Caregiving with Advanced Illness

Medios para una comunicación eficaz para proveedores de atención médica y cuidadores (Spanish)

Cuando un ser querido necesita atención médica, tradicionalmente recurrimos a profesionales para despejar dudas, obtener un diagnóstico certero y opciones de tratamiento. En el pasado, los médicos eran la autoridad indiscutible que llevaba la voz cantante en las discusiones con sus pacientes sobre atención médica. Pero las cosas han cambiado, y la relación con el médico también.

Pathways to Effective Communication for Healthcare Providers and Caregivers

Any time our loved ones need medical care, we traditionally rely on professionals to answer our questions, diagnose properly, and recommend treatments. In the past, doctors were unquestioned authorities who took the lead in discussions with their patients on medical care. But things have changed; the relationship has shifted.

Trastorno neurocognitivo asociado con el VIH (HIV-associated Neurocognitive Disorder — HAND)

Desde el comienzo de la epidemia del SIDA, más de tres décadas atrás, doctores, cuidadores familiares y amigos, y los propios pacientes han observado que algunas personas afectadas por la enfermedad experimentaban un deterioro de la función cerebral y de la capacidad de movimiento así como también cambios en el comportamiento y el estado de ánimo. Este trastorno recibió el nombre de trastorno neurocognitivo asociado al VIH (HIV‑associated Neurocognitive Disorder - HAND, por sus siglas en inglés).

Now it is My Turn to Be There for Him

My name is Julie Pacheco, I'm 47 years old and I take care of my step father Jack who is 90 years old. He suffers from dementia.

When I was 26 my mother married this man and he became a part of our crazy, dysfunctional family. By dysfunctional  I mean mainly myself, who at that time, was a single mother sufferring from the disease of addiction.

When Care Comes Home . . . L.A. Caregivers Invited

FCA is alerting caregivers in Los Angeles, California, to an event hosted by one of our corporate partners, Clorox.  Caregivers in the Los Angeles area are invited to join Clorox CareConcepts for a night off with other caregivers . . . cocktails, hors d'ouevres, and pampering activities will be provided,along with a private screening of the caregiving documentary "A Sacred Journey," by Los Angeles-based filmmaker, Ernesto Quintero.

We Had Promised Each Other We Would Never Leave One Another

For 3 years, it was forgetting just little things. He never thought anything about it as his job was very stressful. He had a mandatory work meeting down state which he went to. But he called me on the phone saying that he was lost, and that’s when I knew there was something wrong.

I found him on the side of the road; I had told him to park and stay in his car. We went home and he seemed fine for a while.

The Trouble with Hope

I had a strained relationship with hope before my wife was diagnosed with cancer.  To me, hope was a high waiting for a low, a fix with a nasty flipside.  Far from the precious entity exalted by legions of poets and philosophers, hope was just another coordinate on the pain/pleasure cycle existing in infinite balance with its opposite.  In the same way that happiness alternates with sadness, or desire with loss, hope alternates with fear. One requires that the other exist. Hope was for suckers, and I was no sucker.

簡介 (Grief & Loss - Chinese)





預先制定醫療護理指示及 POLST (Advanced Health Care Directives and POLST - Chinese)


「預先制定醫療護理指示」(AHCD) 是指您指定某人(醫療護理代理人、授權代理人、委託人或代理人)在您不能表達自己意願時為您做決定,也稱為「醫療護理永久授權書」、「自然死亡法案」、「醫生指示」或「生前遺囑」。(生前遺囑在不同地方有稍為不同的定義,請查看您所在州承認的定義。)所有州都承認AHCD,但各州法律不同,因此各有不同的表格。



  • 在您不能表達自己意願時,您指定的人擁有合法權力,可以為您做出醫療護理決定
  • 您可以針對不能表達自己意願的所有情況,制定具體的未來醫療護理書面指示
  • 只要您能做決定,則您自己負責醫療護理決定,除非您另有其他表明
  • 根據法律規定,醫生和您的代理人有義務遵循您的醫療護理指示


Directivas anticipadas de atención médica y POLST (Advance Health Care Directives and POLST)

La Advance Health Care Directive (AHCD, Directiva anticipada de atención médica) le permite designar a una persona (agente de atención médica, apoderado, representante o sustituto) para que tome una decisión por usted en caso de que usted no pueda hablar por sí mismo. También se denomina “Poder notarial perdurable para la atención médica”, “Ley de muerte natural”, “Directiva para médicos” o “Testamento vital”. (El testamento vital es ligeramente diferente; consulte qué se reconoce en su estado).


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