short description:
Planning for Death

Creating Our Own Advance Directives for Medical Care

     In preparing for our own deaths,
we should ask 24 basic Questions,
discuss them with our loved ones,
put our decisions into writing, & appoint proxies.
This workshop will be an opportunity to meet
with others who are asking the same Questions,
deciding their own medical ethics,
and how they want to be treated at the end life.
    Discussion leader: James Park,
existential philosopher and medical ethicist.



one-page description:

Planning for Death

Creating Our Own Advance Directives for Medical Care


    Terri Schiavo, Nancy Cruzan, & Karen Ann Quinlan
all were sustained on elaborate life-supports for many years
after they had ceased to function as human persons
because they did not have Advance Directives stating otherwise.
Whatever style we choose for our own dying,
we should put it into writing.


    An Advance Directive for Medical Care
is a signed and witnessed legal document
setting forth our own personal medical ethics,
stating clearly how we want to be treated at the end of our lives.
Especially if we want something other than standard medical care,
we must put our wishes into writing.

    The first part of any Advance Directive is appointing proxies
to make our medical decisions for us if we become incapable of deciding.
These surrogates will enforce whatever we put in our Advance Directives.
The U.S. Supreme Court has ruled (in the Cruzan case)
that states may require clear and convincing evidence
for some life-ending decisions (such as withdrawing food and water).
Thus, merely having a proxy is not sufficient.
We must leave written instructions for at least some decisions.
The easiest way to make sure our wishes are carried out
is to write
an "Advance Directive for Medical Care".
In Minnesota, this is called an "Advance Care Directive".

    Creating our Advance Directives can take 1 hour, 10 hours, or 100 hours.
But even a simple 'living will' is much better than no writing at all.
State laws allow us to write comprehensive Advance Directives for Medical Care.
(James Park's Advance Directive is 50 pages long.)

    This workshop is an opportunity for us to discuss our own
medical ethics and to create our own individual Advance Directives.
If we already have Advance Directives,
this workshop will allow us to review and revise them,
which we should do every five years.

    We will discuss 24 Questions that will open up our thinking.
Some of the themes:
quality of life; Alzheimer's disease; pain control; nursing homes;
financial limits; termination of treatment; DNR; right-to-die;
definitions of death; disposition of remains; & philosophical-religious issues.
Here are 24 open-ended Questions for a comprehensive Advance Directive:

https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/Q-L-WILL.html

    We will explore these 24 Questions as deeply as we wish
and compare notes about obtaining cooperation and consent from others
—and any other problems we might encounter.

    This group will gather people who are ready and willing to discuss death.
Getting to know others who are considering how to meet their own deaths
might be the most valuable part of this workshop.
Participants are encouraged to attend with their proxies and/or other family members.
Whole families can attend together.

    Each person who completes this workshop
will have a written Advance Directive for Medical Care
expressing his or her own wishes.
We will finish the workshop by signing our Advance Directives,
which will be witnessed by other members of the group.
We will then have legal, enforceable documents for our end-of-life care.
(And, as said above, we should review and revise these documents every five years.)

DATES:
TIME:

LOCATION:

FEE: Free of charge.

LEADER: James Park is an existential philosopher and medical ethicist.
He has been offering adult education classes for over 40 years.
He is the author of a comprehensive book on Advance Directives:
Your Last Year:
Creating Your Own Advance Directive for Medical Care
,
which is organized around the same 24 Questions used in this workshop.
This book will be our basic resource for this workshop.
You will find the 4-page table of contents for this book here:
https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/AD-OUT-NET.html
This table of contents leads to about 30 selections from Your Last Year.
James Park's Advance Directive for Medical Care
is available free of charge on the Internet:
https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/JP-LW.html
It is also printed as a part of his book on Advance Directives.

    If you would like to know more about James Park's experience
in alternative adult education, see this profile:
https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/JP-AL-ED.html



This seminar as offered by the Experimental Educational Community of the Twin Cities (EXCO):

Planning for Death

Creating Our Own Advance Directives for Medical Care

  
    This class is not a lecture series, since the printed book is better
at explaining your options for medical care at the end of your life.
Rather, we will have maximum discussion among the people
who choose to join this group.
You are encouraged to bring your chosen proxies.
Two people can be proxies for each other,
but they should name others as back-up proxies.

    How might YOU decide to join this workshop?
First you look inside the book as deeply as you wish.
Many pages of the text are available on the Internet.
See if these Questions and possible Answers
might help you create your own Advance Directive for Medical Care.

    Your Last Year: Creating Your Own Advance Directive for Medical Care
is divided into six Parts as shown in the table of contents.
After the opening session in which we introduce the workshop participants
and preview all 24 Questions,
we will devote one week to each Part,
which means writing about 4 Answers before each session.
We will share our struggles with those Questions
and perhaps some of our Answers.
We might decide to handle more than 4 Questions at each meeting,
which would make the series shorter than the planned 7 weeks.
How long will it take you to complete your Advance Directive?



distant-learning syllabus:

Planning for Death

Creating Our Own Advance Directives for Medical Care

    If attending this workshop is not convenient,
you can still create your own Advance Directive at home.

Resources:

1. 24 Questions for Your Advance Directive for Medical Care.
If you want to create a comprehensive Advance Directive,
you will should write at least a few comments
in response to each of these Questions.
Be sure to discuss your Answers with your proxy or proxies,
so that you can extend and clarify your Answers as needed.

2. Advance Directives for Medical Care:
24 Important Questions to Answer

Each of the 24 Question gets three or four lines of further explanation.

3. Choosing Your Own Pathway Towards Death
You can specify how you want to meet death
by answering these 18 Questions.

4. James Park's Advance Directive for Medical Care .
My Advance Directive is organized around the 24 Questions.
Would you like to see how one person has answered the Questions?

5. A Summary of James Park's Advance Directive .
If you do not want to read the complete 50-page version above,
a 4-page summary is also available, 
which answers each Question in one paragraph only.
And if the brief Answer is not sufficient,
you can always refer to the complete Answer in #4 above.

6. Books on Advance Directives.
If you want more input to help you consider
all the issues of medial ethics you must decide for yourself
in creating your Advance Directive,
you should consult the most useful of these books.

7. Your Last Year: Creating Your Own Advance Directive for Medical Care .
This is the main printed resource for distant learners.
This book of more than 250 pages explains all the options involved in
answering the 24 Questions for a comprehensive Advance Directive.

8. Free consultation service from James Park.
If you would like someone besides your proxies and doctors
to read your Advance Directive,
send it (or parts of it) by e-mail to me:
James Park , e-mail:
parkx032@umn.edu

9. Advance Directive Portal .
This lists all of the resources named above,
but some additional ones might be added as they are suggested.



created May 20, 2001; revised 12-3-2008; 12-6-2008;
2-8-2009; 3-23-2009; 3-24-2009; 5-15-2009; 5-23-2009; 7-13-2009; 3-14-2010; 4-17-2010; 11-2-2010;
8-12-2012; 8-22-2012; 8-25-2012; 9-15-2012; 4-20-2013; 3-7-2014; 5-19-2014; 3-30-2017;



A presentation (rather than a workshop) on 'Living Wills'
is also available:
Your 'Living Will':
Decide Your Medical Ethics
and Write Your Advance Directive
In the first several years, the class was called 'Living Will' Workshop.


Return to the MEDICAL ETHICS page.


If you would like to read some books on Advance Directives,
go to the Advance Directives Bibliography .


Go to the beginning of this website
James Leonard Park—Free Library