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  • 44M+

    Five Wishes

    Distributed

  • 10K+

    Healthcare Professionals

    Trained

  • 15K+

    Partner

    Organizations

  • 600+

    Hospice

    Partners

Our History

The Five Wishes Story

Inspired by Mother Teresa.
Inspired by Mother Teresa.

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Inspired by Mother Teresa’s example of respecting the human dignity of every person, Aging with Dignity Founder Jim Towey founded Aging with Dignity in 1996, and a year later created Five Wishes to help people receive the care they want during times of serious illness. “If it can help a few people, it will be worth it,” he thought. Nearly 30 years later, Five Wishes has helped more than a few people…
A simple, legally and medically valid plan to protect the dignity and wishes of those near the end of life.
A simple, legally and medically valid plan to protect the dignity and wishes of those near the end of life.

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The idea for Five Wishes was simple. Provide a resource in easy language that has legal and medical validity. We wanted to make it easy for people to name the person they trust to be their decision maker in a health crisis, to give guidance on the types of life support treatment they want or don’t want, and to convey what makes them feel comfortable and how they want to be remembered.
These pieces of information provide the foundation for person-centered care that affirms basic, universal dignity. While our modern system of care can feel impersonal – leaving people to feel unknown, unloved, or uncared for – Five Wishes reveals what is most important to each unique individual. With a focus on care, comfort, and pain management, Five Wishes also helps to avoid unnecessary second-guessing or disagreements among families when important decisions are left to chance.
Five Wishes changed the way America plans for end-of-life care, with more than 43 million copies, in 33 languages, in circulation
Five Wishes changed the way America plans for end-of-life care, with more than 43 million copies, in 33 languages, in circulation

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Today, more than 43 million copies of Five Wishes, in 33 languages, are in circulation around the world. It was created with legal consultation by the American Bar Association’s Commission on Law and Aging, and the guidance of top palliative care experts. There has never been an instance where a person’s validly completed Five Wishes was not honored. It is credible and respected in the medical, legal, and policy communities.
Five Wishes is available to everyone. We have not raised the price in 30 years.
Five Wishes is available to everyone. We have not raised the price in 30 years.

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Initial funding from The Robert Wood Johnson Foundation, Health Foundation of South Florida, and United Health Foundation helped us launch. Today, Five Wishes is supported by individual and corporate contributions, along with the small fees we charge for products and services. We are proud to say that we have not raised the $5 price of a single Five Wishes even once. And, because of generous donor support, it’s always available to those who don’t have the ability to pay even a small amount.
The favorite advance care planning program for physicians, hospitals, healthcare plans, and health systems.
The favorite advance care planning program for physicians, hospitals, healthcare plans, and health systems.

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While popular with individuals and families, the Five Wishes approach is also the preferred advance care planning program of many healthcare providers, including physicians, hospitals, healthcare payers and plans, and health systems. It’s been used by Johns Hopkins Healthcare, Humana, Mount Sinai Health System, Molina, Walter Reed Army Medical Center, National Naval Medical Center at Bethesda, and thousands of others.
Shaping how America approaches advance care planning, through policy and advocacy in legislation and national conversation.
Shaping how America approaches advance care planning, through policy and advocacy in legislation and national conversation.

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Five Wishes leaders influence policy development, advocacy, and public education. The experience of Five Wishes has been featured in testimonies before the U.S. Senate Special Committee on Aging, state legislative committees and advisory boards, and numerous professional conferences. Five Wishes continues to shape how America approaches advance care planning through appearances in The New York Times, USA Today, The Washington Post, The Wall Street Journal, TIME, and on CNN, NBC, MSNBC, and Fox News.
Providing gold standard training for presenters and facilitators. Helping corporations to support employees and pediatric hospitals to honor children and adolescents’ wishes.
Providing gold standard training for presenters and facilitators. Helping corporations to support employees and pediatric hospitals to honor children and adolescents’ wishes.

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The Five Wishes program has grown to include support resources for families, healthcare providers, businesses, employers, churches, and community organizations. Employers of all sizes are following the example of the Society for Human Resources Management (SHRM) by providing Five Wishes to employees and their families. Pediatric resources, developed through research at the National Institutes of Health, are available for young children and adolescents. Training modules that include continuing education credits are available for Five Wishes Presenters and Facilitators.
Supporting people of all cultural and religious traditions, with separate, specific guidance for Catholics.
Supporting people of all cultural and religious traditions, with separate, specific guidance for Catholics.

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Communities of various cultural and religious traditions appreciate that Five Wishes allows them to include their values and beliefs in the advance care planning process. The new Finishing Life Faithfully: A Guide For Catholics on End-of-Life Care is supported by Church leaders and helpful for families and parishes. Still, after all these decades, the heart and soul of Five Wishes is aimed at revealing what good care looks like to you and the people who matter most to you.Our committed team is here to assist, whether that includes ordering Five Wishes for your family, customizing Five Wishes back covers with your organization’s brand, answering questions, or brainstorming how to best serve the people around you. Reach out to us!
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Aging with Dignity’s Mission

Aging with Dignity is anon-profit organization that defends the rights of all people as they approach the end of life. We are creating an America where: 

  • Aging is a blessing, not a curse 
  • Humans come first 
  • All of us can finish life with confidence 
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Meet Our Team

The People Behind Five Wishes

Five Wishes Team
Aging with Dignity Leadership
Paul Malley

Paul Malley

President

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Pam Potter Ricco 

Pam Potter Ricco 

Chief Operating Officer 

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Dave Simison

Dave Simison

Vice President of Operations

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Cristina Roof 

Cristina Roof 

Director of Sales Fulfillment 

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Jessica Souva

Jessica Souva

Director of Outreach

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Mary Rose Pounders

Mary Rose Pounders

Senior Account Executive

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Julie Ferick

Julie Ferick

Office Manager & Bookkeeper

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Don Drewek

Don Drewek

Production & Design Coordinator

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