Understanding Advanced Directives: Why They Matter

Understanding Advanced Directives: Why They Matter

Understanding Advanced Directives: Why They Matter

Nurse walking with elderly women outdoors on a beautiful sunny day.

When it comes to healthcare, we often think we have all the time in the world to make decisions about our future. But what happens if we are suddenly unable to voice our wishes? This is where advanced directives come into play. If you’ve never heard of them, or you’re not sure what they entail, don’t worry. Let’s break it down in simple terms.

What Are Advanced Directives?

Advanced directives are legal documents that allow you to express your preferences about medical treatment if you cannot communicate those wishes yourself. They are like a roadmap for your healthcare, helping you navigate some of life’s toughest decisions. Think of it to make your voice heard — even when you cannot speak.

There are a couple of main types of advanced directives:

  1. Living Will: This document outlines your wishes concerning medical treatments — like whether you want life-sustaining measures if you’re terminally ill or in a persistent vegetative state. This document is not legally binding, but it directs your team about your wishes.
  2. Durable Power of Attorney for Health Care: This one is slightly different. It allows you to appoint someone you trust (your agent) to make medical decisions on your behalf if you cannot do so. This person can advocate for your wishes and ensure your preferences are honored. This is a legally binding document.
  3. Do Not Resuscitate (DNR) Order: If you do not want CPR or other life-saving measures used in case of cardiac arrest, a DNR order clearly communicates that wish to medical personnel. In Illinois, this is often called a POLST (Physicians Orders for Life-Sustaining Treatment) in the home or facility setting.

Why Should You Care About Advanced Directives?

You might be thinking, “I’m young and healthy. Why should I worry about this?” Life is unpredictable, and having an advanced directive can provide peace of mind — not just for you, but for your loved ones too.

You might also be thinking, “I don’t want to scare my spouse or my children with these conversations.” Please believe us when we tell you that this is one of the greatest gifts you can give them: a calm, open, and reasonable discussion before a crisis happens. When the crisis happens, your spouse or children have so many other things to deal with, including their sadness and fear. It is such a comfort to know they understand your wishes.

You get to decide what medical treatment you do or do not want. It’s your body, your life, and your choices.

What Happens Without an Advanced Directive in Illinois?

In Illinois, if you become incapacitated and can’t communicate your wishes, decisions about your care will fall to a hierarchy of individuals:

  1. Your Spouse: Your spouse usually has the first say in your medical decisions if you’re married.
  2. Adult Children: If you don’t have a spouse, your adult children will step in next in order of their birth.
  3. Parents: If you don’t have a spouse or children, your parents will be consulted.
  4. Adult Siblings: If your parents are unavailable, your adult siblings will have a say.
  5. Finally, if no one else is available, other relatives may be consulted.

While this may seem straightforward, it can lead to complications. Family members might disagree on what you would have wanted, which can create stress and conflict during a vulnerable time. In some cases, the matter might even end up in court, where a judge will make the final decision — not the outcome you would have preferred.

How to Create Your Advanced Directive

Ready to take control? Here is a simple step-by-step guide to creating your advanced directive:

  1. Think It Through: Reflect on your values and what is important to you regarding healthcare. What treatments would you want or not want?
  2. Choose Your Agent: If you’re creating a Durable Power of Attorney for Health Care, think about who you trust to make decisions on your behalf. This should be someone who knows you well and can advocate for your wishes. Choose someone who can stand up to pressure from the family and communicate well with your health care team if possible.
  3. Get the Right Forms: You can find advanced directive forms online or through your healthcare provider. Make sure you get the Illinois-specific forms to ensure they’re valid in your state. For more information and links to resources, please visit our website at https://lightways.org/advanced-directives/.
  4. Fill It Out: Be clear and specific about your wishes. Don’t hesitate to think things through carefully; this document is about you and your preferences.
  5. Talk About It: Share your advanced directive with your chosen agent, family members, and your healthcare provider. Open communication is key!
  6. Keep Copies Handy: Store copies of your advanced directive safely and give copies to your healthcare provider (physicians, consultants, home health, hospice, and facilities) and family members.

Creating an advanced directive is a powerful way to take charge of your healthcare decisions and ensure your wishes are respected, no matter what happens. It is a gift to yourself and your loved ones — a way to navigate the unpredictable waters of life with confidence. So, why not take the time to create one? You will be glad you did.

Advanced Directive Information

If you have additional questions, please contact Lightways Hospice and Serious Illness Care at 815.740.4104.

Through darkness, we bring light

Contact Lightways

For more information on Advanced Directives, please contact us directly at 815.740.4104.

Lightways Grief Support Services

Lightways Grief Support Services

Lightways Grief Support Services

Hands holding a heart with the word support

“The loss of a loved one is a common experience shared by all humanity, yet grief can leave us feeling more alone, confused and unsettled than almost any other experience.”

- C.S. Lewis, A Grief Observed

There is a paradox about grief. Even though it is universal, it can still cause feelings of isolation. Many of our grievers describe the moment after their loved one dies as the moment when “my world stopped, and the rest of the world kept moving.” It can be very disorienting, disruptive, and overwhelming for many. In a world where there is so much discomfort in talking about death and dying, some feel unsupported and unacknowledged in their grief. Lightways is dedicated to ensuring that no one must grieve alone.

One of the main ways that Lightways meets this mission is to offer free grief support to anyone in the community after the death of a loved one. The Grief Support Program provides a variety of grief support services to meet an array of diverse grief support needs. These include grief counseling for individuals and families, grief support group meetings, grief workshops and special memorial events to give families many opportunities to honor their loved one throughout the year. In the summer, Lightways also hosts an annual kid’s camp for children ages 7-13 who have experienced the death of a loved one.

Services are offered both in person and virtually and focus on helping grievers gain a better understanding of their loss, how it has affected them, and how they can best cope.

Grief Support Education

In addition to grief support, the Grief Support Program also educates individuals, families, and the community about grief. This includes:

  • Education to parents/caregivers on how to explain a death to a child, as well as how to support their grieving child.
  • Education for professionals and the community on how to support someone who is grieving.
  • Education to agencies on how to support staff and their community after a death.

Grief support services information

For more information on Lightways Hospice and Serious Illness Care Grief Support services, please contact us directly at 815.460.3295 or email us directly at [email protected].

Measuring our 2024 Impact in Numbers

The number of people the Lightways Grief Support Program serves each year continues to increase, as more people utilize hospice care, and as more people learn about our services. In 2024…

condolence calls were made to hospice families

people called Lightways for grief support

people received grief counseling

(21% of the clients coping with a traumatic loss such as a sudden, unexpected death, a substance related death, a pediatric death, an accident, a homicide, suicide, or other trauma).

counseling sessions were provided

(28% of these sessions were provided for community members).

people participated in a support group

people participated in a special event

kids attended the Peace of the Heart Kids Camp in 2024

Chart measuring Grief Support

Through darkness, we bring light

Contact Lightways

For more information on Lightways Hospice and Serious Illness Care Grief Support services, please contact us directly at 815.460.3295 or email us directly at [email protected].

Lightways Hospice in Joliet dedicates street to former CEO Duane Krieger

Lightways Hospice in Joliet dedicates street to former CEO Duane Krieger

The late Shorewood resident and former Will Co. coroner led way for the first in-patient hospice in Illinois

CEO Mary Kay Sheehan speaks at Drive dedication for former CEO

On Tuesday, Lightways Hospice and Serious Illness Care in Joliet dedicated its drive to former CEO Duane Krieger of Shorewood on what would have been his 88th birthday. Krieger died earlier this year.

The day was partly cloudy with occasional drizzles – until the moment the sign proclaiming Honorary Duane Krieger Drive was unveiled.

Read the full article at Shaw Media

Understanding Advanced Directives: Why They Matter

When it comes to healthcare, we often think we have all the time in the world to make decisions about our future. But what happens if we are suddenly unable to voice our wishes? This is where advanced directives come into play. If you’ve never heard of them, or you’re not sure what they entail, don’t worry. Let’s break it down in simple terms.

read more

Understanding Medicare and Insurance Coverage & Benefits for Hospice and Serious Illness Care (Palliative Care)

When a loved one faces a serious illness or declining health, understanding hospice and palliative care insurance coverage can seem daunting. Many families worry about the financial aspects of care, questioning what Medicare, Medicaid or private insurance will cover. The good news is that hospice and palliative care services are often fully or partially covered, providing relief to families during an emotionally challenging time.

read more

Lightways Hospice and Serious Illness Care to Help the Joliet Community Understand Advance Care Planning

Lightways Hospice and Serious Illness Care to Help the Joliet Community Understand Advance Care Planning

Lightways Hospice and Serious Illness Care to Help the Joliet Community Understand Advance Care Planning

Lightways nurse reviewing a pamphlet with a patient

Grant Project funded by National Institutes of Health (NIH)

Lightways Hospice and Serious Illness Care will join a nationwide project and host a community game event at Ascension Saint Joseph Hospital Wallin Conference Center from 5:30 p.m. – 7:30 p.m., Monday, June 24 to engage communities in important conversations about medical decision making. The event, featuring the conversation game Hello, will provide information about how to prepare for future decisions about serious and critical health issues. Complimentary dinner and refreshments will be provided.

“This game will help you prepare for situations you may not have considered before,” Kathy Peterson, Senior Director of Marketing and Business Development. “It makes conversations like these much more fun and meaningful.”

The advance care planning topic can be difficult, but it is a necessary one to discuss. The community game day event will bring people together for an enjoyable discussion about living well and quality end-of-life care. Participants will receive information about medical decision-making and an advance directive that they may choose to complete. This event is a first step to advance care planning, and every participant will leave prepared to continue the conversation and take important steps to ensure their end-of-life care goals are known.

The Hello events are part of a large, NIH-funded research study led by Lauren Jodi Van Scoy, M.D. at Penn State Health Milton S. Hershey Medical Center, through her research program, Project Talk. Hospice Foundation of America and the University of Kentucky are partners on the project. Participants who opt-in to participate can receive up to $90 in gift cards for their time.

Learning how best to engage communities in activities such as these is crucial to improving access to high quality of care later in life. Lightways Hospice and Serious Illness Care will help the Joliet community have conversations like these more often and more easily.

Register for the event online at lightways.org//project-talk-hello/ or email Kathy Peterson at [email protected] for more information.

Understanding Advanced Directives: Why They Matter

When it comes to healthcare, we often think we have all the time in the world to make decisions about our future. But what happens if we are suddenly unable to voice our wishes? This is where advanced directives come into play. If you’ve never heard of them, or you’re not sure what they entail, don’t worry. Let’s break it down in simple terms.

read more

Understanding Medicare and Insurance Coverage & Benefits for Hospice and Serious Illness Care (Palliative Care)

When a loved one faces a serious illness or declining health, understanding hospice and palliative care insurance coverage can seem daunting. Many families worry about the financial aspects of care, questioning what Medicare, Medicaid or private insurance will cover. The good news is that hospice and palliative care services are often fully or partially covered, providing relief to families during an emotionally challenging time.

read more

Lightways Hospice and Serious Illness Care offers treatment to ALS patients and their families

Lightways Hospice and Serious Illness Care offers treatment to ALS patients and their families

Lightways Hospice and Serious Illness Care offers treatment to ALS patients and their families

Blocks on yellow background with text: ALS - serious illness care for patients and families

Program has seen a 2400 percent census increase over last seven years

The ALS Association estimates the number of people living with ALS (amyotrophic lateral sclerosis) in the United States to be more than 30,000. This number fluctuates daily because every 90 minutes, someone is diagnosed with or dies from ALS. Ninety percent of cases occur with no family history, and the onset is usually between the ages of 40 and 70.

According to Lisa Heiy, director of Serious Illness Care at Lightways Hospice and Serious Illness Care, the number of patients with ALS the organization cared for increased 2400 percent from 2016 to 2023.

“Lightways has seen dramatic increases in both the serious illness and hospice care program for people with ALS,” Heiy said. “We are able to create personalized care programs for each patient and their families to help them navigate this disease today, and as needs change in the future.”

While there is no cure for ALS, Serious Illness Care at Lightways, also known as palliative care, can help improve the quality of life and manage symptoms for the patient, as well as educate families about the different stages of the disease. ALS is a degenerative disease that challenges an individual’s ability to control his/her body. Routine tasks such as bathing, eating, and dressing become difficult and as the disease progresses, so does speaking, eating, and breathing which can cause immense physical discomfort and emotional pain.

“Our Serious Illness Care team is specially trained to assist ALS patients and their families,” said Heiy. “Our team helps enhance communication with a family’s doctors about goals and future advanced care plans, including mechanical ventilation, artificial feeding, and hydration. At every stage, our Serious Illness Care program clears the way for a patient and his/her loved ones, together, to enjoy the best possible quality of life.”

Heiy also said the Serious Illness Care program helps families make the transition to hospice care when they feel ongoing treatment is no longer helping.

“It is all about the continuity of care,” she said. “This can be a scary and emotional time for a patient and his/her family. The prognosis can change daily. Our Serious Illness Care team is here to help provide reassurance about the quality of care to families and ensure the patient is as comfortable as possible.”

In addition, Heiy said the Serious Illness Care team will work in partnership with a patient’s neurologist and multidisciplinary team to manage symptoms and assist with the coordination of care.

“This team specializes in managing the symptoms and stress of serious illness and is also well-versed in navigating the complex health care system. We provide an extra layer of support and ensure whatever can be well-controlled, will be well-controlled.”

For more information about care for ALS patients at Lightways Hospice and Serious Illness Care, visit the website: lightways.org/als-care/ or call 815.740.4104.

Understanding Advanced Directives: Why They Matter

When it comes to healthcare, we often think we have all the time in the world to make decisions about our future. But what happens if we are suddenly unable to voice our wishes? This is where advanced directives come into play. If you’ve never heard of them, or you’re not sure what they entail, don’t worry. Let’s break it down in simple terms.

read more

Understanding Medicare and Insurance Coverage & Benefits for Hospice and Serious Illness Care (Palliative Care)

When a loved one faces a serious illness or declining health, understanding hospice and palliative care insurance coverage can seem daunting. Many families worry about the financial aspects of care, questioning what Medicare, Medicaid or private insurance will cover. The good news is that hospice and palliative care services are often fully or partially covered, providing relief to families during an emotionally challenging time.

read more

A personal note from our CEO, Mary Kay Sheehan

A personal note from our CEO, Mary Kay Sheehan

A personal note from our CEO, Mary Kay Sheehan

Portrait of Duane Krieger

Duane Krieger

As you may know by now, Mr. Duane Krieger died last week. Lightways Hospice and Serious Illness care had the privilege of caring for him and his family in our inpatient unit in Joliet. What you may not know is that Duane was CEO of the organization (Joliet Area Community Hospice at the time),who found the land, raised the money, and put the first shovel in the ground to build that inpatient unit! The first hospice inpatient residence (inpatient unit) in the state of Illinois. Duane made it possible for this state to finally care for dying patients in an inpatient facility staffed 24/7 by nurses, nurses’ aides, social workers, chaplains, physicians, integrative therapists, volunteers, and physical therapists. A sixteen-bed facility that felt like home on a beautiful property surrounded by a pond, a walking path, flowers, trees as well as our administrative building. Hospices from around the state came to see the residence in Joliet, myself included while I worked for another organization also building a residence.

By his side all those years, was his wife Dee, who is still a member of our Hospice Guild. The Guild has raised over $1M to support our mission including the inpatient unit.

Since Duane’s vision became a reality in 2004, we have been able to increase the number of beds to twenty and then to twenty-four thanks to Natalie Manley and the state of Illinois. In 2023 we cared for 753 patients in that hospice unit. The state of Illinois has only eight of these facilities.

I will be forever grateful to Duane for his commitment to this community and the care of hospice patients. He is the definition of grass roots advocacy and doing the right thing. And I will miss him, his stories, and his happy “Cheers” when he said goodbye. Cheers Duane, until I see you again.

Sincerely,

Mary Kay Sheehan
CEO
Lightways Hospice and Serious Illness Care

Understanding Advanced Directives: Why They Matter

When it comes to healthcare, we often think we have all the time in the world to make decisions about our future. But what happens if we are suddenly unable to voice our wishes? This is where advanced directives come into play. If you’ve never heard of them, or you’re not sure what they entail, don’t worry. Let’s break it down in simple terms.

read more

Understanding Medicare and Insurance Coverage & Benefits for Hospice and Serious Illness Care (Palliative Care)

When a loved one faces a serious illness or declining health, understanding hospice and palliative care insurance coverage can seem daunting. Many families worry about the financial aspects of care, questioning what Medicare, Medicaid or private insurance will cover. The good news is that hospice and palliative care services are often fully or partially covered, providing relief to families during an emotionally challenging time.

read more