Advance Care Planning: Guidance from a Nurse

As nurses, we’re often trusted not only for our clinical expertise but for our ability to guide patients and families through emotional, personal decisions. One of the most important conversations we can support is around advance care planning—specifically, living wills and power of attorney for healthcare.

Here’s how to approach it with empathy, clarity, and professionalism:

🧭 Step-by-Step Nurse Direction

1. Create a Safe and Supportive Space

• Begin the conversation in a quiet, private setting.

• Use open body language, a calm tone, and reassuring words.

• Acknowledge that these decisions are difficult but deeply valuable.

  
  

2. Explain the Purpose Clearly

• Living Will: A document that outlines what medical treatments a person would or would not want if they cannot speak for themselves.

• Power of Attorney (POA) for Healthcare: Appoints someone to make medical decisions on their behalf if they’re unable to.

  
  

3. Normalize the Conversation

• “This isn’t about giving up—it’s about planning ahead so your wishes are respected.”

• “Many people feel a sense of peace after putting these choices in writing.”

  
  

4. Encourage Personal Reflection

• “What matters most to you if you were seriously ill?”

• “Are there treatments you would want—or want to avoid—if you couldn’t speak for yourself?”

  
  

5. Involve the Right People

• Suggest involving loved ones or the person they’d trust as their POA.

• Remind them this should be someone who can remain calm, advocate for their wishes, and handle stress.

  
  

6. Provide Written Resources

• Offer simple explanations or brochures.

• Refer them to social workers, chaplains, or legal services for further support.

  
  

7. Reassure Them It’s a Living Document

• These choices can be updated anytime.

• Encourage revisiting the documents during major life or health changes.

  
  

8. Offer Follow-Up

• Let them know you’re available if questions come up.

• Encourage them to share their decisions with their family and healthcare providers.

  
  

🧡 Nurse’s Reminder:

"Having these documents in place is a gift to your family. It removes guesswork and makes sure your voice is heard, even when you can’t speak.