Subpage Banner Image

Resource Center

1. THINK TOOLS

The first step in advance care planning is thinking about the care you’d want if you were seriously ill or nearing the end of your life. Begin by thinking about the things that are important to you.

THINK: Values Worksheet for End of Life Decision

English

THINK: Decision Guides/Treatment Options

CCCC Decision Guides- Artifical Hydration
CCCC Decision Guides - CPR
CCCC Decision Guides- Tube Feeding
CCCC Decision Guides- Ventilator

www.coalitionccc.org

THINK: AHDC Fact Sheet for Consumers

AHCD Fact Sheet for Consumers

www.coalitionccc.org

THINK: Glossary of Terms

Glossary of Terms related to Advance Directives and End of Life from Conversation of a Lifetime

2. TALK TOOLS

We understand that this conversation can be hard – but the best time to have this conversation is now. Unsure where to begin? We can help:

The Conversation Project is a national grass roots movement that has partnered with the Institute for Healthcare Improvement to improve end- of-life care for Americans. Visit www.theconversationproject.org for more information.

TALK: Conversation Starter Kit

Conversation Starter Kit - English
Conversation Starter Kit - Spanish
Conversation Starter Kit - Korean
Conversation Starter Kit - Chinese
Conversation Starter Kit - Vietnamese

www.theconversationproject.org

TALK: How to Talk to Your Doctor

Talk To Your Doctor - English
Talk To Your Doctor - Spanish
Talk To Your Doctor - Mandarin
Talk To Your Doctor - Korean

www.theconversationproject.org

TALK: Conversation Guide

Conversation Guide

www.coalitionccc.org

3. CHOOSE TOOLS

Now that you’ve talked about what you want, it’s time to pick someone to speak for you if you can’t. Your healthcare agent should be someone you trust who understands your goals, values and beliefs.

Coalition for Compassionate Care of California

Coalition for Compassionate Care of California promotes high quality compassionate care for everyone who is seriously ill or nearing the end of life. Visit www.coalitionccc.org for more information

CHOOSE: How to Choose a Health Care Agent

How to Choose A Health Care Agent - English
Elegir a un agente para la atención de la salud - Spanish

Coalition for Compassionate Care of California promotes high quality compassionate care for everyone who is seriously ill or nearing the end of life. Visit www.coalitionccc.org for more information

CHOOSE: Help for Health Care Agents

CCCC Help For Health Care Agents

www.coalitionccc.org

CHOOSE: Proxy Quiz

Proxy Quiz

www.americanbar.org

4. COMPLETE TOOLS

Do it now. It’s easy to put this off, but completing your advance directive early ensures that your wishes will be honored.

An advance directive is a document that an individual completes in advance that indicates what kind of care they would want if they were to be in an accident or become seriously ill. People of all ages unexpectedly become ill and are involved in accidents. An advance directive allows someone to name a decision maker in the event that they can’t speak for themselves. An advance directive ensures that your care provider knows what kind of care you want and who can make decisions for you.

Our team is available to assist patients and families in completing an advance directive.

Additional Resources:

POLST (Physician Order for Life Sustaining Treatment)

Physician Order for Life Sustaining Treatment (POLST) is a physician order that allows an individual or their decision maker to clearly outline specific preferences regarding care toward the end-of-life. A POLST is recognized along the continuum of care and mandated to be honored by healthcare workers in all settings. A POLST is for seriously ill patients with a limited life expectancy. Our team is available to assist patients and families in completing a POLST in consultation with their care provider. For more information on POLST, visit www.capolst.org

CALIFORNIA: POLST (Physician Order for Life Sustaining Treatment) Form
TEXAS: MOST (Medical Orders for Scope of Treatment) Form
Additional Information on Texas MOST

What is the Difference Between an Advance Directive and a POLST?

Everyone 18 and older should complete an advance directive and appoint a decision maker who can speak for them in the event that they can’t speak for themselves. An advance directive provides instruction for future care. A POLST form is for patients who are seriously ill and want to indicate through a physician order the kind of care they want and do not want. A POLST form does not appoint a legal decision maker.

The Difference Between an Advance Directive and a POLST

FIVE WISHES

5 Wishes is another type of advance directive that may be appropriate for you and your family. Five Wishes helps ensure your wishes, and those of your loved ones, will be respected.