Sunday, June 13, 2010

What If

Most of my previous blogs are about our family's struggle with Sickle Cell Disease but this time I am faced with a new situation.
My younger brother died of cancer last year. Now this year my older brother has terminal cancer. There are decisions to be made that are uncomfortable to think or talk about. Because I am a nurse doesn't make this any easier. Most people have heard of Living Wills or advanced directives. This is where you put your wishes for care and end of life decisions onto paper. The problem is most of us have not done so . I do not have a living will neither does my husband.
Talking about what treatments you want or don't want plus where you will be buried etc is tough . It is so much easier to just go on each day and ignore this part of life.
My brother is still of sound mind and I hope he will continue to tell me what he wants or doesn't want. It just needs to written down.
I know from being a nurse for 30 years that things are so stressful at a persons time of death having wishes clearly communicated is ideal. Having a living will and making end of life care decisions doesn't mean that a person receives less care. It guides everyone for when the person can not speak for themselves.
As health care professionals we are in-serviced about this etc. Thats all fine except when its your own loved one then the discussion is tough. My brother loves life and over the last 3 weeks or so his worst fears have come to truths.
There are so many laws that are different in each state and it is important to know them.

When he was transfered from the hospital to the nursing home The papers that showed it was ok for us to have his information were not yet in the chart. The nurse could not even tell me if he made it there safely. That is called HIPPA law. Luckily I had a copy in my purse and could fax it to them.

This is important becuase if we are in an accident or are ill and want someone to know we must list a person or persons to have access to our information.
Can you imagine lying in a hospital for days or weeks and no one knows where you are because the hospital by law cant tell anyone?

If you are sending your child to college it is the same. If they get sick eventhough you pay the health insurance and the bills you will not be able to find out their condition unless they have you listed on their forms.

Now to add stress on top of stress the state of Wisconsin requires you to go thru each and every possible senario and each point has to be in writing. They do not recognize wives and adult children and siblings in the decision making each person has to be listed by the individual while they are of sound mind.

You feel so much pressure for your loved one to make their end of life wishes known. It is like a race with the clock.

Going thru this with my brother makes me realize how out of order my own affairs really are.

We have to sit down and ask each other what do you want?

We do not know when God will call us home.
Preparing the earthly stuff for this journey will no doubt make it easier for those we leave behind.

As always I ask for your help in breaking the Sickle Cycle log on to www.20kfilms.com check out our documantary in the making called Sick Cells , spread the word about this disease and continue your prayers.
Together we all will make a difference.

Thank you for listening .
Have a blessed day.

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