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Choosing Your Preferences: The Three Choices Nobody Explains

Let’s talk about the three choices, because this is the part people don’t fully understand when they fill out an advance directive. However, before we go any further on this topic, hear me clearly when I say this—Little RayRay can’t make any healthcare decisions for you unless one of two things exists: you are unable to speak and have a terminal condition or permanent unconsciousness, or you choose to defer to your healthcare agent.

So now that we’ve cleared that up, let’s walk through your options.

Option A is for the people who say, “Do everything,” and when I say everything, I mean everything—medications, CPR, feeding tubes, ventilator—do whatever it takes to keep me alive, even if I have a terminal condition and I can’t speak, eat, or drink for the rest of my life, because the goal here is to prolong life no matter what that looks like.

Option B is for the person who says, “If I’m lying in a bed with a terminal condition and unable to speak, or I’m never going to wake up, then let me go,” and that means you don’t want life-extending treatment, you only want medication to keep you comfortable as you pass away.

Option C is where most people land, but it’s also the one that requires you to slow down and think, because this is where you pick and choose what you want and what you don’t want, which means you may say yes to some treatments and no to others depending on what matters most to you.
And this is where people get stuck, because they don’t want to think about it, but if you don’t choose, someone else will, and they will be making that decision under pressure, in fear, and without knowing exactly what you would have wanted.

So the real question becomes—are you willing to take that risk?

Because this isn’t just about filling out a form, this is about making sure your voice is still heard when you can’t speak for yourself.

And if you’re not sure what your choices should be, I’ve created a quick survey that will help you walk through your preferences so you’re not guessing when you fill this out.

I’m challenging you to live prepared—just in case it rains.

Advance Directive: What Would You Want?

Advance Directive: What Would You Want?

Many people think an advance directive affects their care right now, but it doesn’t. It only comes into play if you choose to let your healthcare agent speak on your behalf, and if you don’t, then one of two things has to be true: you cannot speak and have a terminal condition, or you are in a permanent state of unconsciousness, meaning you are unable to speak, eat, or drink, so answer below to see what you truly want in those situations.
Your score will fall within a range that shows which direction you are leaning when it comes to your medical treatment preferences, so take a moment to review your results and think through what that choice really means for you. If your score is close between ranges, slow down and look at both options so you understand what each one could look like in real situations.
Before completing your advance directive, make sure you talk with your doctor so you fully understand your choices. Don’t forget to connect with us at JICIR so we can help you build a plan that reflects your wishes.

#1 If I had a terminal condition, which would quickly lead to my death, I would want every possible treatment to keep me alive as long as possible.
#2 If I had a terminal condition and death was near, I would not want machines or any life-extending treatment.
#3 I don't want every type of life-sustaining treatment. I want to decide which treatments I receive instead of saying yes or no to everything.
#4 Even if I could not speak, eat, or recognize my family, I would still want life-sustaining treatments to keep me alive as long as possible.
#5 If I were permanently unconscious, I would only want medication to keep me comfortable. I would not want doctors to try to extend my life.
#6 There are some life-extending treatments I would accept and others I would refuse.
#7 I believe life should be prolonged at all costs, regardless of my physical condition.
#8 I do not want treatment to speed up or prolong my death. I only want comfort medications while allowing a natural death to occur.
#9 My treatment decisions would depend on the situation, not a single rule.

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