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The GIFT Project – Giving Instructions for Tomorrow

 

Planning under pressure can lead to unintended results. That’s why most people plan for life’s milestones: the birth of a child, a career, retirement. However, planning for the last chapter of life is something most of us would rather not think about.

The best time to plan is when you’re under no pressure. Weighing your options and making your wishes known before a crisis arises can help both your peace of mind and your family’s confidence in following your decisions, should there come a time when you can’t speak for yourself.

Have you talked to your loved ones about what you might want at the end of your life if you’re not able to speak for yourself?

Have you put it in writing?

The GIFT Project

The GIFT Project is an initiative of Hospice Austin to encourage advance care planning prior to a health care crisis.  The GIFT Project can provide an Advance Care Planning Session or a screening of the documentary “Being Mortal” to your place of business, congregation, civic group, adult living facility, neighborhood meeting or book club. The presentations are free and discussion includes how to:
• identify your wishes
• decide who you would like to speak for you
• discuss your wishes with loved ones
• complete your advance directives

Advance Care Planning Session

Many of us have two fears when it comes to end of life: that we will not get the care we need, and that we will get the care we do not want. This one-hour interactive session empowers participants to identify what matters most to them and take steps to ensure their wishes are honored. If you know a group who may be interested in hosting an advance care planning session, please click here.

The GIFT Project also hosts monthly advance care planning sessions on the first Thursday of the month from 12:00 – 1:00 pm at 4107 Spicewood Springs Road.

“Being Mortal” Screening

Based on the best-selling book by surgeon Atul Gawande, PBS Frontline’s “Being Mortal” explores the relationship between patients facing a serious illness and their doctors. When Dr. Gawande’s own father gets cancer, his search for answers about how to best care for the dying becomes a personal quest. To learn more about this excellent documentary, please click here.

Presentations for Health Care Professionals

To encourage more frequent conversations between patients and medical providers, The GIFT Project also provides Advance Care Planning Sessions and “Being Mortal” Screenings that are designed for health care professionals and include:
• assisting staff in conducting conversations with patients and helping patients fill out advance directives
• billing correctly for advance care planning conversations with patients
• helping staff complete their own advance directives

If you know of a group who might be interested in hosting a GIFT session or “Being Mortal” screening, please click here to let us know.


The GIFT Project is made possible by a generous grant from St. David’s Foundation. For more information, please contact Shirley Price at (512) 342-4789 or sprice@HospiceAustin.org.

 

• More than 90% of people believe it’s important to talk about their loved ones’ and their own wishes for end-of-life care.
Fewer than 30% of people have actually done it.

• 70% of people say they prefer to die at home.
70% die in a hospital, nursing home, or long-term-care facility.

• 80% of people say that if seriously ill, they would want to talk to their doctor about end-of-life care.
Only 7% report having had this conversation.

• 82% of people say it’s important to put their wishes in writing.
23% have actually done so.

Communication is the single most important step in health care planning. Making your wishes known is one of the most generous gifts you can give to a loved one. When you’re ready to have the conversation, think about the basics:

  • • Who do you want to talk to? Who do you trust to speak for you?
  • • When would be a good time to talk — the next big holiday, a family meal, an evening phone call?
  • • Where would you feel comfortable talking – at the kitchen table, a restaurant, on a drive or walk?
  • • What do you want to be sure to say?

 

Conversation Starters:

  • • “I love you and I want to talk about something important to me.”
  • • “I need your help with something.”
  • • “I was remembering the way [Aunt June] died, and it got me thinking…”
  • • “Even though I’m okay right now, I want to be prepared.”
  • • “I need to think about the future. Will you help me?”
  • • “I just answered some questions about how I want the end of my life to be. I want you to see my answers, and I’m wondering what your answers would be.”

Instructions for how you want to be treated during the final phase of life are known as “advance directives.” Writing your instructions down and signing them in the presence of two qualified witnesses can make them legal documents.
A number of advance directive forms are available. You may download one or more of the forms below and use them to communicate your instructions.

Medical Power of Attorney
This document allows you to designate a family or friend to make medical decisions for you if you’re unable to make or communicate your wishes yourself. This person will become your legal healthcare agent. Appoint a good advocate who understands your values and beliefs and can also talk with doctors and other family members.
Witnesses to your Medical Power of Attorney must be a minimum of 18 years of age. Your designated healthcare agent, healthcare provider or provider’s employee, or an employee of any facility in which you live may not witness this document. At least one of the witnesses must not be related to you or be in a position to benefit financially from your death.

Living Will
This is a legal document that guides health care professionals, family members and trusted friends in understanding the types of life-sustaining measures that you would or would not want. It goes into effect only when you have a terminal or irreversible condition.

Out of Hospital Do Not Resuscitate (DNR) Order
This document is completed and signed by a physician at your request to prevent using cardiopulmonary resuscitation (CPR) for restarting your heart or breathing. It does not prevent medical interventions for comfort.
NOTE: When printing, print as a two-sided document; the signed form must include the instructions on the reverse. Once complete, post the document in your home, keep a copy with you, and give a copy to each healthcare provider. Emergency Medical Services cannot honor this order unless it is signed by both you and your physician.

Organizing Your Affairs
You also can download a free document from Hospice Austin to help you organize your affairs. This is a tool designed to provide basic information to your family about your assets, liabilities and personal desires. Although it is not intended to replace or supersede a will or any other legal documents you may have executed, each family member, power of attorney, executor, trustee and guardian can use the document to help make discretionary decisions for you and your family. Download a copy of “Organizing Affairs” here.

Ellen Goodman, the former syndicated columnist for the Boston Globe, co-founded “The Conversation Project” after the death of her parents. In 2010, she and a group of colleagues and concerned media, clergy, and medical professionals gathered to share stories of “good deaths” and “bad deaths” within their own circle of loved ones. Over several months, a vision emerged for a grassroots public campaign to encourage people to talk now and as often as necessary so that their wishes are known. The website (Conversation Project.org) is a trove of information and offers a conversation starter kit, stories, and videos to help you get started.

If you change your mind after any of these documents is completed, simply fill out a new form, then sign and have them witnessed again. Tell your loved ones, physician, and healthcare agent about the changes and give them copies of the new form.