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Form 3 1 Health Care Directive 2018-2019

hi I'm Neil winger I'm a general interest to primary care doc and also I work with the UCLA health ethics center and I'm here to talk with you about advance directives what's an advance directive it's a legal document that allows you to indicate what kinds of things you would want done if you couldn't make decisions for yourself now why would that happen we know that optimally doctors and patients work together in shared decision-making to make sure that the kinds of treatments that patients receive reflect what patients would want but under unusual circumstances patients can't talk with their physicians about what they would want perhaps they're too sick or perhaps something horrible happened and they're not awake under those circumstances who would you want the doctors to turn to to help make decisions for you maybe it's a spouse perhaps a sibling maybe even a friend and if it is a friend with the doctors know to turn to that person probably not it's for those reasons that people need to complete an advance directive so the advance directive is a legal document that allows you to write down who it is that you want to make decisions for you and you can also write down second and third people as well if the first one can't do it but more importantly it also allows you to indicate what kinds of treatments you would want if you weren't well enough to be able to make the decisions for yourself cake for instance and none of us like to think about this if you are so sick that you weren't going to get better or at least better the way that you live now people complete advanced directives in order to think about the kinds of things that they wouldn't want medical care to do to them or the health states that they wouldn't want doctors and hospitals to keep them for instance I will frequently especially if someone is completely healthy and has no medical problems ask them what if driving on the freeway today a truck rolled over on top of your car now no one likes to think about that that's why we wear seatbelts and drive safely but in the very rare occurrence and unfortunately in Los Angeles it's not that rare that something horrible happens to us while driving it's possible that you as a person will never be that same person again what if you weren't going to wake up would you want the doctors to keep you like that and who should be turned to to answer that question and when they doctors turn to that person would they know what you would want them to say that's what the advanced directive is all about it allows you to think about these things in advance even if we don't feel like thinking about them to actually put them down in writing in the advanced directive and to discuss them with our loved ones who are going to be our decision makers also specified in the advanced directive and hopefully with our doctors if doctors and family know what we want then those decisions turn out to be much better and much easier on our family that have to make them so the next time you visit your doctor say to them hey Doc during the visit today how about if we do advanced care planning you