~Ira Byock, MD
Advance care planning is a decision-making process that enables you to have a clear voice in your future health care. The process includes gathering information, considering your options and making your decisions known to others. It's legally binding, free, and a gift to yourself and those who love you:
Why Should I Do It?
WHEN SHOULD I DO IT?
Frequently Asked Questions
HOW DO I GET STARTED?
If you would like to speak with someone directly about advance care planning or completing or updating your documents, contact your local hospice provider who has staff trained to guide you through this process. If you need contact information for your local hospice, you can find it on our Provider Locator, or contact us at 800-692-8859.
Others who can be helpful are your doctor, hospital, pharmacist, spiritual adviser, or attorney.
EVERYONE'S TALKING ABOUT IT!
The Cause of Death (American Nurse Today,December 2015 Vol. 10 No. 12)
Whose Job Is It to Talk to Patients About Death? (The Atlantic, August 18, 2015)
What Good Is Thinking About Death (The Atlantic, May 28, 2015)
Doctors Are Poorly Trained in End-of-Life Care (Scientific American, May 19, 2015)
Addressing end-of-life care in the emergency department (KevinMD.com, May 9, 2015)
For young and old, it’s wise to have a living will to state health-care wishes (Washington Post, April 27, 2015 from Consumer Reports)
Doctors to families: Talk about death before it's too late (Independent Mail, April 15, 2015)
Teenagers Face Early Death, on Their Terms (New York Times, March 28, 2015)
How do you want to die? A mission to make death part of popular conversation (PBS NewsHour, March 28, 2015)
George Washington University expert: Innovation in health care must include better deaths (Washington Business Journal, March 20, 2015)
Non-interoperable directives: End-of-life wishes and EHRs don't yet mesh (Modern Healthcare, March 7, 2015)
Being Mortal (PBS Frontline, February 10, 2015)
Living Wills Are the Talk of the Town in Lacrosse, Wisconsin (NPR, March 5, 2014)
Online Resources to Help Get you Started
Living Will (Advance Directive for a Natural Death or Declaration of Desire for a Natural Death)
Please note the following about a Living Will:
Healthcare Power of Attorney
A HEALTHCARE POWER OF ATTORNEY is a legal document in which you appoint someone to speak for you regarding medical decisions if you are unable to speak for yourself. This person is called an "agent" and you select them to speak on your behalf based on your wishes.
Physician Orders for Life-Sustaining Treatment Paradigm
Medical Orders for Scope of Treatment (MOST) Form - Applies to North Carolina Only
You can access a sample copy of the MOST form at Sample Medical Orders for Scope of Treatment (MOST) Form
To access a copy of "Key Facts About MOST for Patients and Loved Ones", click here.
Physician Orders for Scope of Treatment (POST) – Applies to South Carolina Only
The pilot is in process in Charleston and Greenville counties and includes the Greenville Hospital System, Bon Secours Hospital – Greenville, the Medical University of South Carolina, and Roper-St. Francis Healthcare. The Department of Health and Environmental Control (DHEC) reviewed the POST form and the pilot proposal and alerted the Emergency Medical Systems in the affected counties. The pilot will inform any changes needed to the form and process.
The plan is that the POST will be available to the entire state of SC at a later date. More information is available online or from a healthcare provider in the two pilot counties.
You can access a sample copy of the POST form at Sample Physician Orders for Scope of Treatment (POST) Form.