By Theresa Pichelmeyer, EdD, RN, President and CEO of Valley VNA Senior Care
National Health Care Decisions Day is April 16, a day set aside to educate and empower people and their family members about the importance of advance care planning. The Power of Attorney for Health Care, or POA-HC, is a document that any adult, age 18+ (the “principal”) completes and signs, naming another individual (the “agent”) to make one’s health care decisions when the principal might become unable to make those decisions for him or herself.
Most people never plan on becoming incapacitated. Many think a POA-HC is just for old people. However, every adult should think about a few situations where they, at any age, might need a POA-HC: a car, ATV, or snowmobile accident that leaves you in a coma; a prolonged bad reaction to a drug; an injury sustained in a violent crime; or a life-threatening event, like a stroke or progressive disease. Therefore, all adults, or a loved one who is becoming an adult, needs a POA-HC.
There are several important reasons why every adult, age 18 or older, should complete a POA-HC. The “next of kin” idea simply does not apply in modern times. In Wisconsin, a family member is not automatically authorized to make health care decisions for an adult relative unless he or she completes a POA-HC document naming that person as one’s agent. Secondly, it’s not just about end-of-life care. Hopefully the sick or injured person will recover from his or her health crisis. The POA-HC is about receiving the care one needs and wants when he or she can’t speak for oneself. Also, a person’s family may have to go to court to appoint a guardian without a POA-HC in place. This process can be costly, time-consuming, cumbersome, and emotionally draining. And then, a court-appointed guardian may not be the person the principal would have chosen. The appointed person may have no idea of the person’s wishes or what care he or she might or might not want.
Every adult should choose his or her agent carefully. A person’s health care agent, upon being activated, might make some very important decisions regarding choosing a doctor, treating a medical condition, managing pain, maintaining or refusing artificial hydration and nutrition, and consenting to or refusing surgery. Principals should be confident that their agent will follow their wishes. An agent should be able to resist pressure to influence a person’s choices from friends and family. Nor should the agent make decisions about a person’s care according to his or her own ideas. An agent should be capable of dealing with hospitals, doctors, and stressful health care situations and understand the choices surrounding the principal’s particular injury or condition. A health care agent should be assertive. He or she should be able to ensure that the principal is being treated properly and insist on full, open, and transparent communication with his or her care providers. A chosen health care agent should live nearby or be willing to travel if needed.
To be deemed incapacitated, two physicians must personally examine you and certify that a person can no longer receive, evaluate, and communicate his or her health care wishes. All adults should rest assured, despite creating the document, they keep their right to make their health care decisions as long as they are able. They can also update their POA-HC at any time to change their agent or add specific instructions. If a POA-HC is activated and a person regains his or her ability to make health care decisions, the POA-HC can be rescinded.
How to Prepare and Submit a POA-HC
Theresa Pichelmeyer, EdD, RN, President & CEO
Valley VNA Senior Care
In January 2022, Valley VNA will turn 114! We are proud of our steadfast commitment to the health and happiness of older adults in our community and their families.
Steadfast means resolutely or dutifully firm and unwavering; the resolve not to be persuaded or worn down to be something we are not. When I set foot inside Valley VNA each new day, these are some of the things I see, hear, and experience. These things are infused with loyalty, commitment, and devotion to the people and culture of Valley VNA. Put another way, they really show what we stand for:
On December 9, the community of Valley VNA celebrated 30 years of Love Light Angels, the opportunity for residents, families, and community members to dedicate an ornament on our Love Light Angels tree in honor of someone special. Three decades in, and our community remains steadfast in support of Valley VNA’s special Christmas tribute.
Valley VNA volunteers are some of the kindest people I know. They remain committed to safely engaging with our clients and residents, from spiritual companionship to rickshaw rides (during the biking season) and other opportunities like gardening or reading. We are especially proud of Valley VNA volunteers who discover the passion we have for our vocation. In fact, two of them of them recently accepted employment at Valley VNA, and we couldn’t be happier:
When there is a call for more hands on deck, especially during this difficult era that combines pandemic precautions and staffing challenges across the health care field, our existing team members consistently step up. I see staff members pitching in to fill open shifts to support one another—and the residents and families we serve.
Many of our community programs are up and running, from Foot Care Clinics to Respite Care Programs and Meals on Wheels. As humans, we know that the need for health and social connections do not dissipate during difficult times—they become more important than ever.
Thank you for your steadfast support of Valley VNA. As we strive to serve, you consistently respond with kind words, staff treats, and support for our mission. Happy holidays and best wishes for a good 2022—Valley VNA’s 114th year! Know that the people of Valley VNA remain steadfast in our commitment to our community and those we serve.