Navigating The World Of Healthcare Advance Directives, Part One

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Shell Point Retirement Community

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Aug 31, 2023

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Florida - Southwest

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This is part one in a four-part series dedicated to an in-depth examination of advance directives: who is eligible to make an advance directive, what it is, how to create one, and what to do with the document after it is complete.

Who is eligible to make an advance directive?

Every competent person has the right to make decisions concerning his or her own healthcare, including the right to choose or refuse medical treatment. When a person becomes unable to make decisions due to a physical or mental change, such as being in a coma or developing dementia (like Alzheimer’s disease), he or she is considered incapacitated.

To make sure that an incapacitated person’s decision about healthcare will still be respected, the Florida legislature enacted legislation pertaining to healthcare advance directives. The law recognizes the right of a competent adult:

  • to make an advance directive instructing his or her physician to provide, withhold, or withdraw life-prolonging procedures;
  • to designate another individual to make treatment decisions if the person becomes unable to make his or her own decisions; and/or
  • to indicate the desire to make an anatomical donation after death.

Since anyone is eligible to make an advance directive, the next step is to better understand the document in question. This and more will be covered in August, during the second installment of this four-part series.

The Legacy Foundation at Shell Point Retirement Community exclusively serves Shell Point residents by providing fiduciary services, such as benevolent gift administration, charitable gift annuities, power of attorney and personal surrogate services, bill paying, estate and gift planning assistance, and the delivery of enhanced financial management services.

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Wishes and Wills

We cant emphasize enough how important it is to review your will and insurance policies, reassign your Power of Attorney if necessary, and meet with your financial advisor(s) at the beginning of this decade. Ive changed my will three times, and I am 54 as of this writing. Life really does whiz by, and so do all the changes. About one month before your life insurance policy renews, put it on your calendar to meet with your agent. You are not bothering themyoure making their DAY! Regarding your financial advisors or broker, this is another helper you dont want to sit by the phone for, hoping they will call you. They typically only call you when they need you to sign an updated form or something new or unpleasant is about to happen with one of your funds (maybe), and theyll need your verbal permission to move your money into another account. Youll need to be proactive, checking in and scheduling your appointments, even if theyre just phone calls. If youre not certain how to properly access your statements and information online, make sure you get help from your advisor to get in and look, together. They might be the expert here, but in the end, youre in charge, and its YOUR money.Since you dont usually get to choose how youre going to leave this world, you DO get to choose how youll be, um...stored...after you die. In the jar or in the box? Ashes at sea or on a golf course? Do you want to be part of a trees seeds? I want my ashes scattered in Ireland, a trip Ill pay for, for my kids to take my ashy bits and put them into the Irish Sea. Its where my ancestors are from, but thats not the point. Its where I want my ashes to go. I love the ocean, and I love Ireland. And I love my kids. I want them to get on a plane to Dublin, pop into a pub, order beer and a big bowl of (Irish) stew, and talk about me. Im sure theyll regale the locals about what an awesome adventurer I was, and of course, a stellar mother. Then theyll take me to the sea, say a few words, and after checking wind conditions, toss my remains into the water. It's not pleasant to discuss or think about, but it is reality. I know this. We all do, really, we just dont talk about it. If you cant talk about it, write about it. When you pass away, there are going to be questions and uncertainty, let alone grief, from those who you loved you. They will need to understand your wishes as they are dealing with the loss, so it is truly helpful to record the answers to these questions, at the minimum. Make sure you give your executor or executrix this information sooner than later, and keep a copy for yourself.My name is ___________________, and this is what I want done with my: possessions: ________________________________________________________________ money: ____________________________________________________________________ funeral: ____________________________________________________________________ photos: ____________________________________________________________________ digital rights: ________________________________________________________________If you are looking for an incredibly easy tool to use, check out the Peace of Mind Planner: Important Information about My Belongings, Business Affairs, and Wishes, by Peter Pauper Press Inc. It has easy-to-use forms for final thoughts and hopes for you to convey to your family or anyone you will someday leave behind who loves you.This article was adapted from the book Chronological Order: The Fine Print for a Large Life, by Jill B. Yesko and Laurean Kile.

Your Kids Will Thank You

Your Kids Will Thank YouOne of the questions I often ask people who come to our workshops, is What do you want to accomplish when doing your estate plan?  Most people tell me they want to protect stuff from the nursing home, while others want to be smart about taxes. Some people say they just want to make things easy for their family. They dont want to be a burden and they want to keep the family peace. With this goal in mind, I want to share some tips on how we can put together a meaningful plan for your family to reduce their stress when you are affected with health issues. When you pass away, your family will go through the grieving process, but you dont want it to be a stressful time from a financial and or legal standpoint. Rather, you want to set your kids up for success.What Does It Mean By Setting Your Kids Up For Success? Often, when people do an estate plan theyll want to write a Will. When they pass away, the kids tend to take over as executor or trustee. If a parent gets sick before they pass away, the kids may take over as power of attorney or guardian. What Is Guardianship?Lets assume that people dont do any planning, and have no legal documents. Should they become incapacitated, their kids will end up in guardianship. Lets take Fred for example, who hasnt done any planning, and is a widower. If he has a stroke, his kids need to get control of the money and make decisions. However, if Fred has not done any planning, his kids cannot make decisions simply because they are his children. They have to go through a process called guardianship. This means taking Fred into the courthouse to be declared legally incapacitated, by a judge. The judge may request that the guardian reports back regularly, so that the judge can make sure the guardian is the right person to make the decisions. This can be an expensive legal process, which can also be emotionally challenging.Can Guardianship Be Avoided?Its easy to avoid the guardianship process by simply having a Power of Attorney document. This document lists somebody to be your agent, who will be your legal and financial decision maker. In the event that you become incapacitated, somebody else can act on your behalf. They can walk into any bank or financial institution with the Power of Attorney document, and do what needs to be done, while acting in your best interests. Fortunately, we dont need the courthouse to make it happen. While we cannot prevent getting sick as we get older, whether its having dementia or a stroke that affects us, we can give our kids the legal authority to make decisions. Communicate With Your KidsIn addition to having a Power of Attorney, you also need to have a Will or a Trust in place. We encourage our clients to use a trust instead of a Will, to avoid going through the probate process. Regardless of whether your child is the executor of a Will or the trustee of trust, when you pass away, they will have roles and responsibilities. It is important for you to communicate with your children to tell them about what their future roles and responsibilities will be. It is not enough to just create a document and leave it on the shelf. You need to tell your kids where your assets are, where you bank, who the financial advisor is and who the attorney is. Avoid The StressIt often happens after a parent has passed away, that the adult children come to us with a bag of their parents documents and paperwork, trying to make sense of it. The kids are not only grieving after losing a parent, but they now have to sort through mom or dads belongings and paperwork. They are also confused about what their responsibility is as an executor or trustee. I urge you to make it easy for your kids to fulfil their roles, by sharing details of where your assets are. You dont have to share details of the value of your assets while youre still living, but I encourage you to share the necessary details with your kids. This will help them with the administration and avoid a stressful situation.Why You Need An Advanced DirectiveWho would make any health care decisions, if you are affected by a health issue and cannot make decisions? You need to decide who that person will be, and communicate with them. If you are elderly woman with no surviving spouse, one of your children will have to make decisions if you are unable to. You would need a document called an Advanced Directive, stating what must be done if you get sick or become incapacitated. It is wise to appoint two different family members to make financial and healthcare decisions respectively.Consider Having A Life Care PlanI encourage you to consider enlisting our help to create a Life Care Plan, which we offer at Sechler Law Firm. This plan takes into consideration where you will get care, and how you will pay for it. It means your family will not have to worry about whether they have made the right decision about your care. We have a social worker and a healthcare professional on our team, because life care planning is more about healthcare planning than it is traditional legal work. However, we consider it to all be part of doing estate planning. To find out more, call 724-564-6615.  You can also learn more by coming to one of our Three Secrets Estate Planning Workshops. Call to register for an upcoming free workshop!  

Navigating The World Of Healthcare Advance Directives, Part Two

This is part two in a four-part series dedicated to an in-depth examination of advance directives: who is eligible to make an advance directive, what it is, how to create one, and what to do with the document after it is completed.What is an Advance Directive?An advance directive is a written or oral statement about how you want medical decisions made for you should you not be able to make them yourself. It can also express your wish to make an anatomical donation after death.Some people make advance directives when they are diagnosed with a life-threatening illness. Others put their wishes in writing while they are healthy, often as part of their estate planning.There are two types of advance directives to consider:A living will is a written or oral statement of the kind of medical care you want or do not want if you become unable to make your own decisions. It is called a living will because it takes effect while you are still living. You may wish to speak to your healthcare provider or attorney to be certain you have completed the living will in a way that your wishes will be understood.A healthcare surrogate designation is a document naming another person as your representative to make medical decisions for you if you are unable to make them yourself. You can include instructions about any treatment you want or do not want, similar to a living will. You can also designate an alternate surrogate.Once youve decided which type of advance directive works best for your needs, the next step is to better understand how to create one of these documents. This will be covered in the third installment of this four-part series.The Legacy Foundation at Shell Point Retirement Community is not open to the public, but rather serves Shell Point residents by providing fiduciary services, such as benevolent gift administration, charitable gift annuities, power of attorney and personal surrogate services, bill paying, estate and gift planning assistance, and the delivery of enhanced financial management services.

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