An Advance Directive in Seven Steps. Introduction.
An Advance Directive in Seven Steps
The Gift Initiative is a community education collaborative in Tennessee led by Alive Hospice with partners from Vanderbilt University, Saint Thomas Health, PearlPoint Cancer Support and a growing list of individuals who recognize the critical need for education about advance planning for serious illness and end-of-life care. Alive Hospice is grateful for the generosity of HUMANA for their recognition of the serious need for better and earlier communication between patients, families, and health care providers.
Three things I value most about my life are:
I hope that between now and the time when I die,
I will have a chance to:
When I hear the phrase “good death”, I think of: When I hear the phrase “bad death”, I think of:
The thing I worry about most when I imagine dying is:
I hope that when I am near death, I will:
Step 4:Discussion of Quality of Life
*Note: Your signature should either be witnessed by two competent adults or notarized. If witnessed, neither witness should be the person you appoint as your agent, and at least one of the witnesses should be someone who is not related to you or entitled to any part of your estate.
Additional tools and resources