
By WKTV Staff
Who will make decisions about your health in the event you are not able to make them yourself?
That is the question at the heart of National Healthcare Decisions Day. Every April, this annual initiative emphasizes the importance of talking with loved ones about your health care wishes, formally documenting those wishes and designating someone to make decisions on your behalf when you are no longer able to do so.
This process, known as advance care planning, is something Britt Fischer regularly discusses with patients and families in her role as a social worker with Emmanuel Hospice. In Fischer’s experience, many people wait until retirement or until they have a serious incident or diagnosis, but the conversation should happen sooner.
“Working for a hospice provider really opened my eyes,” Fischer says. “Every day is not guaranteed, so it is never too soon to get these plans in place.”

Health, decision and rights
Advance care planning can be intimidating to talk about because of the stigma around end-of-life discussions in our society, but Fischer likes to say, “it is less about death and dying, and more about your health, your decisions and your rights.”
“Everyone has the right to know who is going to be making decisions for them,” she says. “Everyone should be able to feel confident that person is going to make decisions that are in line with their wishes – not anyone else’s.”
To help broach the topic with loved ones, Fischer recommends four conversations starters:
- I recently learned about advance care planning. Have you discussed your wishes for future medical decisions with any loved ones?
- Do you know who would be your health care proxy or durable power of attorney for health care if you couldn’t make decisions for yourself?
- Do you know if you have an advance directive in place? If not, can I help you with one?
- What do you think are the most important decisions to make ahead of time regarding your health?
Clarification and documentation
Fischer recognizes advance care planning can also be confusing because there are a lot of different terms that are used – many of which mean the same thing.
“We want to see a durable power of attorney designated specifically for health care,” Fischer clarifies. “This is sometimes referred to as a health care proxy or patient advocate, but what it comes down to is whether you have in writing who will be responsible for making decisions for different medical events. We recommend listing additional people as backups in case the first-named person is unable to serve when the time comes.”

Filling out an advance directive form will serve as a legal guide for designating that decision maker and documenting your wishes. It is recommended to review and update your advance directive anytime one of the “3 Ds” happen – death, divorce or diagnosis.
“There are many advance directive forms available online,” Fischer says. “CaringInfo.org is a great resource to find an appropriate one for your state. You’ll also need two people who are not related to you to witness. Often neighbors or friends can help with that part. Notarization is not necessary.”
In the state of Michigan, living wills are not legally binding. Only a durable power of attorney for health care can ensure your wishes are honored.
Fischer also recommends filling out a Michigan funeral representative form, which designates someone to make decisions about funeral arrangements and cremation.
“I’ve found it’s best to be clear and concise about what you want to happen at the end of life,” Fischer says. “This ensures your wishes are honored, rather than leaving your loved ones to guess or debate during an already difficult time.”