At Promyse Home Care, we believe in a team-based approach to care provision through the collaborative efforts of every member of the care circle. We collaborate closely with the broader healthcare team to ensure a coordinated approach that addresses both medical and emotional needs.
The following article is by Colleen Martin, Social Worker, MSW, RSW. Lassen Counselling was founded by Colleen and her spouse Andy, where they provide services for Waterloo and Wellington in person and throughout Ontario Online. The vision of Lassen Counselling is to help individuals achieve healthier lives, find meaning, and experience satisfaction through a diverse range of therapies and approaches.
Advance Care Planning
At any time, our health can change, and difficult decisions need to be made with clarity and precision regarding our future. Rather than leaving these decisions to chance, it is essential to consider, plan, and communicate our wishes to our family and healthcare providers.
Advance Care Planning (ACP) acts as a compass for navigating future medical decisions. This process empowers individuals to articulate their values, goals, and preferences regarding their future healthcare, especially in scenarios where they may not be able to communicate their wishes and someone else needs to make those decisions.
An Advanced Care Plan can be written down or communicated verbally to a substitute decision maker. An ACP can guide a substitute decision maker if a health care provider asks that person to make treatment decisions on behalf of someone unable to express themselves (for example, if they are unconscious after surgery).’
Why Is It Necessary to Plan Ahead?
According to the 2021 Advance Care Planning Canada National Poll, 93% of people in Canada believe it’s essential to discuss their future care wishes with family and friends. Yet, only one in five people has a plan. Some individuals think they will wait until they are older to plan; however, it’s ideal to begin having these conversations when you are younger and in good health. Starting early can make you feel more prepared and proactive in managing your future care.
Here’s Why Planning Ahead Matters:
Maintains Control Over Your Healthcare
You have the freedom to decide the type of care you want (or don’t want), especially if you’re unable to communicate your preferences in the future. This empowerment can instill a sense of control and confidence in your healthcare journey.
Prevents Unwanted Treatments
 Without guidance, others may choose all medical interventions, even if they don’t align with your values or wishes.
Reduces Stress and Conflict
 When your preferences are clearly documented, it removes the burden from family members who might otherwise have to make difficult choices in uncertain moments.
How Does Planning Ahead Support Your Family?
Advance care planning isn’t just about you – it’s a gift to your family, providing them with a sense of reassurance and comfort!
- Eases Emotional Burden: Knowing your wishes helps loved ones feel more confident and less anxious when it’s time to make decisions.
- Avoids Family Disagreements: Clear instructions reduce the risk of conflict among family members who may have different opinions about your care.
- Strengthens Communication: The process fosters meaningful conversations with family, enabling everyone to understand your values and priorities.
What Are the Barriers to Planning Ahead?
Despite its benefits, many people delay or avoid advance care planning.
Common barriers include:
Discomfort Talking About Death
It’s natural to avoid thinking about health challenges and end-of-life issues, but open conversations are essential to avoid uncertainty and possible misunderstandings between people requiring care and their family or friends.
Procrastination
Many believe they have time to deal with it later—until it’s too late.
Lack of Awareness
Some individuals are unaware that planning tools and resources exist, which can make conversations easier. Check out the Online Advance Care Planning Workbook HEREÂ
Cultural or Personal Beliefs
In some communities, discussing death is taboo, or there may be a belief that family should make decisions without formal guidance.
Taking the First Step
Advance care planning doesn’t need to be complicated. Start an informal conversation by reflecting on what matters most to you, such as quality of life, independence, and dignity, and discuss these values with your family members.Â
How Therapy Can Help
Through therapeutic support, individuals can explore their fears and hopes for the future in a safe and supportive environment. A therapist can help people articulate their values and preferences and assist them in managing the stress of decision-making. Sometimes clients find it helpful to receive input on how to have these difficult conversations with their family and friends.
Therapists can provide insight into advocating for oneself or a family member navigating the health care system. Going through these changes can be difficult, and therapists can provide resources and support to make the transition smoother.
Final Thought:
As a therapist who supports adults on their aging journey, I have supported both clients and my own family members with making these difficult decisions. Changes to one’s health can be stressful for you and your family, causing you to worry and making it difficult to enjoy your life fully.
Planning ahead isn’t about fearing the future—it’s about preparing for it with confidence. By making decisions now, you take control of your healthcare journey and give your family the comfort and assurance knowing they are honouring your choices.
Colleen Martin, Social Worker, MSW, RSWÂ Â Â Â Â Â Â
- Lassen Counselling          Â
