Advance Directives

Midland Memorial Hospital and Midland Health are pleased to introduce a new and exciting program to the community.  In January 2016, MMH launched the Advance Care Planning (ACP) program.  To lead the development and coordination of the program, Betsy Repman, Palliative & Geriatric Coordinator and Collette Underwood, Assistant ACP Coordinator were hired. 

The mission is to raise community awareness and to provide educational opportunities for community members to engage in conversations that are most important in completing an informed Advance Directive (AD).

The plan is to partner with “natural communities” including faith communities, employment settings and senior living communities to offer opportunities to learn about and complete an Advance Directive.

You have the right to make decisions about your own medical treatment. These decisions become more difficult if, due to illness or a change in mental condition, you are unable to tell your doctor and loved ones what kind of health care treatments you want. It is important for you to make your wishes known in advance. 

Emergencies can happen at any time, leaving you too injured or ill to communicate decisions about your medical treatment. An Advance Health Care Directive helps you create your own emergency medical care plan for your family and doctors so they can make decisions on your behalf. Click here to learn about the Gift of Having the Conversation and information on how to speak to loved ones about your health care wishes. For an Advance Health Care Directive to complete, please click here

MyDirectives is also free, easy and always available for medical emergencies. Learn more at MyDirectives.com/midland-memorial.

Jackie is an employee at Midland Memorial Hospital. Click here to read Jackie's story.

Advance Care Planning/Advance Directive

An Advance Directive (AD) is a legal document allowing those 18 years and older to specify treatment preferences for end-of-life care BEFORE a medical crisis occurs. Advance Care Planning (ACP) includes having conversations with family and friends regarding your beliefs, values and what “quality of life” means to you. ACP also includes choosing a health care agent who will ENSURE that your wishes are honored in the event that you cannot speak for yourself.

Having these most important conversations facilitate clarity and understanding. The conversations followed by the completion of an AD, is a precious gift to those you love the most. Loved ones will not have to guess at your medical wishes, nor will they be left with doubt and guilt wondering if the right decisions have been made on your behalf.  

Something we need to know, the four leading causes of death include, heart attacks, cancer, strokes and accidents. Three of the four are sudden medical events and can happen to anyone. Remember, “it always seems too soon until it is too late.”

To learn more about upcoming free Advance Care Planning Classes and Events, please click here and select "Public Seminar."

For more information on Advance Care planning, please see these additional resources:

Links:
The Conversation
The Conversation Project - Ellen Goodman - TEDXBoston

Articles:
Dying in America: A Nursing Response to the IOM's Call to Action
Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life

Suggested readings:
Being Mortal - Atul Gwande, MD
When Breath Becomes Air - Paul Kalanithi, MD

For more information about advance directives, please contact one of the following:

Betsy Repman, Palliative & Geriatric Coordinator
(432) 221-4885
betsy.repman@midland-memorial.com

Collette Underwood, Assistant Advanced Care Planning Coordinator
(432) 221-1657
collette.underwood@midland-memorial.com