ROJoson PEP Talk: HEALTHCARE DECISIONS DAY AWARENESS

1. HEALTHCARE
DECISIONS
DAY
AWARENESS
April 01, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.

2. HEALTHCARE
DECISIONS
DAY
AWARENESS
April 01, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
Group pictures at start and
end of PEP TALK – show your
face in video.

3. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

4. Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation

5. HEALTHCARE
DECISIONS
DAY
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

6. HEALTHCARE
DECISIONS
DAY
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!

8. HEALTHCARE
DECISIONS
DAY
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.

9. I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.

10. From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm and
perseverance.

11. HEALTHCARE
DECISIONS
DAY
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.
My PEP TALK today is
entitled:
HEALTHCARE
DECISIONS DAY
AWARENESS
in consonance with
the advocacy of
HEALTHCARE
DECISIONS DAY in
April 16, 2023 (USA)

12. Contents
• What is Healthcare Decisions Day?
• What are Advance Healthcare Directives?
• What are the benefits of Advance Healthare
Directives?
• What are 2 initiatives that try to facilitate
making of a formal Advance Healthcare
Directives?
• Samples of ROJoson Advance Healthcare
Directives and 5 Wishes
HEALTHCARE
DECISIONS
DAY
AWARENESS

13. Healthcare Decisions Day is a project
started in the USA (2008) used to inspire,
educate and empower the public and
providers (healthcare providers) about
the importance of advance health care
planning.
- an initiative to encourage patients to
express their wishes regarding healthcare
and for providers and facilities to respect
those wishes, whatever they may be.
HEALTHCARE
DECISIONS
DAY
AWARENESS

14. I am glad that America is continually promoting
awareness of the importance of the advance
directives.
In America, April 16 has been declared on
National Healthcare Decisions Day, “part of a
national campaign to encourage Americans to
complete their advance directives or living wills
and document their desires regarding medical
treatment at the end of life.
” http://www.nhdd.org
I support this project.
HEALTHCARE
DECISIONS
DAY
AWARENESS
There is NO such
formal and wide-
scale initiative yet in
the Philippines.

15. In the Philippines,
I think we should also have a national campaign
similar to that in the USA to encourage more
Filipinos to make their advance directives or
living wills.
Awareness and advocacy campaigns should be
conducted by both physicians and health care
institutions regardless of specialty.
The campaigns should not be delegated to the
hospice specialists only.
HEALTHCARE
DECISIONS
DAY
AWARENESS

16. Advance care planning starts with talking with
your loved ones, your healthcare providers, and
even your friends - all are important steps to
making your wishes known.
These conversations will relieve loved ones and
healthcare providers of the need to guess what
you would want if you are ever facing a
healthcare or medical crisis.
HEALTHCARE
DECISIONS
DAY
AWARENESS

17. Advance directives are the main targets of the
Healthcare Decisions day.
“Advance Directives” are legal documents (Living
Will and Healthcare Power of Attorney)
that allow you to plan and make your own end-
of-life wishes known in the event that you are
unable to communicate.
http://www.caringinfo.org/i4a/pages/index.cfm
?pageid=3537
HEALTHCARE
DECISIONS
DAY
AWARENESS

18. As early as 2006, I have made a formal
declaration of my wishes on how I am going to
die. I have made an advance directive or living
will, the other term for an advance directive.
I have been regularly updating my advance
directive almost every year.
HEALTHCARE
DECISIONS
DAY
AWARENESS

19. I have not have my living will notarized since
2006.
I felt it is NOT necessary. I personally think,
especially, in the context of my family
environment, it is enough that my immediate
and extended family members know that I have
such a documented will and they know my
wishes.
HEALTHCARE
DECISIONS
DAY
AWARENESS
A common practice
or expectation
though is that
advance directives
should be notarized
making them legal
documents to
prevent conflicts
between patients
and relatives; among
relatives; and
patients, relatives
and healthcare
providers.

20. For me and for others -----
Advance directives will be of great help to my
family members, physicians, and also to myself in
decision-making during my end-of-life stage.
Foremost, they will help me die with dignity and
with shortest duration of agony.
They will also keep my hospitalization and
medical expenses to just a “necessary
“minimum.
HEALTHCARE
DECISIONS
DAY
AWARENESS

21. In the past and at present, I have seen quite a
number of patients and relatives suffering,
physically, emotionally, and financially, that
could have been minimized if not avoided by the
presence of advance directives and end-of-life
counseling by physicians.
HEALTHCARE
DECISIONS
DAY
AWARENESS

22. My advance directive
ROJoson Advance Health Care Directive and
Implementing Guidelines and Instructions
can be seen in
https://rojoson.wordpress.com/2021/08/28/rojoson-
advance-health-care-directive-and-implementing-
guidelines-and-instructions/
HEALTHCARE
DECISIONS
DAY
AWARENESS

23. It is not easy to make an “advance directive.”
A lot of people
- Do not want to talk and more so, to think
about death, the inevitable event for
everyone.
- Do not know the healthcare problems and
challenges during the near-end of life.
- Do not know what to place in a healthcare
advance directive or living will.
HEALTHCARE
DECISIONS
DAY
AWARENESS
Advocates of
Advance Directive
are trying their best
to promote the
initiative through
various “friendly
strategies, such as
• The Conversation
Project
• The 5 Wishes

24. The Conversation Project of the Institute for
Healthcare Improvement is dedicated to helping
people talk about their wishes for care through
the end of life so those wishes can be
understood and respected.
https://www.facebook.com/TheConversationPro
ject/
HEALTHCARE
DECISIONS
DAY
AWARENESS
Advocates of
Advance Directive
are trying their best
to promote the
initiative through
various “friendly
strategies, such as
• The 5 Wishes
• The Conversation
Project

25. 5 things that advocates from the The Conversation Project say you
should know about starting this conversation with your loved ones.
1. You can start out by writing a letter—to yourself, a loved one, or a
friend — and you might consider having a practice conversation with
someone you trust.
2. Try finishing the sentence ‘What matters to me at the end of life
is…’
3. You can broach the topic by saying things like “I was thinking about
what happened to , and it made me realize…” or “I need to think
about the future. Will you help me?”
4. You don’t have to steer the conversation; just let it happen.
5. Keep in mind there are legal and medical documents you should
think about producing for the Advance Directive.
HEALTHCARE
DECISIONS
DAY
AWARENESS

26. Five Wishes is a document that, like other
advance directives, makes your wishes known
ahead of time. It is unique among other advance
directives, however, because it addresses all of a
persons needs: medical, personal, emotional,
and spiritual.
HEALTHCARE
DECISIONS
DAY
AWARENESS

27. According to Aging with Dignity
(http://www.agingwithdignity.org) the
organization that created Five Wishes, the
document lets your family and health care
providers know:
1.Which person you want to make health care
decisions for you when you can’t make them.
2.The kind of medical treatment you want or
don’t want.
3.How comfortable you want to be.
4.How you want people to treat you.
5.What you want your loved ones to know.
HEALTHCARE
DECISIONS
DAY
AWARENESS

28. Below are my 5 wishes (2023):
WISH 1
The Person I Want to Make Health Care Decisions
for Me When I Can’t Make Them for Myself.
1. First Choice: My wife
2 Second Choice: Consensus of my son and
daughter
HEALTHCARE
DECISIONS
DAY
AWARENESS

29. WISH 2
My Wish for the Kind of Medical Treatment I
Want or Don’t Want.
I believe that my life is precious and I deserve to
be treated with dignity. When the time comes
that I am very sick and am not able to speak for
myself, I want the following wishes, and any
other directions I have given to my Health Care
Agent, to be respected and followed.
HEALTHCARE
DECISIONS
DAY
AWARENESS

30. What You Should Keep in Mind as my Caregiver
• I do not want to be in pain. I want my doctor to
give me enough medicine to relieve my pain,
even if that means that I will be drowsy or sleep
more than I would otherwise.
• I want to be offered food and fluids by mouth.
HEALTHCARE
DECISIONS
DAY
AWARENESS

31. Life-support treatment
• Close to death:
• In a Coma and Not Expected To Wake Up or
Recover:
• Permanent and Severe Brain Damage and Not
Expected to Recover:
I do not want life-support treatment. If it has
been started, I want it stopped.
HEALTHCARE
DECISIONS
DAY
AWARENESS

32. Life-support treatment
In Another Condition Under Which I Do Not Wish
to Be Kept Alive:
Advanced cancer, stroke, and other severe
disability and terminally-ill diseases
HEALTHCARE
DECISIONS
DAY
AWARENESS

33. WISH 3
My Wish for How Comfortable I Want to Be.
• I do not want to be in pain. I want my doctor to
give me enough medicine to relieve my pain,
even if that means I will be drowsy or sleep more
than I would otherwise.
• If I show signs of depression, nausea, shortness
of breath, or hallucinations, I want my care givers
to do whatever they can to help me.
• I want my lips and mouth kept moist to stop
dryness.
HEALTHCARE
DECISIONS
DAY
AWARENESS

34. WISH 3
My Wish for How Comfortable I Want to Be.
• I wish to have warm baths often. I wish to be
kept fresh and clean at all times.
• I wish to be massaged as often as I can be.
• I wish to have my favorite music played when
possible until my time of death.
• I wish to have personal care like shaving, nail
clipping, hair brushing, and teeth brushing, as
long as they do not cause me pain or discomfort.
• I wish to have religious readings and well-loved
poems read aloud when I am near death.
HEALTHCARE
DECISIONS
DAY
AWARENESS

35. WISH 4
My Wish for How I Want People to Treat Me.
• I wish to have people (my family members)
with me when possible. I want someone to be
with me when it seems that death may come at
any time.
• I wish to have my hand held and to be talked to
when possible, even if I don’t seem to respond to
the voice or touch of others.
• I wish to be cared for with kindness and
cheerfulness, and not sadness.
HEALTHCARE
DECISIONS
DAY
AWARENESS

36. WISH 4
My Wish for How I Want People to Treat Me.
• I wish to have pictures of my loved ones in my
room, near my bed.
• If I am not able to control my bowel or bladder
functions, I wish for my clothes and bed linens to
be kept clean, and for them to be changed as
soon as they can be if they have been soiled.
• I want to die in my home, if that can be done.
HEALTHCARE
DECISIONS
DAY
AWARENESS

37. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• I wish to have my family and friends know that
I love them.
• I wish to be forgiven for the times I have hurt
my family, friends, and others.
• I wish to have my family, friends and others
know that I forgive them for when they may have
hurt me in my life.
HEALTHCARE
DECISIONS
DAY
AWARENESS

38. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• I wish for my family and friends to know that I
do not fear death itself. I think it is not the end,
but a new beginning for me.
• I wish for all of my family members to make
peace with each other before my death, if they
can.
HEALTHCARE
DECISIONS
DAY
AWARENESS

39. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• I wish for my family and friends to think about
what I was like before I became seriously ill. I
want them to remember me in this way after my
death.
• I wish for my family and friends and caregivers
to respect my wishes even if they don’t agree
with them.
HEALTHCARE
DECISIONS
DAY
AWARENESS

40. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• I wish for my family and friends to look at my
dying as a time of personal growth for everyone,
including me. This will help me live a meaningful
life in my final days.
• I wish for my family and friends to get
counseling if they have trouble with my death. I
want memories of my life to give them joy and
not sorrow.
HEALTHCARE
DECISIONS
DAY
AWARENESS

41. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• After my death, I would like my body to be
cremated.
• My remains should be put in Manila Memorial
Park.
• The following persons know my funeral wishes:
My wife, my son, and my daughter.
HEALTHCARE
DECISIONS
DAY
AWARENESS

42. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• If anyone asks how I want to be remembered,
please say the following about me:
To my family –
Good husband –
•Responsible
•Loving
•Faithful
•Provide material needs
•Provide emotional needs
•Support wife’s emotional needs
•Promote wife as a human being (rights)
HEALTHCARE
DECISIONS
DAY
AWARENESS

43. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• If anyone asks how I want to be remembered,
please say the following about me:
To my family –
Good father –
•Provide companionship
•Serve as a role model
Good man –
•Man for family
•Man for others
HEALTHCARE
DECISIONS
DAY
AWARENESS

44. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• If anyone asks how I want to be remembered,
please say the following about me:
To my acquaintances –
Good man
Man for family
Responsible father
•Provide
•Support
•Promote children as human beings
•Provide companionship
•Serve as role model
HEALTHCARE
DECISIONS
DAY
AWARENESS

45. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• If anyone asks how I want to be remembered,
please say the following about me:
To my acquaintances –
Man for others
Vision-mission
•For himself
•For his family
•For his community
HEALTHCARE
DECISIONS
DAY
AWARENESS

46. WISH 5
My Wish for What I Want My Loved Ones To
Know.
• Epitaph on my tombstone: Good Husband,
Father, Man, Physician, and Teacher (with my
picture on tombstone)
• I don’t like memorial services.
• I will donate organs from my body that are
“donatable.”
Reynaldo O. Joson (Sgd)
March 22, 2023
HEALTHCARE
DECISIONS
DAY
AWARENESS

47. Contents
• What is Healthcare Decisions Day?
• What are Advance Healthcare Directives?
• What are the benefits of Advance Healthare
Directives?
• What are 2 initiatives that try to facilitate
making of a formal Advance Healthcare
Directives?
• Samples of ROJoson Advance Healthcare
Directives and 5 Wishes
HEALTHCARE
DECISIONS
DAY
AWARENESS
Summary
Take Away

48. For me and for others -----
Advance directives will be of great help to my
family members, physicians, and also to myself in
decision-making during my end-of-life stage.
Foremost, they will help me die with dignity and
with shortest duration of agony.
They will also keep my hospitalization and
medical expenses to just a “necessary
“minimum.
HEALTHCARE
DECISIONS
DAY
AWARENESS
Summary
Take Away

49. In the past and at present, I have seen quite a
number of patients and relatives suffering,
physically, emotionally, and financially, that
could have been minimized if not avoided by the
presence of advance directives and end-of-life
counseling by physicians.
HEALTHCARE
DECISIONS
DAY
AWARENESS
Summary
Take Away

50. Be always in touch with reliable medical
information on ADVANCE DIRECTIVES.
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
making ADVANCE DIRECTIVE in one’s
health management.
Take Away in
relation to
Patient
Empowerment
HEALTHCARE
DECISIONS
DAY
AWARENESS

51. HEALTHCARE
DECISIONS
DAY
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISION DAY
AWARENESS in their
health management.

52. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

53. Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation

54. HEALTHCARE
DECISIONS
DAY
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

55. HEALTHCARE
DECISIONS
DAY
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of the HEALTHCARE
DECISIONS DAY
AWARENESS in their
health management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START Q&A AND
INTERACTIONS!
Pls. turn on your
video!
Show your face!