Preferred Priorities for Care

Similar documents
Preferred Priorities for Care. (Easy read)

Preferred Priorities for Care

Future Matters My Advance Care Plan

Future Matters. My Advance Care Plan

Sharing and Involving

Here s how to complete a Health Care Proxy:

Advance care planning

Social Care. Care and support planning under the Care Act 2014

Getting Started Tool Kit

Giving another person access to your GP online services. Patient Guide

My Advance Care Plan

My Advance Care Plan & Guide Plan the healthcare you want in the future and for the end of your life

Getting Started Tool Kit

MENTAL HEALTH ADVANCE DIRECTIVES

Being 'Sectioned' The Mental Health Act 1983

Advance Care Planning. It s time to speak up!

POA-Power of Attorney for Personal Care

Your guide to children s residential care

An information leaflet

Advance Care Planning Conversations:

Consent. Making decisions about your health care and treatment NHS SCOTLAND

Transition is a time when everything can seem up in the air. You have to be quite strong to get through it and you have to make sure that if you don

Consent. Making decisions about your health care and treatment. Consent. Treatment. You can give your consent in different ways

Health Care Proxy. Appointing Your Health Care Agent in New York State

Being in Care Being in Care

Making Decisions - Your Health

Children s guide to private. fostering

Conversation Guide. Hospice of Southwest Ohio and CareBridge are dedicated to helping people talk about their wishes for end-of-life care.

What happens......if my heart stops? Information for patients

An Insider s Guide to Filling Out Your Advance Directive

Young people s access to GP online services Patient Guide

Enduring Power of Attorney

LASTING POWERS OF ATTORNEY

People growing older with learning disabilities. Our advice about good support

CARE PLAN REVIEW FORM

Advance Care Planning Quick Guide

Extra support when you need to go to hospital

Planning for the Future: The Role of Advance Directives

Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Patient Information Leaflet

CENTRAL VIRGINIA LEGAL AID SOCIETY, INC.

Stroke explained. Vascular dementia. Together we can conquer stroke

A Children s guide to Match Foster Care Hi! My name is Matt Foster and I am here to tell you all about Match Foster Care.

Planning for the end of life. Thinking ahead now for peace of mind later

Useful Links. Organisations on the Isle of Man. Putting Your House in Order MH MF

INSTRUCTIONS FOR COMPLETING THE CALIFORNIA ADVANCE HEALTH CARE DIRECTIVE LEGAL FORM

Welfare Benefits: Appeals

isns Health Care Treatment and Consent

LASTING POWER OF ATTORNEY

Advance Care Planning Workbook. My Health, My Wishes.

Being able to make choices about your life and your care changing the law to do with mental capacity

Not For Issue. Limited capability for work questionnaire. About you. If you want help filling in this questionnaire or any part of it

Radiotherapy to the Brain

Guide for lived experience speakers: preparing for an interview or speech

Choices. Directions for patients and family members about medical decision making

This factsheet covers:

4. Your agent will start making decisions for you when doctors decide that you are not able to make health care decisions for yourself.

The Journey to Direct Payments

Sheffield City Region Health-Employment Trial: Information sheet

Pennsylvania Advance Health Care Directive

CHILDREN S GUIDE 5-12YRS

INTRODUCING CREATIVE SUPPORT

Support Needs Questionnaire

Health Diary. Day of first entry in health diary... If you have any questions about your diary, phone Heather Elliott on.

SOCIAL SECURITY DISABILITY AND SSI BENEFITS HEARINGS

My Child Protection Conference Pack

Grief and Bereavement

What happens when you are referred by your GP to see a specialist?

Herefordshire CCG Patient Choice and Resource Allocation Policy

Advance Care Planning: Goals of Care Team

Patient Choice and Resource Allocation Policy. NHS South Warwickshire Clinical Commissioning Group (the CCG)

Your Conversation Starter Kit

ENTRY CLEARANCE GUIDANCE NOTES

Claim for Housing and/or Council Tax Benefit Change of Address form

How to Choose a Health Care Agent

Finding out. This guide will help you to: A Changing Faces Guide for Young People. Find out more about what has happened to you

Toolkit Managing your personal assistant

NHS England Expenses Policy

TIER 4 ONLINE ENTRY CLEARANCE APPLICATION GUIDE USE ONLY IF APPLYING OUT OF THE UK

Advance Health Care Directive Form Instructions

COMBINED. Mental Health Declaration and Power of Attorney

Presenters: Candace Blades, JD, BSN, RN-BC VCU Health System Debbie Griffith, RN, CCRN HCA Virginia Health System October 21, 2015

My Person Centred Statement.

LETTERS FOR CLOSING YOUR LAW OFFICE

Appointment of an agent form

Supporting you and your family as you grow older together

Notice to The Individual Signing The Power of Attorney for Health Care

Transition Planning: A Guidebook for Young Adults and Family

About Advance Directives for Mental Health

Life ahead plan. An aid to planning your long term recovery from cancer

Pregnancy and Baby Payment

INFORMATION FOR THE FACILITATOR

Your rights when you are living in the community

Immigration and International Student Advice: Tier 4 (General) entry clearance application form. Applying for Tier 4 (General) visa from overseas 2017

New York Health Care Proxy / Advance Directive for Mental Health Treatment of

Writing Your Mental Health Advance Directive. A Practical Guide

Utah Advance Directive Form & Instructions

New Horizons Care Service User Guide (Easy Read) The Services and Support Available for Our Clients

GWYNEDD COUNCIL CONCERNS AND COMPLAINTS POLICY

What To Do When Someone Dies

The Role of Patients in Transitions of Care

Transcription:

Preferred Priorities for Care

Preferred Priorities for Care Your name: Address: Postcode What is this document for? The Preferred Priorities for Care (also known as PPC) can help you prepare for the future. It gives you an opportunity to think about, talk about and write down your preferences and priorities for care at the end of your life. You do not need to do this unless you want to. The PPC can help you and your carers (your family, friends and professionals) to understand what is important to you when planning your care. If a time comes when, for whatever reason, you are unable to make a decision for yourself, anyone who has to make decisions about your care on your behalf will have to take into account anything you have written in your PPC. Sometimes people wish to refuse specific medical treatments in advance. The PPC is not meant to be used for such legally binding refusals. If you decide that you want to refuse any medical treatments, it would be advisable to discuss this with your doctors. Remember that your views may change over time. You can change what you have written whenever you wish to, and it would be advisable to review your PPC regularly to make sure that it still reflects what you want. Should I talk to other people about my PPC? You may find it helpful to talk about your future care with your family and friends, although sometimes this can be difficult because it might be emotional or people might not agree. It can also be useful to talk about any particular needs your family or friends may have if they are going to be involved in caring for you. Your professional carers (like your doctor, nurse or social worker) can help and support you and your family with this. When you have completed your PPC you are encouraged to keep it with you and share it with anyone involved in your care. Unless people know what is important to you, they will not be able to take your wishes into account.

Will my preferences and priorities be met? What you have written in your PPC will always be taken into account when planning your care. However, sometimes things can change unexpectedly (like carers becoming over-tired or ill), or resources may not be available to meet a particular need. What should I include in my PPC? You should include anything that is important to you or that you are worried about. It is a good idea to think about your beliefs and values, what you would and would not like, and where you would like to be cared for at the end of your life. People who should be asked about your care if you are not able to make a decision for yourself You may have formally appointed somebody to make decisions on your behalf, using a Lasting Power of Attorney, in case you ever become unable to make a decision for yourself. If you have registered a Lasting Power of Attorney please provide their contact details below. Name: Address: Telephone number: Relationship to you: Even if you have not registered a Lasting Power of Attorney, is there anybody you would like to be consulted about your care in the event that you are unable to make decisions for yourself? If so, please provide their contact details below.

Your preferences and priorities In relation to your health, what has been happening to you? What are your preferences and priorities for your future care?

Where would you like to be cared for in the future? Signature Date Please record any changes to your preferences and priorities here (Please sign and date any changes)

Further information You can use this page to make a note of any further information you need or questions you might want to ask your professional carers (like your doctor, nurse or social worker).

Contact details You can use this page to record contact details of anyone who is involved in your care. Name Relationship to you Contact number

This document was given to me by: Name: Organisation: Tel: Email: Further information about PPC is available at: www.endoflifecareforadults.nhs.uk Originated by Lancashire & South Cumbria Cancer Network June 2004 and endorsed by the NHS End of Life Care Programme Revised December 2007 by the National PPC Review Team Version 2 December 2007 Review date:july 2011