Here with Dignity – Honoring Your Wishes

Advanced Care Planning

Know your Options and document your decisions. 

Hospice is here to help educate you and your family about advance directives and advance care planning. We can also help you take the right steps toward having difficult conversations with your loved ones and making your healthcare wishes known.

A Health Care Proxy will ensure your wishes are honored if and when you are unable to make decisions for yourself.

Your decision to accept or reject medical treatment, including life-sustaining procedures, ultimately depends upon your personal wishes, values, and beliefs. Using an Advance Directive form, such as a Health Care Proxy, will help your family and friends understand your wishes and will give both you and them peace of mind.

Everyone over the age of 18 needs to appoint a Health Care Proxy* for these two situations: 

1. Temporary inability to make healthcare decisions can happen no matter what your age. That’s because unexpected events can happen at any time. And, during those events there are often times when a healthcare decision needs to be made, even if you’re not able to voice those decisions for yourself. (For example, when having an outpatient surgical procedure and are under general anesthesia.) If you have a Health Care Proxy,  decisions will be made according to your wishes — even if you are temporarily unable to make your own requests. Once you become conscious, the Health Care Proxy no longer has any authority to act.

2. Permanent inability to make healthcare decisions. This would arise if you were comatose from a terminal illness, in a persistent vegetative state, suffered from an illness that left you unable to communicate or, if elderly, suffered from senile dementia or Alzheimer's disease.

If you don't have a Health Care Proxy, all appropriate medical treatments would be provided to you. If you’ve appointed a Health Care Proxy, that person would represent your voice and act on your behalf in making healthcare decisions for you according to your pre-determined wishes or best interests.

*The New York Health Care Proxy Law allows you to appoint someone you trust — such as a family member or close friend — to make healthcare decisions for you if you lose the ability to make decisions yourself. Appointing a health care agent and discussing your wishes with them helps ensure that healthcare providers follow your requests.

We’re here to help you communicate your wishes

We’re here to help. Your wishes should be written down in an Advance Directive so that others know your decisions. That’s why we encourage documentation of your hospice and palliative care plan according to your wishes. Our team of experts can help facilitate and adhere to your end of life requests by using an Advance Directive. Two Advance Directive forms commonly used in New York State include the Health Care Proxy and Medical Orders for Life-Sustaining Treatment (MOLST). MOLST is intended for patients with serious health conditions who:

• Want to avoid receiving any or all life-sustaining treatment
• Reside in a long-term care facility or require long-term care services 
• Might die within the next year