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Nobody loves talking about advance care planning. It can
feel heavy, maybe even a little scary, especially when it involves people we
love. But here's the thing: having this conversation now, while everyone is
calm and clear-headed, is one of the most caring things a family can do for
each other. It's not about dwelling on worst-case scenarios. It's about making
sure your voice — or your parent's voice — is heard, no matter what the future
holds.
At Seniors Blue Book, we believe planning ahead isn't about
fear. It's about peace of mind. So let's break down what advance care planning
actually is, why it matters, and how to start the conversation without it
feeling overwhelming.
What Is Advance Care Planning, Really?
Advance care planning is simply the process of thinking
through, writing down, and sharing your wishes for future medical care —
especially care you'd want (or not want) if you couldn't speak for yourself.
It usually includes a few key documents:
None of this requires a lawyer or a complicated legal
process to get started. It just requires a conversation.
Why Advance Care Planning Matters More Than People Think
It Protects Your Independence
Advance care planning isn't about losing control — it's
about keeping it. By putting your wishes in writing, you're making sure your
choices are respected even if a health crisis leaves you unable to speak for
yourself.
It Takes the Guesswork Off Your Family
Few things are harder for families than making major medical
decisions without knowing what their loved one would have wanted. A clear plan
removes that uncertainty and spares families from second-guessing themselves
during an already difficult time.
It Can Prevent Family Conflict
When wishes are documented and shared ahead of time, there's
far less room for disagreement among family members about "what Mom would
have wanted." Everyone is working from the same information.
It Supports Better Care
Doctors and care teams can act faster and more confidently
when they know a patient's preferences in advance — which often means care
that's more aligned with what the person actually wants, not just default
treatment.
When Should Seniors Start Advance Care Planning?
The short answer: now, whatever "now" looks like
for you.
Advance care planning isn't just for people facing a serious
diagnosis. It's for:
If you've been putting it off because it feels like
"too soon" or "too much," consider this: the best time to
make these decisions is before they're urgent.
How to Start the Conversation With Your Family
Talking about advance care planning doesn't have to be one
big, dramatic sit-down. It can start small.
Advance Care Planning Is an Act of Love, Not a Loss of
Hope
It's easy to think of advance care planning as giving up on
the future. In reality, it's the opposite. It's a way of staying engaged,
informed, and proactive about your own well-being — and giving your family the
gift of clarity when they need it most.
Seniors who take charge of this process often describe a
real sense of relief afterward. The unknown becomes known. The
"someday" conversation finally happens. And families get to focus on
spending time together, instead of scrambling to make decisions during a
crisis.
Finding the Right Support Along the Way
Advance care planning doesn't have to be done alone. Many
families find it helpful to loop in a primary care provider, a geriatric care
manager, or a local senior services organization that can walk through
documents and options in plain language.
That's exactly the kind of connection Seniors Blue Book is
here to help with — linking seniors and their families to trusted local
resources, from care management to home health support, so no one has to figure
it all out by themselves.
When an older adult needs help at home and sees several clinicians, a coverage decision can affect everything from prescription refills to rides. If youre considering TRU PACE in Lafayette, start by asking how enrollment would change the care and coverage you already use. How Medicare and Medicaid Fit Into PACEPACE is the Program of All-Inclusive Care for the Elderly. It coordinates healthcare and support for eligible adults who meet a state standard for nursing home-level care and can live safely in the community with PACE support at enrollment. Applicants must also be 55 or older and live in the programs service area. TRU PACE and Your Current CoveragePhone: 303-665-0115Medicare says people with Medicaid pay no monthly PACE premium. Medicare beneficiaries without Medicaid pay premiums for the long-term care portion and Medicare Part D drugs. Medicare also says participants owe no deductible, copayment, or coinsurance for drugs, services, or care approved by their PACE team. Ask TRU PACE for an estimate based on your individual coverage before enrolling. Doctors, Prescriptions, and Existing ServicesTRU PACE says it becomes the participants insurance provider at enrollment. Participants generally receive care through the programs provider network. Bring a list of your doctors, medications, and scheduled services. Ask which providers are in the network and how the team would coordinate any changes. Why This Matters in LafayetteIf you regularly see a clinician near home or have a specialist visit scheduled outside Lafayette, give the enrollment team the names and dates. Ask which appointments can continue and what to do about any refill due around the enrollment date. How to Get Started1. Gather Your Coverage InformationHave your Medicare and Medicaid information, if applicable, along with details of any current plan. List the appointments and prescriptions you rely on most.2. Ask for an Enrollment and Cost ReviewCall TRU PACE and ask for your expected monthly cost, when any coverage change would take effect, and who would help coordinate the transition. Related Seniors Blue Book CategoriesPACE Adult Day Services Care Management
After a death, families may have to make several decisions in a short time. Others prefer to talk through their wishes ahead of time. In either situation, it helps to separate the practical arrangements from the decisions about how to gather, remember, and say goodbye. What Funeral and Mortuary Services CoverA funeral home can help arrange transportation and care of the person who died, assist with paperwork, and coordinate burial or cremation. A family may also arrange a viewing, funeral, memorial, or private gathering. Ask which decisions need to be made immediately and which can wait. The Natural Funeral in LafayettePhone: 720-515-2344The Natural Funeral lists natural burial, flame cremation, water cremation, and terramation, also called natural organic reduction. Water cremation uses an alkaline water process, and terramation transforms remains into soil. If one of these options interests you, ask what the process involves, how long it typically takes, and what the family receives afterward. Planning a Gathering and Reviewing CostsThe Lafayette funeral home is at 102 W Chester Street in Old Town. Ask what can take place at the Lafayette location and which parts would involve another venue or a cemetery. Request a General Price List and a written breakdown of your choices so you can see which fees cover the funeral homes work and which come from outside providers. Why This Matters in LafayetteIf relatives are coming from out of town or some guests have limited mobility, ask about parking, step-free access, and how many people the gathering space can accommodate. If you plan to hold a service and burial at different locations, check how much time guests will need between them. How to Get Started1. Write Down the Persons WishesLook for written instructions and note any cultural or religious preferences. If youre planning ahead, tell a trusted person where you keep your instructions and whom to call.2. Ask for a Written PlanCall 720-515-2344 and ask what is needed on the first call. Once youve discussed options, request the expected timeline and itemized costs before approving arrangements. Related Seniors Blue Book CategoriesCounseling Hospice Advance Care Planning
When an older adult spends most weekdays alone, families may need more than a place for them to go. They may also be juggling transportation, appointments, and help at home. TRU PACE in Lafayette offers a day center as part of a program that coordinates those needs for eligible older adults. What Are Adult Day Services?Adult day services offer daytime support outside the home. Depending on the program, participants may spend time with peers, eat a meal, take part in activities, or receive help with daily needs. Some centers accept people directly. The Lafayette TRU PACE center serves people enrolled in its broader Program of All-Inclusive Care for the Elderly. TRU PACE in LafayettePhone: 303-665-0115TRU PACEs Lafayette center is at 2593 Park Lane. The program coordinates medical and social services and arranges transportation to the day center and medical visits as needed. Ask the enrollment team what a typical center day includes, how often a participant might attend, and how the team decides what support to arrange at home. Who May QualifyPACE applicants must be at least 55, live in the programs service area, meet the states standard for nursing home-level care, and be able to live safely in the community with PACE support at enrollment. Ask how enrollment would affect access to current doctors and prescription coverage before making a decision. Why This Matters in LafayetteWhen family members already drive someone to several appointments a week, a coordinated schedule can change who needs to be available and when. Ask how pickup would work at the persons Lafayette address and who to call if a ride or appointment changes. How to Get Started1. Ask for an Eligibility ReviewCall TRU PACE. Have the participants ZIP code, current coverage, and a short list of the help they need. 2. Ask to Visit the CenterFind out what the participant might do on a center day, how transportation works, and what changes to their current care arrangements enrollment would involve. Related Seniors Blue Book CategoriesCare Management Transportation Respite Care