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Promoting Conversations About End-of-Life Care

Written By: Brenda D. Colbert  

Originally published on June 27, 2007

 OK – so you have finally signed that Health Care Power of Attorney with end-of-life directives that you have been meaning to have for so long.  Congratulations, you now have one of the most important estate planning documents and you probably deposited it right into your safe deposit box at your bank or your fire proof strong box at home with all of your other important documents for safe-keeping.  Well, signing the document and putting it away somewhere is not enough to ensure that your wishes will be honored – you must have a conversation about your philosophies concerning end-of-life medical treatment with your Health Care Agent and family and loved ones.  I know that end-of-life medical


treatment is not exactly the easiest topic to bring up over Family Dinner.  You may have tried to communicate your feelings in the past only to be told that you are being morbid or that your loved one does not want to think about such thoughts.  As hard as that conversation may be, your end-of-life directive really may not mean anything until you have discussed your feelings with your family.

So, how can you make that conversation happen?  Marshall , Parker & Associates has made available on its website the “Health Care Decision IQ Test for Family and Physician” to promote better conversation and understanding regarding end-of-life medical treatments.  Does that sound a little overwhelming?  Think of it this way – everyone enjoys those couple’s tests that are printed in magazines with titles like “How Well Do You Know Your Man” or “How to Tell if She’s Paying Attention to You”.  They are fun ways to spend a few minutes together and may be even learn a little something unexpected about each other.  The Health Care Decision IQ Test works in much the same way.

  Step 1 of the Test requires you to complete the Personal Medical Preferences section, which consists of 10 questions designed to elicit your personal preferences concerning end-of-life medical treatment.  Step 2 requires your Health Care Agent, or family member, friend, or physician, anyone that you want to talk to about your philosophies, to complete the Agent’s Understanding of Your Personal Medical Preferences” section, which mirrors the section that was completed by you.  In Step 3, you and your Agent compare your respective answers and score the results.  If you answer 10 out of 10 questions the same, then you are communicating well, 8-9 questions correct means that you have good communication, but still need to talk, 5-7 means that you definitely need to talk more, and 5 or less questions answered the same indicates that you and your Agent have a lot of talking to do.  Actually, the score is not the important factor.  The important aspect of this Test is that it will open up a dialogue between you and your Agent allowing you to discuss these difficult topics.

  My husband, Mark, and I provide an excellent example of how useful this tool can be for promoting end-of-life discussions.  I am always talking to Mark about what I would and would not want in the way of medical intervention if I were terminally ill or permanently unconscious.  Mark, on the other hand, hates to talk about such issues.  He did, however, agree to take the Health Care Decision IQ Test with me one morning over breakfast.  We scored only a 5 when we took the test with Mark as my Agent and an 8 when I was Mark’s Agent.  The scores were certainly eye-opening, but most importantly, we actually sat for over an hour talking about our philosophies concerning end-of-life medical treatments.  This was truly amazing, because prior to this, I could not get my husband to listen to me about my feelings concerning end-of-life issues for more than 5 minutes and he never expressed his feelings about the issue.  I feel confident now that I fully understand Mark’s desires and that, if I am ever in the situation where I have to make end-of-life decisions on Mark’s behalf, that I will be able to truly honor his wishes.  I feel that Mark will now be able to do the same for me.  The Health Care Decision IQ Test made the conversation that we know we had to have, but always avoided, much easier.  My husband even suggested that we take the Test again in the future to make sure that our feelings have not changed. 

I encourage all of you to sign a Health Care Directive that contains your end-of-life philosophy and to talk to your Agent and loved ones about your wishes.  The Health Care Decision IQ Test can help you to get that conversation started.  In the end, your Agent will be relieved that he/she fully understands your desires concerning end-of-life medical intervention, especially if called upon to make end-of-life decisions on your behalf.  Instead of the guilt and indecision often associated with end-of-life decision making on behalf of another person, the conversation that you have will provide your Agent with the peace of mind that comes from knowing that he/she was able to truly be your voice and ensure that your wishes were upheld. For your own copy of the quiz, download it from our website. Health Care Decision IQ Test

Attorney Colbert can be contacted at webmail@paelderlaw.com or at 1-800-401-4552  

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