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Hunter College Nursing Students on National Healthcare Decision Day

Hunter College Nursing Students on National Healthcare Decision Day

Today is National Healthcare Decision Day–a time to make sure that you and your loved ones have documentation confirming who will be your health care proxy or agent in the event that you are unable to make your own health care decisions. Today, these fabulous Hunter College School of Nursing students are at the Brookdale Campus, talking with people about “advance directives” and helping them to complete a health care proxy form, living will, and other forms to ensure that people’s preferences regarding treatment are respected. Other students will be joining them throughout the day. Tomorrow, the students will do the same thing at the Main Campus on Lexington and 68th Street in NYC.

If you can’t get there, go to the web site for the National Healthcare Decision Day campaign at www.nhdd.org/ad/ for information and resources about these issues. And remember to tune in to Healthstyles this Thursday night from 11:00 to 11:30 on WBAI, 99.5 FM, NYC (www.wbai.org) to hear my Hunter colleague Dr. Vidette Todaro-Franceschi, PhD, RN, and lawyer Tina Janssen-Spinosa of the New York Legal Assistance Group talk about these issues.

As yesterday’s events in Boston demonstrated, you never know when you might need a health care proxy, so why wait?

These fabulous Hunter nursing students didn’t wait. They have theirs completed and have planned the two-days of information sharing at the College to help others do the same.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

[caption id="attachment_6148" align="aligncenter" width="300"] Hunter College Nursing

Have you talked with your loved ones about what is important to you regarding end-of-life care, such as whether you would want to be resuscitated if you were terminally ill and your heart stopped beating? Or whether you would want artificial hydration and nutrition if you were terminally ill and couldn’t make health care decisions for yourself?

April is Health Care Decision Month—a time to all of us to reflect on some of the decisions that we or our loved ones might confront around how we die. In keeping with this theme, Healthstyles is focusing its programs this month on how to have the conversations about how we want to die and how to take the legal steps in ensuring that others respect our wishes.

The first program aired last week on WBAI, 99.5 FM (www.wbai.org) and focused on why it’s important to complete an “advance directive” that designates who will make health care decisions for you it you become unable to do so.

The second program airs tonight and focuses on how to actually have the conversation about your health care wishes with someone who will serve as your health care proxy. These are not easy discussions for people who may not be comfortable talking about their own death or the death of a love one. But they are absolutely essential if we want to ensure that someone is acting in our best interests if we become incapacitated.

The third program will air next week and walk you through how to complete an advance directive and health care proxy form, as well as tell you how to make it available to health care providers. But you first have to have the conversation with a loved one.

 

The last program will air on April 25th and will discuss other legal documents related to end-of-life care, such as the POLST—Provider Orders for Life Sustaining Treatment—and the Do Not Resuscitate documents.

For the entire series, Healthstyles producers Barbara Glickstein, RN, MPH, and Diana Mason, RN, PhD, talk with Tina Janssen-Spinosa, JD, Staff Attorney for the New York Legal Assistance Group where she is Program Coordinator for Total Life Choices, an initiative to disseminate information about end of life planning and help people in their planning needs; and Vidette Todaro-Franceschi, RN, PhD, Professor of Nursing at Hunter College, City University of New York, and expert in end of life issues.

Remember that planning for the end of our lives is about planning for how we want to live.

Healthstyles is sponsored by the Center for Health, Media & Policy at Hunter College.

Have you talked with your loved ones

What comes to mind when you hear the phrase “retail health care?”

Flu shots at the local pharmacy? Perhaps a quick consult with a nurse at a Minute Clinic?

How about a state-of-the-art, first-of-its-kind health and wellness center situated amid Starbucks, Banana Republic, and other upscale strip mall retailers –  in the middle of  Lehigh Valley, Pennsylvania?

Capital Blue is an innovative effort by Capital Blue Cross to reach one community with basic health and wellness services.  It may sound a bit off the charts, but as Donna Lencki, Capital BC Chief Marketing Officer explained at Monday’s session on consumer engagement at the World Health Care Congress in Washington, DC, “we look at the retail location as an opportunity to engage our members, our consumers, or our community in a different fashion.”

As with any upscale store, Lencki said the emphasis is on customer service. The 6,700 square-foot space and prime location provide an opportunity to potentially reach some 650,000 residents within a 30 minute drive. “It’s a perfect opportunity to think about how we’re going to work with tomorrow’s consumer,” she said. The emphasis on health and wellness in the retail store aligns with the company’s overall mission of improving the health of their members, and of the community.

capblue

courtesy Capital Blue

Creating the right environment was critical. Lencki showed off the warm, modern space: a concierge desk welcomes “customers,” visitors are directed to appropriate areas to consult with a nurse “care guide,” or registered dietician, check in for a special event, attend an educational session, or fitness class. Parents can accompany their children to the Kid’s Zone, a place to play health-oriented educational games on Wii and iPad. Of course, there is also a sales and service center, where consumers can shop for insurance, get updates on health exchanges, or compare costs and quality metrics.

One goal is to make Capital Blue a “destination” whenever families visit the shopping center. “Kids develop an expectation that when they’re at the mall, this is a cool place to stop in and play, all with a good health influences,” Lencki said. The idea is to start them thinking about nutrition and health early in life and carry those habits through to adulthood.

According to Lencki, Capital Blue is the first insurer in the nation to tie a cafe concept to a retail health experience. She said it seemed obvious to make the connection between health and nutrition on premises.  They partnered with Rodale, publishers of several national consumer health magazines, and owners of a local catering company specializing in organic, wholesome meals. The cafe also offers cooking demos, and themed healthy cooking classes. “We did a healthy tailgating party class for the Superbowl, we’ve had book signings, and a Valentine’s special on the medicinal effects of dark chocolate,” Lencki said.

There’s also a health-screening area where nurses conduct assessments such as cholesterol screenings, blood pressure and BMI checks. A fitness area offers yoga, tai chi, and boot camp classes for adults, as well as yoga classes for children. Community meeting rooms are available for family counseling sessions, and there’s even an art gallery featuring local artists who display and sell their work. It’s another way to support all facets of well-being.  “Studies show that art can aid in our mental health and healing process,” Lencki told the audience.

We know we have to be creative with health reform when it comes to consumer engagement, she said. This space creates a different level of engagement across the entire spectrum of members, consumers, and community.

It’s only been a few months since launch, but if this concept proves viable, don’t be surprised if the mall becomes the hip destination for health.

What comes to mind when you hear