Preparing for the Future: Advance Care Planning

What is Advance Care Planning?

It is never too early to think about what matters most to you, especially when it comes to your health. Planning ahead for a time when you are sick or unable to make decisions for yourself can feel hard, but the earlier you plan, the better chance we have of giving you the medical care that is right for you.

Learn More in This Video

Writing down your advance care plan

At Ochsner, we want your voice to be heard and your wishes respected, no matter your medical condition. A good place to start is to reflect on what you have seen with people close to you or experienced yourself. Have you visited loved ones in the ICU or hospital? Have you thought about what kind of care you would want if you were sick or seriously ill?

Reflecting on these situations can be a good first step in the process of advance care planning.

Once you’ve thought about what you want and talked to your loved ones, it’s time to write down your wishes. At Ochsner Health, we’re using new electronic technology through MyDirectives to provide an easy-to-use “Five Wishes” document, which can be filled out online or printed from the website. It is also available through the MyOchsner app for existing MyOchsner users. Visit MyDirectives to create an account or learn more.

The Five Wishes are:

The person I want to make care decisions for me (healthcare power of attorney)
This allows you to name someone you trust to make medical decisions for you if you are unable to do so.
The kind of medical treatment I want or don't want (living will)
Here, you can express your preferences for specific types of medical care you want when you are unable to communicate and not expected to get better.
How comfortable I want to be
This part focuses on your comfort and pain management. It allows you to specify how you want to be cared for if you're in pain, or how you want your emotional and physical comfort to be prioritized.
How I want people to treat me
This section addresses your personal and emotional needs, such as how you want to be treated by those around you: your family, friends and caregivers.
What I want my loved ones to know
The final wish allows you to share your thoughts, feelings and final wishes for your family and loved ones, to help them understand your end-of-life decisions.

This technology allows proper procedures to witness and store this information within your medical record, making it available to you and your decision makers anytime. When properly signed and witnessed, it is legal in all 50 states. You can also record a video message to your family if you wish.

How to complete an advanced directive

Anyone 18 years or older who can make their own decisions can complete an advance directive. You do not need a lawyer to complete our forms, however, the forms need to be dated and signed by the appropriate people, including the patient or healthcare representative and any witnesses.

It is important to review your forms with those who will honor them for you every year or with any changes in your health or personal life to make sure they still reflect your wishes. You may cancel or revoke documents on file with Ochsner at any time verbally or in writing.

Provide copies to your doctor and anyone else that you want to share your wishes with. If you go tot he hospital, bring a copy of your documents, especially if they are not already on file.

Keep your original documents in an easy to find location.

If you are unable to complete the form, or download and print the documents, please ask your care team for help.

Resources

For Patients with CHF and CKD

For advance care planning related to chronic disease, please explore Ochsner's videos on congestive heart failure and chronic kidney disease, available in English and Spanish.

Watch Videos

Advance directives

An advance directive is a legal document that provides instructions that specify what kind of treatment should be given to a person when that individual is unable to make decisions. It is usually completed in advance of any known illness and can be specific or vague.

This is a legal document that states what kinds of treatment should be given to us when we can no longer make decisions or speak for ourselves. It only goes into effect if we are suddenly ill or have lost decision-making capacity, and it is usually completed in advance of any known illness. We complete it ourselves, and unless there are other known facts, it must be honored. To become valid, it must include the signatures of two witnesses.

This document authorizes someone else to make decisions about our health care when we are no longer able to make those decisions or speak for ourselves. By starting a living will with MyDirectives, you'll be prompted to choose your healthcare power of attorney (Wish 1).

A LaPOST (Louisiana Physician Orders for Scope of Treatment) or Mississippi POST (Physician Orders for Scope of Treatment) document is more than an advance directive or health care power of attorney. It's a medical order that is completed and signed by a physician only after a patient — or their health care representatives — have discussed their goals of care and treatment preferences with their physician when they have a life-limiting and irreversible condition. When completed, it must be followed by all health care professionals. A portable medical order may complement the advance directive by translating it into a physician's order.

Frequently asked questions

Advance directives are your opportunity to plan ahead. A healthcare power of attorney is a legal document that tells your healthcare team who to talk to about your medical care, in the event that you get sick and can’t talk to us directly. A living will is a legal document that’s more focused on the kind of treatments you would or would not want to receive if you had a sudden illness or serious advanced illness.

We really believe that this is important information for us to have for all our patients at Ochsner, regardless of whether they’re sick or not. It’s about being prepared for a sudden severe illness or unexpected health event.

No, you can choose whomever you want, including a friend, same-sex partner or family member other than your spouse. If you can, choose someone and also a back-up. It should be someone who you feel comfortable talking to about your health who can stick up for what you want. Ideally, this person lives close to you and would be available.

These websites are designed to make medical decision making easier for patients and caregivers.

Ochsner will honor all valid living wills/declarations and powers of attorney for health care decisions properly brought to the attention of an appropriate Ochsner representative. The honoring of such advance directives shall be done in strict in accordance with state and federal laws governing such directives. Ochsner will not discriminate on admission or provision of care based upon the execution of an advance directive. A situation might arise, however, when your advance directive will not be implemented due to the medical judgment or conscience of individual health care providers. In these cases, Ochsner will attempt to resolve the disagreement or develop other options. Any questions you may have regarding above may be directed to the Patient and Provider Advocacy Department by calling 1 -84 4 -959-4 327.

You have a right to make a complaint against a health care provider relative to advance directives requirements. Complaints regarding non-compliance by a hospital should be directed to the Department of Health and Hospitals, Health Standards Section, at 1-866-280-7737. The State of Louisiana, through the Department of Health and Hospitals, has developed this statement of your rights under Louisiana law.

None of the foregoing is meant to be legal advice nor is it intended to take the place of counsel, which can be provided by an attorney you may consult on your own.