Americans plan for most of their major life events such marriage, careers, vacations and retirement. Changes in medical technology, the law governing informed consent and health care, and the desire to plan for transfers of one's estate make planning for end of life equally significant.

Why should I talk about end of life?

Technology is Changing Health Care

Modern medical technology and medical treatment options for the end of one's life have multiplied. Life support equipment can maintain a person for an indeterminate length of time. In addition, persons have the right to request or refuse specific medical treatments.

 

The American Family is Changing

Family members are often called upon to make important health care decisions for each other. If you have particular views, it's important that at least one relative know of your wishes, preferably in writing. If you don’t wish to think about this or express any choices, accept the fact that someone else may have to decide for you, without your input.

 

How Do I Express My Wishes?

The law recognizes specific avenues for directing your medical treatment at the end of life if you are unable to directly express your wishes. In Michigan, you may elect to use a Durable Power of Attorney. In some instances, a living will may be useful, however, living wills are not legally recognized by health professionals in Michigan.

What Issues Should I Consider?

Proxy

Who will have the authority to make health care decisions for you if you are unable.

Resuscitation

Resuscitation may not be desirable for those who are very ill, or for people who are frail or whose illness is expected to lead to death. Michigan recognizes a "do not resuscitate" (DNR) order and DNR bracelets are available from Michigan Hospice & Palliative Care Organization.

Hospitalization

With the assistance of hospice care, seriously ill people can choose to die at home. Others prefer to be in the hospital or other setting.

Specific Treatments

In designating a proxy, a person can refuse, request or agree to a trial period of specific life prolonging treatments, such as a ventilator and feeding tubes.

Financial Issues

Cost considerations will help family members. Health insurance may not cover all aspects of care. Are there resources for the care needed?

Funeral/Memorial Arrangements

If the person has made plans or has specific wishes, the details need to be shared with those who will handle these arrangements. Putting funeral wishes or plans into a will could mean they will be overlooked.