Making Your Wishes Known Keeps You in Control

February 3, 2005

Michael P Haubrich, CFP

 

Previously in this column, I discussed a communication technique which I call “caring conversations” – an intergenerational discussion about long term care.  This along with the basic estate planning documents of HCPOA, FPOA and Wills helps families prepare and deal with the final life transition, end of life.  I have found another valuable tool to add to the process of caring conversations – Five WishesÔ.   

Five Wishes, a resource available from Aging with Dignity, is a set of documents when completed informs and instructs loved ones and care givers about the kind of care, treatment and environment we wish to experience if we get seriously ill or at the last stage of life.  It specifically addresses your personal, emotional and spiritual needs along with your medical wishes.  

Five Wishes was born from the experiences of attorney Jim Towey, who for 12 years worked closely with Mother Teresa caring for both terminally ill patients and their families.  One of those years was spent working hands-on in a hospice center.  He discovered five consistent wishes that seemed to summarize patient’s desires at the most critical time of their lives.  He then developed a set of legal and instructional documents that anyone can use to express their personal desires.  These include:  

  • Wish One – The person I want to make health care decisions for me when I cannot make them for myself.
  • Wish Two – The Kind of medical Treatment I Want or Don’t Want
  • Wish Three – How Comfortable I Want To Be
  • Wish Four – How I Want People to Treat Me
  • Wish Five – What I Want My Loved Ones to Know  

The first two essentially serve as the Health Care Power of Attorney and Living Will.  For residents of Wisconsin, these wishes can best be handled by using state-approved forms.  The Health Care Power of Attorney and Directive to Physician forms that are included in the Five Wishes package are not currently recognized as legally binding in Wisconsin.  However, the real advantage that Five Wishes offers to the estate planning process comes in wishes three, four and five.  These deal with the less tangible personal, spiritual and emotional wishes.  

Wish Three, How comfortable I want to Be, for example, addresses pain management and physical care.  This includes instruction to doctors on the desire for palliative care (pain management) over curative care, personal hygiene requests, favorite music to be played and/or religious readings and well-loved poems read aloud when near death.    

Wish Four, How I Want People to Treat Me, deals with requests for people to be near at the time of death, prayer requests, requests for photos of loved ones near, and the desire to die at home if possible.  

Wish Five, What I Want my Loved Ones to Know,  provides a list of deeply personal statements to family and friends about funeral arrangements, memorial services, last comments about forgiveness, love and how one wishes to be remembered and disposition of remains.  

While these last three wishes are not legally binding, they serve a valuable purpose to help family and loved ones adhere to your wishes during this last stage of your life.  I have experienced both first hand and as an advisor to many clients the turmoil and stress families go through trying to make the right decisions about what would mom or dad want.  Tools like caring conversations and the Five Wishes package provides a road map for the journey all of us will take.

For more information on Five Wishes or to order packages and/or available video tape, go to http://www.agingwithdignity.com/ or call Aging with Dignity (888)594-7437.

Five Wishes is a registered trademark of Aging with Dignity. 

Michael Haubrich, CFP, is president of Financial Service Group, Inc., a registered investment advisory firm in
Racine, website address http://www.toyourwealth.com/