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Next Steps
Discussing and coping with serious illness

The following is an excerpt from Next Steps.  It is provided as a sample of what is included in the “How to be by the Bedside” section.  More information is included in the booklet.

How to be by the Bedside

If someone you care about gets very sick, you may not know what to expect or what to do.  This guide is intended to help you and your loved one make the best of this time.  The time you spend at the bedside of someone who is seriously ill is something you will never forget.  It will be hard at first, but later you will feel glad that you were there.  You may want to read
Five Wishes before you visit to get a good understanding of what a seriously ill person faces.

What to expect at the bedside:
People are different, and so are the ways they handle serious illness.  It’s a good idea to give your loved one the freedom to handle sickness in his or her own way.  Your loved one who is sick may act just like before, or he or she may seem like a different person to you.  A lot depends on what the illness is and whether a recovery is possible or not.

What to do by the bedside:
First of all, just being there with your loved ones is the most important thing you can do. Don’t worry about having the right things to say.   In fact, you may just want to say to your loved one, “I don’t know what to say to you. I just want to be with you, and I’m glad I’m here.
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How to be a good Health Care Agent:
You may have been asked by a family member or friend to be his or her health care agent (see Wish One of
Five Wishes for more information).   This means you have the power to make medical decisions for your loved one when he or she can’t speak.  You may be asked to make decisions even if your loved one’s inability to communicate is only temporary.

Here are a few things to keep in mind:

  • Know your loved one’s wishes ahead of time.  Ask questions so that you understand what he or she would want.  If for some reason you can’t follow these wishes, then ask your loved one to choose someone else to be the health care agent.

  • The doctors and nurses caring for your loved one need to know who you are and how to reach you.  Introduce yourself and make sure they have a copy of your loved one’s Five Wishes.

Be courteous and be firm.  Our country’s health care system sometimes ignores a patient’s wishes if the health care agent doesn’t push for the doctors and nurses to follow them.  So don’t be rude but keep reminding them of your loved one’s wishes.

Remember that the above is only an excerpt from Next Steps.  Much more information is contained in the document.

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