Now's the Time to Make Your Wishes Known: Advance Care Planning
During the new year, most of us are busy organizing our closets or even mapping out retirement funds, but there is one crucial piece of the puzzle often left off the to-do list. Learn everything you need to know about advance care planning with Elizabeth Golding, DO, Medical Director of Cone Health Palliative Care Services, in this 2 Your Well-Being conversation with WFMY.
It’s Not Just for the Elderly
A common misconception is that advance care planning is only for those facing a terminal illness or reaching their twilight years. Dr. Golding suggests a different starting point: Age 18.
"Unexpected accidents can happen at any age," Dr. Golding explains. Once you are legally an adult, you are responsible for your own medical decisions. Planning early ensures that if a crisis hits—like a sudden car accident—the people you trust most aren't forced to make high-pressure decisions without a map.
The Two Documents You Need
In North Carolina, advance care planning primarily revolves around two key documents:
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Living Will: This allows you to express exactly what kind of medical treatment you want (or don't want) if you become severely incapacitated and unable to speak for yourself.
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Healthcare Power of Attorney (HCPOA): This names a "Healthcare Agent"—a person you trust to make decisions on your behalf.
Pro Tip: Your HCPOA doesn't have to be a spouse! It should be the person you believe is best equipped to follow your wishes under pressure.
The "Gift of Clarity"
Many people avoid these conversations because they feel heavy or morbid. However, Dr. Golding reframes this as an act of love.
"It tears families apart when they don’t have that clarity," she notes. When a medical crisis occurs, emotions run high. By having your wishes in writing, you remove the "burden of the unknown" from your family's shoulders. They don't have to wonder if they did the right thing; they know they did because you told them.
Myths vs. Reality
Myth: "If I sign these forms, the doctors will stop fighting for me."
Reality: These documents are designed to protect you, not limit your care. They ensure that the care you receive aligns with your personal values. You maintain total control over your medical choices as long as you have the capacity to communicate.
Myth: "Once it's signed, it's set in stone."
Reality: These are dynamic documents. You can update your preferences or change your designated Power of Attorney at any time as your life and relationships evolve.
How to Get Started
Getting your documents in order is easier than you might think:
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Download the Forms: Access the Cone Health Advance Care Planning packet with all the necessary paperwork.
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Use MyChart: You can also access and store these documents through the Cone Health MyChart app.
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Talk to Your Doctor: Your primary care provider is a fantastic resource to help guide you through the medical and legal nuances of these forms.
- Include Your Loved Ones: Start a conversation with those close to you about your wishes before a serious event occurs.
