want to make

More information

Your Health Care Preferences. Questions & Answers. Advance Directive & Durable Power of Attorney for Health Care Decisions. CarondeletHealth.

Your Health Care Preferences. Questions & Answers. Advance Directive & Durable Power of Attorney for Health Care Decisions. CarondeletHealth. Your Health Care Preferences I have AN ADVANCE DIRECTIVE. In case of MEDICAL EMERGENCY CONTACT: Name: Address: Telephone: Advance Directive & Durable Power of Attorney for Health Care Decisions Questions

More information

Care Programme Approach

Care Programme Approach Care Programme Approach care plan What is Care Programme Approach? care programme approach Plan Care Programme Approach is also called CPA. CPA makes sure you get all the help you need to improve your

More information

OREGON Advance Directive Planning for Important Health Care Decisions

OREGON Advance Directive Planning for Important Health Care Decisions OREGON Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

LIFE CARE planning. Advance Health Care Directive. my values, my choices, my care OREGON. kp.org/lifecareplan

LIFE CARE planning. Advance Health Care Directive. my values, my choices, my care OREGON. kp.org/lifecareplan Advance Health Care Directive OREGON LIFE CARE planning kp.org/lifecareplan 60418810_NW All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 500 NE Multnomah St., Suite

More information

Self-directed support

Self-directed support Self-directed support Wills and trusts: leaving money to someone with a disability By writing a will and setting up a trust, you can make sure that a family member or friend with a disability will get

More information

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE OFFICIAL CODE OF GEORGIA 31-32-4

GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE OFFICIAL CODE OF GEORGIA 31-32-4 GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE OFFICIAL CODE OF GEORGIA 31-32-4 By: (Print Name) This advance directive for health care has four parts: PART ONE Date of Birth: (Month/Day/Year) HEALTH CARE AGENT.

More information

INFORMATION CONCERNING THE MEDICAL POWER OF ATTORNEY

INFORMATION CONCERNING THE MEDICAL POWER OF ATTORNEY INFORMATION CONCERNING THE MEDICAL POWER OF ATTORNEY THIS IS AN IMPORTANT LEGAL DOCUMENT. BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT FACTS: Except to the extent you state otherwise,

More information

UTAH Advance Directive Planning for Important Health Care Decisions

UTAH Advance Directive Planning for Important Health Care Decisions UTAH Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of the

More information

Mental capacity and mental illness

Mental capacity and mental illness Mental capacity and mental illness The Mental Capacity Act 2005 (MCA) Mental capacity is the ability to make your own decisions. If you lose mental capacity the Mental Capacity Act 2005 (MCA) protects

More information

How to Complete This Power of Attorney for Healthcare

How to Complete This Power of Attorney for Healthcare Overview How to Complete This Power of Attorney for Healthcare The attached power of attorney for healthcare form is a legal document, developed to meet the legal requirements for Wisconsin Minnesota,

More information

Maine Health Care Advance Directive Form

Maine Health Care Advance Directive Form Maine Health Care Advance Directive Form You may use this form now to tell your physician and others what medical care you want to receive if you become too sick in the future to tell them what you want.

More information

NOTICE TO THE INDIVIDUAL SIGNING THE ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR HEALTH CARE

NOTICE TO THE INDIVIDUAL SIGNING THE ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR HEALTH CARE NOTICE TO THE INDIVIDUAL SIGNING THE ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR HEALTH CARE PLEASE READ THIS NOTICE CAREFULLY. The form that you will be signing is a legal document. It is governed

More information

LP1F. Lasting power of attorney. Financial decisions. Form

LP1F. Lasting power of attorney. Financial decisions. Form Form LP1F Lasting power of attorney Financial decisions Registering an LPA costs 110 This fee is means-tested: see the application Guide part B Use this for: running your bank and savings accounts making

More information

End-of-life decisions. Advance Directives. Living Will and Durable Power of Attorney for Health Care

End-of-life decisions. Advance Directives. Living Will and Durable Power of Attorney for Health Care End-of-life decisions Advance Directives Living Will and Durable Power of Attorney for Health Care Health Care Directive Providence Health Care respects the right of individuals to make their wishes known

More information

Powers of Attorney in New South Wales. This fact sheet also contains the forms to make a general power of attorney or an enduring power of attorney.

Powers of Attorney in New South Wales. This fact sheet also contains the forms to make a general power of attorney or an enduring power of attorney. FACT SHEET www.lpi.nsw.gov.au March 2014 Powers of Attorney in New South Wales This fact sheet also contains the forms to make a general power of attorney or an enduring power of attorney. What is a power

More information

NOTICE TO THE INDIVIDUAL SIGNING THE ILLINOIS POWER OF ATTORNEY FOR HEALTH CARE

NOTICE TO THE INDIVIDUAL SIGNING THE ILLINOIS POWER OF ATTORNEY FOR HEALTH CARE NOTICE TO THE INDIVIDUAL SIGNING THE ILLINOIS POWER OF ATTNEY F HEALTH CARE No one can predict when a serious illness or accident might occur. When it does, you may need someone else to speak or make health

More information

Plan ahead for your future legal, health and financial decisions

Plan ahead for your future legal, health and financial decisions Brought to you by Plan ahead for your future legal, health and financial decisions It s easier than you think. Just three simple steps: Prepare a Will Make a Power of Attorney Appoint an Enduring Guardian

More information

Rethink 2008 www.rethink.org. the mental health act. essential information for parents and carers

Rethink 2008 www.rethink.org. the mental health act. essential information for parents and carers Rethink 2008 www.rethink.org the mental health act essential information for parents and carers 1 About Rethink Rethink, the leading national mental health membership charity, works to help everyone affected

More information

10:What happens after I die?

10:What happens after I die? 10:What happens after I die? This section looks at how you can influence what happens after you die and provides guidance for those close to you. The following information is an extracted section from

More information

FLORIDA Advance Directive Planning for Important Health Care Decisions

FLORIDA Advance Directive Planning for Important Health Care Decisions FLORIDA Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the National Hospice

More information