My Wishes and Values

To help my SDM if they need to make healthcare decisions for me in the future

ACP gives those around you the confidence to make decisions on your behalf, helps reduce their anxiety and allows them to better understand and honour your wishes.
In having ACP conversations and sharing this information, your rights as a patient will be respected when you are mentally incapable because your SDM(s) will know what is important to you.
Your SDM(s) will be prepared to make decisions for you in the way that you would want. Below are some questions you can ask yourself to help you think about these conversations.
Use this form to write down some of your thoughts. Save your answers before you print.

Putting it all Together

What do I understand about my health or illness? What have I been told about my illnesses?

What information would I like to find out?

What do I value most? What brings quality or meaning to my life?

What concerns or worries do I have about how my health may change in the future?

What might I trade for the chance of gaining more of what I value or what’s important to me (e.g. more time with family)?

If you were near the end of your life, what would make this time meaningful?