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Advance Care Planning Navigator ToolKit


The Advance Care Planning Navigator Toolkit contains information and resources to assist you in expanding your knowledge about ways to educate older adults in our community regarding the need to discuss their end-of-life care wishes.


National Web-based Resources

Conversation Starter KitTalking with your loved ones openly and honestly, before a medical crisis happens, gives everyone a shared understanding about what matters most to you at the end of life. You can use this Starter Kit whether you are getting ready to tell someone else what you want, or you want to help someone else get ready to share their wishes.Source:  The Conversation Project

How to Choose a Health Care Proxy & How to Be a Health Care ProxyIn addition to having the conversation, it’s important to choose a health care proxy – the person who will make decisions about your medical care if you become unable to make them for yourself. This new user-friendly guide offers facts and tips necessary to make sound decisions about choosing, and being, a health care proxy.Source:  The Conversation Project

How To Talk To Your DoctorAfter you’ve had the conversation with your loved ones, the next step is talking to your doctor or nurse about your wishes. Don’t wait for a medical crisis; talking with your doctor or nurse now makes it easier to make medical decisions when the time comes.Source:  The Conversation Project

 CaringInfo, a program of the National Hospice and Palliative Care Organization, provides free resources to help people make decisions about end-of-life care and services before a crisis.Advance Care PlanningAdvance care planning is making decisions about the healthcare you would want to receive if you happen to become unable to speak for yourself. These are your decisions to make, regardless of what you choose for your care, and the decisions are based on your personal values, preferences, and discussions with your loved ones.Advance care planning includes:• Getting information on the types of life-sustaining treatments that are available.• Deciding what types of treatment you would or would not want should you be diagnosed with a life-limiting illness.• Sharing your personal values with your loved ones.• Completing advance directives to put into writing what types of treatment you would or would not want – and who you chose to speak for you - should you be unable to speak for yourself.Advance Directives:What are Advance Directives?Selecting Your Healthcare AgentDownload Your State's Advance DirectivesPreparing Your Advance DirectivesStoring Your Advance Directives 

Aging with DignityHistory and Mission: Aging with Dignity is a private, non-profit organization with a mission to safeguard the human dignity of people as they age or face serious illness. For nearly 20 years, Aging with Dignity has been an advocate for quality care for those near the end of life.  We have touched the lives of more than 25 million people and their families. And we have been honored to work with more than 40,000 organizations across America that distribute our Five Wishes document to help people plan in advance of a serious illness. With resources available in 28 different languages, we serve people of diverse cultures and faith traditions.Five Wishes meets the legal requirements for an advance directive in Virginia. Just like in most other states, you can use Five Wishes in Virginia to express how you want to be treated if you are seriously ill and unable to speak for yourself, using a document that is easy to understand. All you need to do is check a box, circle a direction, or write a few sentences.Five Wishes is helpful for all adults – everyone over 18 years old – and anyone can start the conversation within a family.The document is designed to help you express your desires at end of life is a very personal choice. It’s written in everyday language and helps people express their wishes in areas that matter most — the personal and spiritual in addition to the medical and legal. It also helps you describe what good care means to you, whether you are seriously ill or not. It allows your caregiver to know exactly what you want. 

National Institutes of Health Advance Care PlanningWhat Is Advance Care Planning?Decisions That Could Come Up Near DeathGetting StartedMaking Your Wishes KnownSelecting Your Healthcare ProxyMaking It OfficialAfter You Set Up Your Advance DirectiveStill Not Sure?Looking Toward the FutureFor More Information 

Virginia Academy of Elder Law AttorneysThe Virginia Academy of Elder Law Attorneys (VAELA) is a non-profit professional association of attorneys which educates its members and others regarding needs and solutions for the elderly, their families, and their caregivers, and advocates for beneficial care and laws for these persons.FAQsElder Law LibraryFind an Attorney 

Local Office on AgingThe Legal Services Program serves clients age 60 and over, who live in the 5th Planning District of Virginia, and are unable to qualify for Legal Aid Services or afford a private attorney. Clients may be provided with either information or case consultation. Issues include:• Power of Attorney documents, advanced medical directives• Public benefits, such as Medicaid• Living WillsThere is no charge for these services. Donations are accepted.To find out more about these services, call LOA at (540) 345-0451.When looking for one with knowledge of elder law or estate planning you may also wish to contact the State Bar Referral Service at (800) 552-7977 or your local Legal Aid Office in Virginia. Living Will information can be obtained from the LOA or local hospitals or nursing homes. An elder law attorney search can be found at NAELA.Blue Ridge Legal Services, Inc. 540–344-2080 or 1-866-534-5243
132 Campbell Ave., Suite 300, Roanoke, VA 24011