Tag Archives: end of life

National Healthcare Decisions Day – April 16, 2015

Refusal of TreatmentApril 16th this year is National Healthcare Decisions Day (NHDD), which is a day to think about and prepare or update your advanced directives for healthcare.  It’s a great gift to your family and friends to let them know your wishes in case of health crises in which you may not be able to speak for yourself.  It’s comforting to you to know that you’ve discussed the circumstances and interventions that would fit with your values and desires for your future.  It reduces family discord to have a designated patient advocate who has a written document with your decisions about treatment.  It’s also hard to think about and talk about such frightening eventualities.

There is a website about NHDD that helps make it easier to undertake those conversations and to execute the relevant documents.   It lists a number of websites in which to find state-specific advanced directives forms.  It also has links to many sites that help facilitate family conversations about health crises and each person’s wishes, including some card games and a phone app to store advanced directives for yourself and loved ones.

commlaw-aging-v-blackThe American Bar Association’s Commission on Law and Aging also has a number of helpful resources on preparing advanced directives and serving as a patient advocate.  There’s a guide to completing a universal health care power of attorney form, a guide to making medical decisions for another, and a toolkit that invites you to think about the various factors involved in coming to a decision about your possible care if you were faced with a serious medical condition.

Try not to put it off again this year.  My colleagues in the senior ER are begging us all to help them to help us and our families go through such harrowing experiences in a way that honors the person at risk and helps us all have greater peace of mind.

Sue Sweeney, Chair, Department of Aging Studies, Madonna University

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Spiritual Advantages of Later Life

ClockSpiralBelow is the link to an expanded version of the PowerPoint presentation I used in an interactive discussion with a church group about spiritual growth in older age.  It seems to me that there are certain inevitabilities about aging that transcend societies and cultures: a shortening of time perspective, the accumulated lifetime experience, and eventual physical decline .  How we respond to these inevitabilities will be affected by our world view.  In our culture another inevitability makes the experience of aging more harrowing, and that is pervasive and unconscious ageism.

These inevitabilities invite us to undertake a number of developmental tasks to respond and adapt.  The tasks include self-esteem regulation, managing our foreshortened time span, coming to terms with decline, dealing with dependence, facing death, relating to unfinished business, and leaving a legacy.  Inherent in these challenges are opportunities for spiritual growth, which our limited time perspective calls for us to use.  We can learn to be more patient, to be less petty, to let go of old hurts and resentments, to fully appreciate the present moment, to take on social roles that befit us as elders with a lifetime of experience, to view ourselves as a part of a whole, and much more.  Our need for spiritual stamina increases as we age, as does our ability to share our hard-won spiritual achievements with others.

For each task, I have suggested some opportunities, some tools for exploring them, and ideas for sharing each person’s journey with others.  Finally, several resources are listed that can assist with a number of these challenges.

The Spiritual Advantages of Later LifeExpandedPub1–14

Sue Sweeney, Chair, Gerontology Department, Madonna University