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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

Advance Directives and Health Care Proxies

There is one thing that is certain and that we all have in common: all of us will die. But how we die may depend upon the decisions that each of us makes. How would you answer the following questions?

  1. Do you have an ‘advance directive’? Do you know what this is and why it’s important?
  2. Do you have a ‘health care proxy’ or ‘agent’?
  3. Have you talked with your loved ones about what is important to you regarding end-of-life care?
  4. Would you want to be resuscitated if you were terminally ill and your heart stopped beating?
  5. Would you want artificial hydration and nutrition if you were terminally ill and couldn’t make health care decisions for yourself?

If you don’t have clear answers to these questions, you’re not alone. We live in a death-denying society that seldom has open and honest conversations about dying. But these conversations are crucial for trying to make sure that health care providers and your loved ones will make the right decisions about your health care if you are incapacitated.

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 four 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 airs tonight on WBAI, 99.5 FM (www.wbai.org) and focuses on why these issues are important. New York’s Family Health Care Decision Act is discussed as an example of legal protections that were developed with good intentions but fall short of being able to make sure that a family member is acting in your best interests, if you can’t make your own health care decisions. We share web resources that can be used by people from any state in the US to find out about specific laws and documents that pertain to protecting your health care rights.

The second program will focus on how to have the conversation about your health care wishes with someone who will serve as your agent, in the event you are unable to make these decisions for yourself. The third program will 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. The last program 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.

So tune in each Thursday evening from 11:00 to 11:30 this month to listen in on this important series of programs.

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.

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