Talking to Your Physician
Having an honest conversation with your physician about end-of-life care is one of the most important steps you can take to ensure your healthcare preferences are understood, honored, and respected—especially if you are over the age of 65 or living with a serious chronic illness.
Even if you are young and healthy, it is important to have an advance care planning conversation with your physician.
Why This Conversation Matters
If you have Medicare, your coverage includes a paid conversation with your doctor about your end-of-life care wishes. This is your opportunity to ask questions, express your concerns, and ensure your physician is fully aware of what matters most to you should you become seriously ill or unable to speak for yourself.
Most physicians welcome and value these discussions. Understanding your goals in advance helps them provide care that aligns with your values and supports you through serious illness or the end of life.
Shared Goals at the End of Life
Bringing these shared goals into the conversation can help guide a thoughtful and productive discussion with your physician. Framing your wishes around what matters most to you—quality of life, dignity, comfort, or connection—can help shape your care plan in a way that truly reflects your values.
Many patients nearing the end of life share similar priorities:
- Spending meaningful time with loved ones
- Avoiding unnecessary hospital stays or invasive procedures
- Preserving independence and functionality for as long as possible
- Minimizing pain and discomfort
What to Discuss with Your Physician
When you talk to your physician, consider including:
- Your Advance Health Care Directive – bring a copy to be included in your medical record
- A POLST form (Physician Orders for Life-Sustaining Treatment), if appropriate
- Preferences around hospitalization, intensive treatments, and resuscitation
- When and how you’d want to consider palliative care or hospice services