Medical decision-making
Learn how to plan future care for yourself or a loved one with clear advance directives and support from our medical ethics team. We help patients and families make confident decisions that honor their values and wishes.
Advance care planning – what matters to you?
Preparation is the key for every event in life and your health is no exception. Atlantic Health put together the following guide to help you explore and decide what matters most to you and then encourages you to discuss these ideas with people who are important in your life. By having these conversations and documenting your wishes, you are taking an important step that can guide your health care team in providing treatment that respects your values and preferences in times of serious illness or injury.
Have the conversation
- 92% of people say that talking with their loved ones about end-of-life care is important
- 32% have actually done so*
(Source: The Conversation Project National Survey 2018)
Practice makes perfect
Talking with the important people in your life about your preferences for serious illness care or end-of-life can be very difficult for many people. However, a conversation early and often, before these events occur can provide a shared understanding of your values and help others support you if difficult decisions need to be made with your health care team.
Who is your person?
In addition to having a conversation, it is important to think of who can best speak for you if you are unable to make health care decisions for yourself. This trusted person is called a health care proxy. Sometimes they are referred to as a health care agent, surrogate or durable power of attorney for health care. He or she can talk with your doctors, consult your medical records and help make decisions about tests and treatments.
Record your wishes in a document
You may decide to record your wishes for health care and indicate who your health care proxy is in a document called an Advance Directive. Sometimes it is referred to as a Living Will. An Advance Directive is a preference document which allows you to indicate what type of care or medical treatment you prefer if faced in a health care crisis. It is important to know that an Advance Directive is used once you are no longer able to communicate for yourself. Under these circumstances, your health care team will look to the document to help guide them in appropriate treatment decisions that respect your wishes. Often the healthcare team will also seek to speak to your healthcare proxy and/or loved ones about your advance directive to ensure that they have a full understanding of what the document is saying really matters to you.
Is a POLST right for me?
A POLST is a Practitioner’s Orders for Life Sustaining Treatment. A POLST is a set of medical orders, not a preference document.
It is a legally binding document that is completed between you or your healthcare proxy and your physician, advance practice nurse, or physician assistant in the state of New Jersey. It clearly outlines exact treatment options you would want if you are unable to speak for yourself. It is intended for people who have a serious illness and are possibly in the last year of life. Unlike an advance directive, it is immediately actionable in any healthcare setting and is respected by all healthcare providers.
