What is your opinion about how helpful it would be to your family and healthcare team in determining what you would want if you couldn’t speak for yourself? 

Please refer to your 5 Wishes Booklet and complete your own advance directive using this 5 Wishes document. DO NOT SUBMIT YOUR ADVANCE DIRECTIVE AS IT IS PERSONAL. After completing it, please respond to the questions below.  Paper should include at least 1 paragraph per question (unless otherwise stated) and should be double spaced pages using college-level writing as per APA. A title page is required but references are not necessary. Please make sure to clearly delineate each question (using an abbreviated question as a subhead is best; such as Completed 5 Wishes, Opinion, Wish 3, etc.).  The assignment is due by Monday at 11:59 pm of Week 3. It is to be submitted through the assignments folder in Blackboard in .doc or .docx formats ONLY. Do NOT email it to me as it won’t be graded if sent via email. This assignment is worth 15 points (10% of final grade). Eighty (80) percent – 12 points – of the grade will be based on the CONTENT (quality of the content, inclusion of required elements). Twenty (20) percent- 3 points – will be based on FORMAT (the finished paper form and style, grammar, spelling).  Please note the grading rubric and pay particular attention to the exemplary column.

Respond to each of these questions.

1. Did you complete the 5 Wishes document and on what date did you officially sign it? Only 1 sentence required.

2. What is your opinion about how helpful it would be to your family and healthcare team in determining what you would want if you couldn’t speak for yourself?

3. How did you feel about completing this advance directive when the assignment was first discussed? How do you feel now that you have completed the advance directives and discussed them with your health care agent? (Be honest!….there are no right or wrong answers.)

4. Who (by relationship not name) did you pick as your health care agent and why (Wish 1)?

5. Describe and discuss the rationale for the kind of medical treatment you want (Wish 2) in one of the 4 situations.

6. Please give an overview of how comfortable you want to be (Wish 3) and why.

7. Please give an overview of how you want to people to treat you (Wish 4) and why.

8. Please give an overview of what you want your loved ones to know (Wish 5) and why.

9. What did you do and how did you feel immediately after you completed the Five Wishes?

10. What do you think about the use of advance directives after doing this assignment? Do you believe they are more or less helpful than you thought before?











in the article, Hoping for a good death, Reis (2014) explains the experience and witnessing of medical care for her father prior to his passing. In this article, Elizabeth Reis states: The biggest lesson I have learned is that every family should not only discuss end-of-life wishes but should act on them by filling out an advance directive. If my father had completed one, his end might have played out differently. This means when it comes down to end-of-life care and wishes these should be made known in advance to follow the client’s best wishes when they are unable to state themselves. Also to avoid any confusion between any of the parties such as physicians and or family members. Reis (2014) made a reference on how one doesn’t want to live hooked up to machines. At the end of life care, some like the case of her father are hooked up to the machines. Her father himself wouldn’t agree with these interventions and would rather have nature take its course. Unfortunately, no one was able to communicate this not even the patient himself when Reis got there. This is why an advanced directive should be made prior to avoid confusion and disagreement between parties varying from the patient choice. If the father had an AD, then guilt can be relieved from whether he would have wanted to stay on life support or pass without life support. The ending could have been different, maybe a miracle could’ve happened if he stayed on life support longer, or maybe he could’ve stayed off the machines and let nature take the course to see how things would play out. At the end of the day, it’s the client’s choice, but If they can’t communicate for themselves living wills or someone with power who was appointed should be decisions that would suit the client’s decisions. Advance directives do make a huge difference and one of the biggest interventions that can be done is through visits with physicians and or family members, it should be discussed repeatedly until the end. Making sure the client has one or a plan of some sort will allow for little to no confusion in the end-of-life stage and the care regarding it. Planning in advance at physician visits or even at home with the family will allow the advance directives of the individual to stay up to date between all parties.



This article demonstrates clearly the need for an advanced directive. Although the author was very knowledgeable concerning end of life care and medical ethics, her own father’s wishes concerning his care may have been neglected (Reis, 2014). It seemed that this was eye opening for the author as she had dealt with many other similar situations within her own career, however, she finally understood how important advanced directives are only after her family was struck by their own medical tragedy. Although she had just had a conversation about end of life wishes with her father, she did not fill out an advanced directive. An advanced directive is followed by healthcare professionals. Without an advanced directive, patients will be treated according to life saving protocols. By the time the family could respond to the tragedy, the healthcare teams had already provided many interventions that the father had previously requested that he not receive (Reis, 2014). The author speaks a lot about hope, and that clinging onto hope of recovery prevented them from following his end of life wishes sooner. If the father had filled out an advanced directive that detailed his exact wishes in a situation such as the one that occurred, the healthcare team would not have initiated certain interventions such as the induced therapeutic hypothermia (Reis, 2014). Instead, the father would have passed away quickly according to his own personal choices detailed in an advanced directive. This essay, and other educational materials will promote the use of advanced directives. To further promote them, it is necessary that individuals are educated concerning advanced directives well in advance. Education can take place in many avenues, but as a nurse, I will have the opportunity to discuss advanced directives with my patients to promote the exercising of personal choice in end of life care.


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