Senior Viewpoint: How to Choose a Healthcare Proxy

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It may seem unthinkable to many of us that a day might come when we are unable to speak for ourselves. Yet according to theconversationproject.org, “half of all people over 65 admitted to a hospital need help from someone else.” As the pandemic and unexpected accidents have shown us, even healthy people may suddenly need someone else to speak for them and help make health care decisions.

A healthcare proxy, also known as surrogate decision-maker, power of attorney for healthcare, or healthcare agent, is able to speak with all of your healthcare team members and read your medical records. This person would apply what they know about your health care preferences to make decisions about tests, procedures, and treatments if you became too unwell to make those decisions yourself, such as in the case of stroke, dementia, or being knocked unconscious.

Parents and legal guardians are automatically healthcare proxies for those under eighteen in their care. If you’re over eighteen and don’t want the legal system to choose a healthcare proxy for you, you need to designate one. This is particularly crucial if you have a chronic illness, are diagnosed with a serious disease, or are going on a big trip.

In Michigan, only one person can act as your healthcare proxy, and must be over eighteen. Who would be best for this important role?

Your healthcare proxy might need to make tough, quick decisions on your behalf, including on procedures, treatments, or even life support. Health needs sometimes shift rapidly, so this should be someone who could understand your values and wishes in any situation, and will carry them out even if different from their own preferences.

Your healthcare proxy will also need to ask questions of your doctors and other healthcare helpers to get a clear grasp of your situation. They may also need to advocate strongly on your behalf to get the right care for you-—with health professionals and also with people close to you who may not agree with the proxy’s decisions. Is the person you’re considering comfortable enough to do so?

It’s helpful to also designate a secondary healthcare proxy. This person would act on your behalf if your primary choice became unable or unwilling to take this role. If you named your spouse as your proxy, and later are in proceedings for divorce, legal separation, or annulment, this designation would be suspended, and your secondary choice would become your healthcare proxy.

“Sometimes a spouse, adult child, sibling, or other family member may not be the best choice to follow your wishes. Your proxy doesn’t need to be someone local; the person you choose can act as your proxy and make choices for you over the phone,” explain the experts at theconversationproject.org.

If your proxy is a trusted friend, neighbor, member of your faith community, or other non-family member, family members may have questions.

So be sure to identify your proxy and the reason for this choice to them before a healthcare emergency arises. For example, you might explain that you want them to be able to focus fully on your time together and/or be moral support for you rather than have to deal with health care decisions that could be stressful.

You’ll also need to make sure your potential healthcare proxy understands all of the responsibilities involved (The Conversation Project’s downloadable Guide to Being a Healthcare Proxy can help flesh this out), and is willing to take these on. Listen to their responses, answer any questions they may have, and let them know it’s all right if they decide not to be your proxy.

Once someone has agreed to this, you’ll need to have a detailed talk about your healthcare preferences with them. You can download and work with The Conversation Project’s Conversation Starter Guide to help you prepare.

Name your healthcare proxy and alternate in an advance directive; give your proxy a copy of it, along with names and contact info for your primary care doctor and any other important healthcare team members; and give these healthcare team members your advance directive along with your proxy’s name and contact info.

Lastly, be sure to continue discussing your healthcare preferences with your proxy as your understandings and wishes evolve.

Resources:
https://theconversationproject.org/wp-content/uploads/2020/12/ChooseAProxyGuide.pdf, https://www.dshs.wa.gov/sites/default/files/ALTSA/stakeholders/documents/duals/toolkit/Health%20Care%20Proxy.pdf
https://www.nychealthandhospitals.org/healthtips/ask-our-expert-how-to-choose-your-health-care-proxy/
https://www.michigan.gov/documents/miseniors/Advance_Directives_230752_7.pdf
https://michiganlegalhelp.org/self-help-tools/wills-life-planning/making-health-care-power-of-attorney

Excerpted from the Winter 2021-22 issue of Health & Happiness U.P. Magazine. Copyright 2021, Empowering Lightworks, LLC. All rights reserved.

Bodies in Motion: PRCA-Cooling Cabin Fever & Empowering Kids

Parents, do you ever feel like your kids are climbing the walls, especially in the cold winter months? It’s common to spend more time cooped up inside once the snow starts to fly, though of course there are plenty of fun ways to get outside, such as skiing, snowshoeing, or building a snowman. A new way you could consider getting the kiddos out and moving is trying the sport of ice climbing—yep, an organized way to “climb the walls”!

The Pictured Rocks Climbing Academy, or PRCA for short, is a Michigan non-profit that provides low-cost rock and ice climbing opportunities to Upper Peninsula youth ages 7-18. They are based in Marquette and rock climb in the Marquette area in summer, and ice climb around Munising in the winter. The PRCA was established in 2016 when world-renowned alpinist Conrad Anker noticed no local kids were ice climbing at Pictured Rocks National Lakeshore. At that year’s annual Michigan Ice Festival, money was fundraised to start the PRCA.

Since then, the PRCA has gone full steam ahead with all things climbing! The PRCA prides itself on providing not only climbing opportunities to those who might not otherwise have them, but also fostering community and stewardship for its members. From guided outdoor rock and ice climbing, volunteer opportunities at local events, weekly indoor group climbs during the school year, yoga, attending climbing festivals in the Midwest, and more, the PRCA provides unique experiences to UP youth. No gear or experience is required to climb with the PRCA, and membership costs are low, with scholarships available to those who need one.

For many, climbing is much more than just a sport—it’s a lifelong pursuit that connects them with wild places, a strong community, and opportunities to constantly learn. Climbing pushes you to trust yourself and those around you, constantly learn and adapt, and widen your comfort zone. Climbing also promotes positive mental and physical health, such as improved strength and balance, and higher feelings of self-sufficiency. The PRCA is run by volunteers with years of climbing experience who teach these values and experiences to UP youth. 

With climbing’s rising popularity, thanks to more gyms opening across the country and the sport being featured for the first time in the Olympics, it’s important to understand the mentorship aspect the sport has compared to other outdoor pursuits. Climbing is inherently dangerous, and historically was taught almost strictly through mentorship. These days people can get started climbing in the gym, through online videos, etc. While it’s great to have these more widely accessible resources available, without mentorship it’s possible to have gaps in knowledge and safety. The PRCA helps serve as a bridge for this mentorship gap.

Safety is the number one concern of the PRCA. All guided rock and ice outings are facilitated by Michigan Ice Fest Guides. These guides have taken and passed one or more guiding courses and assessments run by the internationally recognized and accredited American Mountain Guides Association. The PRCA teaches youth many things—climbing movement, gear use, anchor systems, belaying, and more—all adjusted to the age and experience level of the climbers participating. 

So, parents, if your kids are interested in a new way to recreate outside, face fears of heights, be more active in community stewardship, or just want to try something new, check out the Pictured Rocks Climbing Academy. 

To get involved with the PRCA, reach out through their website’s “Contact Us” page. If you’re over eighteen and would like to volunteer, don’t hesitate to reach out as well! 

Website: picturedrocksclimbingacademy.org
Facebook/Instagram: @picturedrocksclimbingacademy

Laura Slavsky (she/her) grew up in Marquette, MI and began climbing in 2014. She has guided ice climbing clinics at Michigan Ice Fest, is a Community Ambassador for the national climbing non-profit Access Fund, and has volunteered with the Pictured Rocks Climbing Academy since 2019.

Excerpted from the Winter 2021-22 issue of Health & Happiness U.P. Magazine. Copyright 2021, Empowering Lightworks, LLC. All rights reserved.