PLEASE NOTE: This page is not "public" and
is intended for use by Certified Advance Care Planning Facilitators.
Please contact Ellen before sharing the link.

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Materials are posted here for ACP Facilitator use during
phone or video advance care planning facilitation appointments.

An ACP Packet* will be mailed or emailed
to the participant(s) before the appointment. 
 

If you need them, print resources for yourself or
let Ellen know if you need anything else.

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*ACP Packet will include:

• 2 Advance Directive documents (per person)

• "What's Next" handout

• Zoom Attendee Instructions handout

• Blue Advance Care Planning one-pager

• 3 Green Agent one-pagers

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Advance Directive Documents

• Fox Valley Common AD Document (Fillable PDF, if needed)

• Honoring Choices Document

• WI DHS POA-HC and Declaration to Physicians

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Additional Materials

• What's Next?! handout

• Advance Care Planning Conversations in Zoom: Attendee Instructions

• Advance Care Planning one-pager (Blue)

• Agent one-pager (Green)

• CPR two-pager (Red)

• 25 Suggested Topics to Discuss with your Health Care Agent (External Link: GWAAR)

• Suggested Additional Language for Your Power of Attorney for Health Care Document - Go To Part 3 (External Link: GWAAR)

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COVID-19: Proactive Care Planning​

• Proactive Care Planning for COVID-19. A Guide for High Risk Adults

• Proactive Care Planning for COVID-19. A Guide for Healthcare Agents

 

 

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Resources for Clinicians: COVID-19 and Care Planning

• CAPC COVID-19 Response Resources: https://www.capc.org/toolkits/covid-19-response-resources/ 

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• Proactive Care Planning for COVID-19: https://respectingchoices.org/covid-19-resources/#planning-conversations

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• Tools to support specific treatment decisions in high risk individuals: https://respectingchoices.org/covid-19-resources/#decision-aids 

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• Coronavirus Disease 2019 (COVID-19) Shared Decision-Making Tool: https://www.nhpco.org/wp-content/uploads/COVID-19-Shared-Decision-Making-Tool.pdf

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• Resources to Support Serious Illness Population During COVID-19: https://www.thectac.org/coronavirus/

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• Basic Advance Care Planning Scripting (From PREPARE for your Care)

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• VitalTalk Playbook: https://www.vitaltalk.org/guides/covid-19-communication-skills/

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• Annals of Internal Medicine – Communication Skills in the Age of COVID-19: https://annals.org/aim/fullarticle/2764314/communication-skills-age-covid-19

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• VitalTalk Tips App (FREE): https://www.vitaltalk.org/vitaltalk-apps/

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