Acp Life Insurance – Advance Care Planning (ACP): Are you adequately covered? If you were to lose mental capacity one day, who would you entrust to make decisions on your behalf? It is important that you do your Advance Care Planning (ACP) to share your care preferences as early as possible.
For those in rosy health, planning for future care may seem redundant and unnecessary, as mental disability seems unlikely and/or on the horizon. Even people with chronic or terminal illnesses may avoid the topic because making such important decisions seems daunting, and conversations about death and illness are often considered taboo topics.
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However, ACP is important to ensure we get the care we want in scenarios where we can’t make decisions and speak for ourselves – and it’s not as hard as it seems! There are many tools, tips and resources to help you get started. Let’s break it down step by step.
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Advance care planning (ACP) refers to the process of planning your current and future care arrangements. This process involves communicating your values, beliefs, and priorities for health care to a trusted individual or health care team. It also involves nominating a trusted individual, called a Nominated Health Care (NHS) Advocate, who can make health care decisions for you if you have reduced decision-making capacity.
An ACP will guide decision makers in providing quality care that is in your best interests and in line with your values if one day you are no longer able to speak or make your own decisions.
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B. Low chance of recovery of physical function or ability to communicate and will require comprehensive nursing care
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In addition to your current health status, you should also consider your family history of hereditary diseases when performing KP.
It can be difficult to start a conversation about advance care planning, especially when many see illness and death as taboo. If you’re not sure where to start, here are some tips and steps to guide you through the ACP process:
Think about your values and any aspirations that are important to you. Remember that every individual is different and not everyone wants and values the same things in the same way as you. There are no right or wrong answers, so it’s important to focus on what is uniquely important to you.
Starting with this consideration as the first step in your early care planning can help you make clearer and more confident decisions.
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If you’re not sure what to consider when thinking, the Agency for Integrated Care (AIC) has provided an ACP workbook to help you explore and communicate your care priorities.
An important aspect of ACP is to designate a trusted person to be your voice if you cannot speak for yourself. This person will be your NHS and may be a family member or friend. Most importantly, it should be someone you trust and feel comfortable sharing your desires with.
You can appoint up to 2 people for your NHS who can discuss and work together to act in your best interests when necessary.
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Here’s the hard part: starting the conversation. Talking about death is often considered taboo. Here are 3 smart ways to broach the topic of ACP and have this important conversation with the important people in your life:
I was thinking about Aunt Jess recently and it got me thinking about the health care I would want if I were really sick. I realize that if something like this happens to me, I want you to know what my health care priorities are and what needs to be done for me. Can we talk about it?
I now live with a and this puts me at increased risk for . I think if something were to happen to me, I want you to know what to do. Can we talk about it?
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Even though I’m healthy now, I want to be prepared if an unexpected situation arises where my mind isn’t active and I can’t make decisions for myself. Can I communicate my health care preferences and you will speak and make decisions on my behalf if the situation arises?
The next step is to document your ACP so that it can guide your healthcare team if necessary. ACP documentation can be done in most hospitals, selected polyclinics and community care providers. If you are a patient in a polyclinic or hospital, you can ask for a referral to carry out your ACP. Healthy people can make an appointment at the ACP node. ACP via video conference is also possible. Here is a list of places where you can arrange an ACP meeting.
Please note that although documenting your ACP is important, it is not a legally binding document. It simply facilitates discussion and helps your loved ones and healthcare team understand your values and priorities so they can act in your best interest. If you are looking for a legally binding document, consider drafting an Advance Medical Directive (ADD) that expresses your health care preferences and/or a Lasting Power of Attorney (LPA) that gives loved ones the right to legally make decisions on your behalf when you are no longer able to .
Your life goals and resolutions may change throughout the year, so it’s important to update your ACP to reflect these changes. As long as your ability to make decisions is not impaired, you can make changes to your ACP.
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If you’ve made a change to your ACP, don’t forget to tell your NHS too so they know your latest care options.
In addition to ACP, there are many other ways you can plan ahead and prepare for situations where you no longer have the mental capacity to make decisions for yourself.
A Lasting Power of Attorney (LPA) is a legal document that allows you to appoint one or more people to make decisions and act on your behalf if you ever lose mental capacity. This can include decisions about personal welfare, property and financial matters. If a WPA is not in place, your loved one will need a court order to manage the decision for you, which can be expensive and time-consuming.
Although an LPA gives other people the legal right to make decisions for you, it does not tell them what to do. That’s why ACP is still important because it helps you communicate your priorities to your loved ones and how to act in your best interest.
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An advance medical directive (ADD) is a legal document that specifically tells your healthcare team that you do not want life-sustaining treatment to be used to artificially prolong life unless you are unable to communicate your decision and death is imminent. You can provide AMD if you are at least 21 years old with decision-making capacity.
A will shows the distribution of wealth after you die. This includes any money and property (called assets) you may have. After death, your loved one can apply to the court for a grant of probate to distribute the estate according to the will. If a will is not prepared, the property will be distributed according to the Law of Inheritance (or Certificate of Inheritance for Muslims).
A CPF nomination allows you to distribute the money in your CPF as you wish after you die. Nomination is free and can be made once you reach the age of 16. As with ACP, it is recommended to check your CPF nominations regularly, especially after important events in your life such as marriage, childbirth, divorce and death of any nominee(s).
Upon death, the CPF savings will be distributed to the nominee in cash or cheque. If there is no CPF nomination, your CPF savings will be transferred to the Public Trustee’s office and your loved ones can apply for a distribution of CPF funds in accordance with intestacy for a fee.
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Having adequate coverage in the form of health insurance can help offset the financial burden of health care costs on you and your loved ones. Talk to your financial advisor to decide on the best health insurance plan to make sure you’re financially covered.
If you have been diagnosed with a chronic condition or terminal illness but are still able to make your own decisions at the time, you can first apply for long-term care or end-of-life care for yourself. However, it is important to do ACP and discuss your decision with your loved ones so that they are aware and prepared when it happens.