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NATIONAL HEALTH CARE DECISIONS DAY STARTING THE CONVERSATION GUIDE NHDD is the day to consider your personal wishes regarding your end of life health care. Share your preferences through conversation with loved ones, as it's the best way to ensure you receive the care you desire! The discussion is a gift to them: they will be empowered with clarity and confidence to carry out your wishes if you are una START THE CONVERSATION... Step one: offer some facts to spark discussion with those close to you. 70% of Americans hope to die at home, but 70% die in hospitals or other facilities. Time/CNN poll Why do you think so many people do NOT spend their last days where they hope to spend them? I hope to spend my last days ________. What about you? Where do you hope to be and why? I hope to avoid spending the end of my life ________. How can we make that more likely? 70% of those 60 and older who faced treatment decisions in their final days have been incapab of participating in those choices. New England Journal of Medicine Has anyone close to you needed life-sustaining treatment decisions made for them? Did the patient's loved ones feel comfortable in making these choices? Why or why not? Do you think this patient received the care he or she preferred? How did this situation impact you? How did it impact me? What did we learn? By stating the end of life care we desire in advance, the communication alleviates a burden on family members and results in less complicated grief. Journal of Palliative Medicine Have you ever felt burdened by end of life situations? What would have made that situation less burdensome? At the end of my life, what would make that time easier for you? When I die, what do you need to know to make grief less difficult? What can we do ahead of time? EMPOWERED LIFE CHOICES. END OF LIFE QUALITY. lifemattersmedia.o @LifeMMed

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