Caregiving with Advanced Illness

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).

A once virile, passionate Italian was now void of all emotion

My name is Lisa. I’m a baby boomer and so was my childhood sweetheart. We met at 15, and dated until we were married in 1966, just turning 20 years old. We were born in August, and chose that month to marry as well. A lot of celebrating for two Leos.

Our life began rather simply. Living and working in San Francisco, but wanting to start a family, we decided to buy a home in the burbs.

Conservatorship and Guardianship

When someone is no longer able to handle his or her own financial or personal affairs, the court can appoint an individual or professional to act on behalf of the incapacitated person. When a minor child is involved, it is generally called a guardianship. When an adult needs someone, it is called a conservatorship. However, states define these terms differently and you need to consult an attorney in your state to determine what the law is.

Making Decisions: What Are Your Important Papers?


As you face aging and the need to make plans for your future, you face having to make decisions about many aspects of your lives.  These legal and health care decisions not only protect you from others making decisions for your care that you do not want, they also protect family and loved ones by giving them guidance in the care that you would like to receive.  After completing all the legal paperwork, the next step is to sit down and talk to family about the decisions you have made and why.

Transferring a Person

Tips to help caregivers move or transfer a loved one with mobility limitations

  • Learn proper body mechanics. Ask for a Physical Therapy referral from your physician to teach you how to use your body so you don’t get hurt.
  • Save your back. If you feel a strain, get help; don’t do it alone. This is for your safety and the safety of the person you are trying to move. If you hurt your back, you aren’t going to be able to care for someone else.

Caregiver Self Care: Caring for You

The care you give to yourself is the care you give to your loved one.

  • Learn about the disease your loved on has.  Find out about what is happening now and what will happen in the future with this disease.  The more you know, the more you will be able to plan.
  • Use community resources.  The more you let these services help you, the less you have to do.  There are places to get help:
    • Your local Area Agency on Aging
    • Paratransit
    • Meals on Wheels
    • Day Care Programs

I Am in Dementia Prison with My Mom

My husband and I have been caring for my 92 year old mother for over five years. It has taken me almost that long to even  admit and verbalize that my mother has dementia. I always would just say that she was forgetful and then as time went on I added the word confused. In the last year she has also become anxious and panicky when we leave her home alone for a short period of time. Tonight, after I ran an errand for less than two hours, I returned to a frantic mother.

Family Caregiving and Transitional Care: A Critical Review (2012)

Aflicción y pérdida (Grief and Loss)



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