How to Plan for the Future

 

Advance Directives

  1. OOHDNR (Instructions): An Out-of-Hospital DNR is a legal form that tells emergency medical professionals not to start or continue certain life-saving procedures. DNR is short for "do not resuscitate." Resuscitation is when someone who has stopped breathing and whose heart has stopped beating is restored to consciousness If you are not in the hospital and have a medical emergency that makes you unconscious, emergency medical professionals (EMS) may be called to help.
  2. OOHDNR (Form to be completed):
    1. Is free
    2. Does not affect your will, estate, or finances
    3. Does not affect your health or life insurance premiums
    4. Is signed by your doctor
    5. Applies only to certain procedures given by EMS, hospital emergency room personnel, nursing home staff, or other health care professionals
    6. Allows you to have some control over how much medical treatment you receive and for how long
    7. Does not prevent treatment and medicine to reduce pain
    8. Does not allow mercy killing or assisted suicide
    9. Does not require a lawyer or notary to complete
    10. Can be canceled (revoked) at any time, regardless of your mental state
    11. Out-of-Hospital DNR Order: Information and Answers | TexasLawHelp.org - Providing Free and Reliable Legal Information & Forms for Civil Legal Issues in Texas

Directivas Anticipadas

  1. OOHDNR (Instrucciones): Una ONR (Orden de No Resucitar), es un documento oficial que le informa a los profesionales de emergencias médicas que no empiecen procedimientos para salvar la vida. La ONR  es una forma abreviada de decir "no resuciten." Resucitación es cuando alguien ha dejado de respirar y el corazón ha parado de palpitar, y se restaura la consciencia de esa persona si no está en un hospital cuando se presenta la situatión de emergencia que provocó el estado de inconsciencia. Profesionales de emergencia médicas (“EMS”), pueden ser llamados.
  2. OOHDNR (Documento a ser completado):
    1. Es gratis
    2. No afecta su testamento, propiedad, o finanzas
    3. No afecta su salud, o las primas de seguros de vida
    4. Es firmada por su médico
    5. Sólo aplica a ciertos procedimientos utilizados por los profesionales de emergencias médicas (“EMS”)
    6. Le permite tener control de cuánto tratamiento medico recibe y por cuánto tiempo recibe el tratamiento médico
    7. No evita tratamiento médico, o de medicinas para ayudar a reducir dolores
    8. No permite ayuda compasiva para matar, o asistencia para cometer suicidio
    9. No requiere un Abogado, o un Notario para completar el documento
    10. Puede ser cancelado (revocado) cuando desee, independientemente de su estado mental

Medical Power of Attorney (English): Relationship that is created by a patient and a person that accepts the designation of being able to make health care decisions on their part, only at the time you are unable to make the healthcare decisions for yourself. (Notary or 2 witnesses required).

Medical Power of Attorney (Spanish): Relación que es creada por un paciente y una persona que acepta la designación de poder tomar decisiones de atención médica por su parte. (Se requiere notario o 2 testigos).

Durable Power of Attorney: notary required.

Poder notarial duradero: Notario requerido.

Living Will: A living will is a legal document that tells others what your personal choices are about end-of-life medical treatment.

Testamento vital: Un testamento vital es un documento legal que le dice a otras personas cuáles son sus preferencias personales acerca de tramientos medicos al final de su vida.

  1. How to pay for Long Term Care:

    • Many people think that Medicare will pay for their long-term care expenses, but this usually is not true. Instead, people have to rely on their savings, long-term care insurance or Medicaid to cover the costs. And while Medicaid pays for the largest share of long-term care services, to qualify your income and assets must be below a certain level and you must meet the minimum state eligibility requirements. To find out if you might be eligible for Medicaid or to apply for benefits, visit https://www.yourtexasbenefits.com/Learn/Home. Some people use a combination of payment sources. 
      • Note: Texas is required by federal law to have a Medicaid Estate Recovery Program. This means that if you received Medicaid long-term care services, the state of Texas has the right to ask for money back from your estate after you die. In some cases, the state may not ask for anything back, and the state will never ask for more money back than it paid for your services. (HHS.GOV)

  2. Common payment sources include:

    1. Personal Resources: This includes your or your loved one’s savings, investments, or assets.
    2. Long Term Care Insurance: As with other forms of insurance, long term care insurance allows a person to pay a known, affordable premium cost to protect against the risk of much larger care expenses. Long term insurance is designed to meet long term care needs that may include a variety of medical, personal, or social care service
    3. Medicaid: The cost of a nursing home in Texas ranges from $3,000 to $4,000 a month (University of Texas). If you do not have much income or other resources, Medicaid may pay for a nursing home. You can talk to a Texas Health and Human Services employee about Medicaid. You will have to live in a nursing home for 30 consecutive days before you can apply for services.

  3. End-of-Life Planning 

    1. Preparing for a Funeral: One of the more difficult things you may ever have to do is plan a funeral. This booklet, along with the Hope Hospice staff, is designed to help you by providing information, written and verbal resources and community contacts as you progress through the planning of a funeral or memorial service.
    2. Planning with Hope: A majority of Americans do not have their "ducks in a row" in terms of end-of-life plans or having things documented. This tool is a guide for you and your family to consolidate information about advance directives, your will and other executed documents, medical history, financial information, your wishes for your funeral, as well as a checklist for survivors to follow in the weeks after someone's passing. This document has fillable fields or may be printed out and handwritten.