Promoting Excellence : Deciding for Yourself Advance Care Planning Booklet

Henry Ford Health System Deciding for Yourself Advance Care Planning Booklet

This booklet for patients and families describes advance directives and contains advance directive and related forms.

Clinical Tools - Advance Care Planning

Henry Ford Health System
Division of Hematology/Oncology
2799 West Grand Boulevard
Detroit, MI 48202

Angela Lambing
[email protected]

How the grantee used this instrument:
The "Decide for Yourself" Advance Care planning booklet is presented in a question and answer format with easy to read information which highlights, a) who needs an AD b) How does one complete one, c) what entails medical decision making issues, d) responsibilities and guidelines of the patient advocate. Easy to complete forms are also included.

decision making, values, preferences

To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.

"Your Beliefs and Values" section, from a research workbook entitled "Your Life, Your Choices". Reprinted by permission.

To view this tool:
To view the tool in your browser left-click on the link below or to download to your computer right-click on the link.
pdf PDF 391 KB / 9 pages

Posted June 15, 2003

Henry Ford Health System overview page

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Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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