COMPASSION  CHOICES OF GEORGIA and The Memorial Society of Georgia

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COMPASSION CHOICES OF GEORGIA and The Memorial Society of Georgia

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2. Our Vision

3. Who We Are

4. Who We Are National Organization – Over 60 Chapters and Affiliates – 30,000 Members Non-Profit Comprehensive Public Resource

5. C & C Objectives Promote the use of Advance Directives Advocate for improved palliative care Encourage state-of-the art pain management Support patient-directed aid-in-dying Encourage use of POLST (Physicians Orders for Life Sustaining Treatment)

6. What We Do

7. What We Do Educate the public, lawmakers, and healthcare professionals Support and promote end-of-life decisions Advocate legislation that improves end-of-life care

8. Healthcare Information

9. Demographics

10. Demographics

11. Health Care Costs Americans’ Current Health Care Expenditures Over Life Span

12. Health Care Costs Medicare spends 27% of its funds on patients in their last year of life

13. Health Care Costs

14. Health Care Costs It’s estimated that it costs $100,000 annually to care for a PVS (Persistent Vegetative State) patient It’s estimated that there are between 10,000 and 25,000 PVS patients living in nursing homes across the country 25,000 PVS patients x $100,000 = $2.5 billion

15. Medical Information

16. Leading Causes of Death Georgia Males

17. Disabilities of Georgians by Age

18. Alzheimer’s Disease 4.5 million cases in America (Alzheimer’s Association, 2004) Prevalence of Alzheimer's expected to increase to 11.3-16 million cases in America by 2050 (Alzheimer’s Association, 2004) 4 million cases of Alzheimer's in the US (Alzheimer’s Disease Education and Referral Center (ADEAR) 19 million people had a family member with Alzheimer's in the US (ADEAR) Nearly 50% of those over 85 years in the US have Alzheimer's (ADEAR)

19. Medical Treatment

20. Future of Hospice Care

21. Palliative Care Focus on cost associated with palliative care. Consider benefits (e.g., lower anxiety, increased satisfaction)Focus on cost associated with palliative care. Consider benefits (e.g., lower anxiety, increased satisfaction)

22. Pain Status at End-of-Life in Georgia

23. Causes of Unrelieved Pain Unnecessary Fear of Addiction Health Care Providers’ Fear of Litigation Ethical and Religious Objections Inadequate Training of Health Care Professionals Emotional Need to Experience Pain

24. Legal Issues

25. Recognition of Rights

26. Refusal By Physician To Comply

27. Family Involvement Discuss advance directives with family members Inform family of location of all relevant documents Provide copies of documents to family members, physicians, hospital or health care organizations

28. Legislative Issues

29. Georgia’s Status 35% of adult Georgians have completed a written document that expresses their wishes for End-of-Life Care… which means 4.3 million adult Georgians have not made their wishes known

30. Living Will Authority

31. Durable Power of Attorney for Health Care

32. Georgia Advance Directives For Health Care Living Will and Durable Power of Attorney for Health Care are combined: Advance Directive for Health Care Developed by a multidisciplinary committee User friendly Specific choices regarding terminal condition or state of permanent unconsciousness Automatic revocation of prior documents (Signed May 17, 2007)

33. Proposed Legislation

34. Legislative Proclamations

35. Legislative Issues

36. States With Advance Directive Registries

37. National Legislative Initiatives for Advanced Directives

38. Physician Orders for Life-Sustaining Treatment (POLST)

39. Physician Orders for Life-Sustaining Treatment (POLST)

40. Physician Orders for Life-Sustaining Treatment (POLST)

41. Physician Orders for Life-Sustaining Treatment (POLST)

42. Development of the POLST *need list of members and organizations (I.e., roster) for appendix*need list of members and organizations (I.e., roster) for appendix

43. End of Life Concerns

44. Good Things About Aging…

45. And Some Worries…

46. What You Can Do

47. What You Can Do Join us! Advocate Volunteer Speakers Bureau Donate

48. Advocate Tell your legislators how you feel Discuss your health care decisions with family and friends Prepare and sign your own Advance Directives Participate in public education

49. Donate C&C entirely supported by membership and donations Allow C&C to expand its current and future programs and initiatives Help to secure the future of C&C

50. Contact Us Laura Pace Speakers Bureau Coordinator Compassion and Choices of Georgia [email protected] (cell) 404/606-2059

51. Memorial Society of Georgia Incorporated in 1973 Non-profit organization Assists with end-of-life concerns Nominal lifetime fee

52. Memorial Society of Georgia Member of Funeral Consumer Associates Commitments with licensed funeral directors Selection of cremation or burial Predetermined minimal cost

53. Memorial Society of Georgia Pre-arrangement form Funeral director selection Decisions regarding details of ceremonies and rituals Disposition of remains At time of death Funeral director notified Arrangements carried out

54. Memorial Society of Georgia Educational programs: Wills Powers of attorney Long term care Estate planning Grief support Body, organ and tissue donation

55. Contact Us Roland J. Knobel, Ph.D. President, Memorial Society of Georgia [email protected] (404) 636-0755

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