{"id":15319,"date":"2018-04-16T11:01:25","date_gmt":"2018-04-16T17:01:25","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=15319"},"modified":"2023-06-23T10:57:15","modified_gmt":"2023-06-23T16:57:15","slug":"seniors-say-when-it-comes-to-advance-care-planning-dont-delay","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/seniors-say-when-it-comes-to-advance-care-planning-dont-delay\/","title":{"rendered":"Seniors say: When it comes to advance care planning, don\u2019t delay"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_15323\" aria-describedby=\"caption-attachment-15323\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15323 size-large\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/04\/16043109\/GettyImages-175178815_super.jpgeee.webp\" alt=\"Portrait of an elderly man on his farm, looking off into distance\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/04\/16043109\/GettyImages-175178815_super.jpgeee.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/04\/16043109\/GettyImages-175178815_super.jpgeee-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/04\/16043109\/GettyImages-175178815_super.jpgeee-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/04\/16043109\/GettyImages-175178815_super.jpgeee-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/04\/16043109\/GettyImages-175178815_super.jpgeee-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/04\/16043109\/GettyImages-175178815_super.jpgeee-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-15323\" class=\"wp-caption-text\">National Healthcare Decisions Day is\u00a0a reminder to complete\u00a0Advance Care Planning documents. Photo: Getty Images.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>National Healthcare Decisions Day is in fact an entire week in April. Think of it as an opportunity to procrastinate a bit and still take care of some of most important documents one can fill out, according to two men who have filled out more than their share in their long, productive lives.<\/p>\n<p>Lamar Daniels, 83, is combat veteran of the Korean and Vietnam wars who later worked on military radar installations in Alaska. He lives independently in a Colorado Springs senior-living facility now, where he and other veterans swap stories. Daniels happened to pick up a flyer about UCHealth\u2019s Advance Care Planning Program when visiting with UCHealth Memorial Hospital cardiologist Dr. David Rosenbaum and has since become a beneficiary of\u2014as well as an evangelist for\u2014the program.<\/p>\n<p>Tigrio Guajardo, 79, also a veteran, lives in Aurora with wife Victoria, 80. Spurred on by their participation in an innovative study by UCHealth geriatrician Dr. Hillary Lum, the Guajardos last week got their health care decisions in order.<\/p>\n<h3>Have a plan<\/h3>\n<p>Advance care planning is about helping ensure that the right people are making the right health care decisions in the event that one can\u2019t make them for oneself. This week, to mark the big \u201cday,\u201d UCHealth\u2019s Advance Care Planning Support Team, in partnership with the Office of Patient Experience and UCH Palliative Care champions and volunteers, will have information tables in the Courtyard Caf\u00e9 and Garden View Caf\u00e9 from 10 a.m. to 2 p.m. all week.<\/p>\n<figure id=\"attachment_15320\" aria-describedby=\"caption-attachment-15320\" style=\"width: 200px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15320 size-full\" src=\"https:\/\/www.uchealth.org\/today\/wp-content\/uploads\/sites\/6\/2018\/04\/lum.pngee_.png\" alt=\"A photo of Dr. Hillary Lum\" width=\"200\" height=\"265\" \/><figcaption id=\"caption-attachment-15320\" class=\"wp-caption-text\">Dr. Hillary Lum, UCHealth geriatrician<\/figcaption><\/figure>\n<p>As the National Healthcare Decisions Day website puts it, \u201cIt always seems too early, until it\u2019s too late.\u201d Lum couldn\u2019t agree more.<\/p>\n<p>Advance care planning is important for everyone, she said. But older adults \u2013 even those who might prefer not to think about things like medical durable power of attorney and do not resuscitate documents \u2013 are more likely to have serious medical conditions, putting them at a higher risk \u201cfor treatments that don\u2019t match up with their personal goals and wishes.\u201d<\/p>\n<p>On the wings of a grant from The Colorado Health Foundation, Lum was the driving force behind the 2017 addition of advance care planning information and online documents on <a href=\"https:\/\/www.uchealth.org\/access-my-health-connection\/\">UCHealth\u2019s My Health Connection<\/a> online patient portal (to get there, log in using a web browser, go to \u201cMy Record,\u201d and click on \u201cAdvance Care Planning\u201d). Using it, one can:<\/p>\n<ul>\n<li>Complete an electronic Medical Durable Power of Attorney (MDPOA) form to legally appoint who they trust to make medical decisions for them if they are unable to.<\/li>\n<li>View and print their electronic MDPOA form and other advance directives on record.<\/li>\n<li>View educational advance care planning resources to learn more.<\/li>\n<li>Send an online message to contact the Advance Care Planning Support Team. Also, one can call <span class=\"baec5a81-e4d6-4674-97f3-e9220f0136c1\">303-724-3141<\/span> and talk to a team member who can help explain the documents.<\/li>\n<\/ul>\n<p>Once completed in My Health Connection, the MDPOA automatically becomes part of a patient\u2019s medical record so that it is available for the health care team to view as part of medical care. Patients are encouraged to share personal values, life goals and preferences regarding future medical decision making with their chosen decision maker and their health care team.<\/p>\n<h3>\u2018Sherpa\u2019 in the Springs<\/h3>\n<p>Daniels recognized that the addition of advance care planning to My Health Connection was something he should pay attention to. He has no family left, he said.<\/p>\n<p>\u201cBeing alone, you need it more than ever, because if you don\u2019t specify what you want, someone is going to step in and do whatever they\u2019re going to do,\u201d he said. \u201cWhat happens to me if I\u2019m unconscious and I end up in the hospital? This way, it\u2019s in your record, they pull it up, and there it is. And I think it\u2019s a marvelous thing, what UCHealth is doing.\u201d<\/p>\n<figure id=\"attachment_13220\" aria-describedby=\"caption-attachment-13220\" style=\"width: 220px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-13220\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/11\/28062435\/Rosenbaum_David_Cardiologist_2010.jpgsized.webp\" alt=\"A photo of Dr. David Rosenbaum\" width=\"220\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/11\/28062435\/Rosenbaum_David_Cardiologist_2010.jpgsized.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/11\/28062435\/Rosenbaum_David_Cardiologist_2010.jpgsized-220x300.webp 220w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/11\/28062435\/Rosenbaum_David_Cardiologist_2010.jpgsized-110x150.webp 110w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/11\/28062435\/Rosenbaum_David_Cardiologist_2010.jpgsized-200x273.webp 200w\" sizes=\"auto, (max-width: 220px) 100vw, 220px\" \/><figcaption id=\"caption-attachment-13220\" class=\"wp-caption-text\">Dr. David Rosenbaum, cardiologist at UCHealth Memorial Hospital North.<\/figcaption><\/figure>\n<p>Daniels has made a point of spreading the word about the program with his friends and neighbors. He recognizes that, as he put it, \u201cas you get older, you want to put things aside. Attorneys are too darned expensive.\u201d<\/p>\n<p>\u201cBut with this program, all you have to do is go online. It\u2019s easy, you enter what you want done and it\u2019s part of your record,\u201d he said.<\/p>\n<p>He\u2019s become something of an advance care planning Sherpa, guiding friends and acquaintances through the process on the computer in his third-floor apartment.<\/p>\n<p>\u201cWhat I tell older people is there\u2019s nothing to fear. It\u2019s easy, it\u2019s simple. If you don\u2019t have a computer, come on up here and I\u2019ll help you,\u201d he said.<\/p>\n<p>Advance care planning\u2019s benefits are many, studies show. It empowers patients, improves their satisfaction with care, improves quality of life at end of life, and makes things easier for loved ones who find themselves making care decisions. Still, completion rates for advance directives remains low, even in Colorado, where it\u2019s particularly important: the law here says that no one automatically has the right to make medical decisions for another adult if they are unable to make those decisions for themselves \u2013 not even spouses, adult children, or other family members.<\/p>\n<h3>Meeting vs. mail<\/h3>\n<p>Lum wants to improve those completion rates. Last fall she launched a study funded by the National Institute on Aging to see whether seniors who attend two group sessions explaining the ins and outs of advance care planning follow up differently than seniors who receive mailed materials. The study includes 120 people, half of whom are assigned to each group.<\/p>\n<p>The study\u2019s results won\u2019t be coming out until this fall, Lum said. But there\u2019s already anecdotal evidence that the face-to-face approach works. Tigrio and Victoria Guajardo were in one of the group sessions. Last week, they got their MDPOAs and other advance care planning taken care of. They\u2019d been neglecting it for a long time, Tigrio said.<\/p>\n<p>\u201cThe session was sort of a kick in the butt to get ourselves going on these issues,\u201d he said. \u201cI think that the family primarily needs to know what is going on whenever you get to the point where you can\u2019t make your own decisions. And we\u2019re at an age where this could happen.\u201d<\/p>\n<p>That said, advance care planning isn\u2019t one-size-fits all, Guajardo said. For example, after consideration, he decided not to do a do not resuscitate (DNR) order\u2014a personal choice.<\/p>\n<p>The important thing is to put oneself in a position where one can make informed choices, he said.<\/p>\n<p>\u201cI would say it\u2019s a good idea to educate all seniors on this,\u201d Guajardo said. \u201cI don\u2019t know how many people actually understand the living will as opposed to a last will and testament, or what a medical power of attorney does.\u201d<\/p>\n<p>It\u2019s also about peace of mind, Daniels added.<\/p>\n<p>\u201cNow I don\u2019t feel alone anymore,\u201d he said. \u201cI know that whatever\u2019s going to happen to me, the hospital\u2019s going to follow my wishes, and I just can\u2019t praise it enough.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; National Healthcare Decisions Day is in fact an entire week in April. Think of it as an opportunity to procrastinate a bit and still take care of some of most important documents one can fill out, according to two men who have filled out more than their share in their long, productive lives. Lamar [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[1478,1551,1481,2462,9187,1511,1497],"class_list":["post-15319","post","type-post","status-publish","format-standard","hentry","category-healthy-living","tag-advance-care-directives","tag-advance-care-planning","tag-medical-durable-power-of-attorney","tag-my-health-connection","tag-readysetco","tag-uchealth-memorial-hospital","tag-uchealth-university-of-colorado-hospital"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Seniors say: When it comes to advance care planning, don\u2019t delay - UCHealth Today<\/title>\n<meta name=\"description\" content=\"national Healthcare Decisions week is a reminder to fill out important advance care planning documents to help ensure that the right people are making the right health care decisions for you in the event that you can\u2019t make them for yourself.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/seniors-say-when-it-comes-to-advance-care-planning-dont-delay\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Seniors say: When it comes to advance care planning, don\u2019t delay\" \/>\n<meta property=\"og:description\" content=\"national Healthcare Decisions week is a reminder to fill out important advance care planning documents to help ensure that the right people are making the right health care decisions for you in the event that you can\u2019t make them for yourself.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/seniors-say-when-it-comes-to-advance-care-planning-dont-delay\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-04-16T17:01:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-23T16:57:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.uchealth.org\/today\/wp-content\/uploads\/sites\/6\/2018\/04\/GettyImages-175178815_super.jpgeee-1024x683.jpg\" \/>\n<meta name=\"author\" content=\"Todd Neff, for UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Todd Neff, for UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/seniors-say-when-it-comes-to-advance-care-planning-dont-delay\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/seniors-say-when-it-comes-to-advance-care-planning-dont-delay\\\/\"},\"author\":{\"name\":\"Todd Neff, for UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/da7733ff5562e48e55c027d111ee5911\"},\"headline\":\"Seniors say: When it comes to advance care planning, don\u2019t delay\",\"datePublished\":\"2018-04-16T17:01:25+00:00\",\"dateModified\":\"2023-06-23T16:57:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/seniors-say-when-it-comes-to-advance-care-planning-dont-delay\\\/\"},\"wordCount\":1232,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/seniors-say-when-it-comes-to-advance-care-planning-dont-delay\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2018\\\/04\\\/GettyImages-175178815_super.jpgeee-1024x683.jpg\",\"keywords\":[\"Advance Care Directives\",\"Advance care planning\",\"Medical Durable Power of Attorney\",\"My Health Connection\",\"Ready. 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