Personal Planning in a Pandemic

We are in the middle of a Pandemic and we don’t know when we will see a new “normal” or what that will even look like. Seniors (those of us over the age of 60) are at higher risk of complications and death due to this new disease. We are also at risk every time the flu season comes. The irony appears to be that as we age, we are in more danger of dying 😊 not from old age, but from infectious and chronic diseases.

The pandemic or the flu can strike anyone at any time. I think you need to ensure that if you are diagnosed with COVID-19 or some other fatal disease that your values are Expressed, Documented, and Respected. This can be done by preparation, planning and talking about your plans.

To start the process, here are some ideas.

First, ask yourself:

What brings my life meaning and joy?

If you don’t know, who can assist with clarifying facts and values (e.g., spiritual advisor, social worker, family physician)?

Have you considered your values and wishes and chosen someone who you trust to make decisions on your behalf, in your best interest, of benefit to you and who will speak for you and your values while protecting your autonomy, dignity and worth?

Do you have any beliefs and values that will impact on your care, such as receiving a blood transfusion?

Do you want lifesaving care or comfort care?

Do you want drastic measures to save your life and under what circumstances?

What are your wishes and do you have any specific instructions?

Have I recorded my wishes?

Have I shared my wishes with those who are close to me and my health care provider(s)? After you have clarified your thoughts and wishes, I suggest you write them down. Once you have done that then you need to have a number of conversations with family, friends and those named to represent and follow your wishes.

What do I understand about my current health? If I don’t understand, who can I ask that I trust to explain it to me? If I know and accept my situation is it time to have my Representative or Substitute Decision Maker take over the running of my affairs so that I can concentrate on my situation.

In BC we have the ability to choose someone to represent us and become a Substitute Decision Maker. This person must have the knowledge, experience, and available time to do the job properly. Once we have chosen this person we need to plan ahead and discuss our wishes regarding the quality of life and end of life care.

By taking the above steps you will know that your wishes will be followed and that you are easing the burden of those you love.