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  • It's just something we don't like to think about.

  • No-one talks about it, no-one really wants to address it.

  • My husband's very much: "Don't want to talk about it. Nope. You're fine."

  • I don't want to talk about my death too much with them

  • because I don't want to make them feel more unhappy.

  • It's even more difficult if you're faced

  • with somebody that you love

  • who's got a diagnosis

  • and then you have to start this conversation.

  • You don't have the language because you've never talked about it.

  • You don't have the familiarity, you don't know how to open the question.

  • In our society we're often encouraged

  • to plan for our lives.

  • Planning for our births,

  • planning for different operations if they need to happen,

  • and also, as an extension of that,

  • starting to plan for our end-of-life care.

  • And that's increasingly important,

  • because more of us have a period where we are dying

  • rather than just suddenly dead.

  • So there's a chance to think about what that period will look like.

  • When those questions are looking back at you

  • and someone is saying, "What do you want?"

  • It makes you really sit down and think about

  • all the places that you might want to have your ashes scattered,

  • or whether you want to die in hospital,

  • or whether you want to come home and die,

  • what are you going to do with your animals?

  • Who's going to look after your husband when you've gone?

  • Families might make the assumption

  • that they will be able to speak on behalf of their loved one,

  • and it's not an automatic thing that they can do that.

  • It's important that they legally nominate a family member

  • by making them a lasting power of attorney for health and welfare.

  • It's a comfort knowing that my parents have power of attorney

  • and they can make those decisions when I'm not able to

  • rather than a doctor or somebody who doesn't know me very well.

  • Just nudging doctors

  • in the right direction, so actually,

  • "Do this, but don't do any more"

  • or, "This is not what I would have wanted" is incredibly helpful.

  • Legally we can't demand certain treatments,

  • but we can definitely refuse treatments.

  • So people can say they don't want to be resuscitated,

  • or they don't want to have artificial nutrition.

  • I think a funeral plan is extremely helpful.

  • Carl had made one, my husband, before he died.

  • So we did know what he wanted in his funeral

  • and what he didn't want.

  • That kind of practical thing was such a comfort to the family.

  • Allow them to grieve for you,

  • instead of having to worry about the 'what ifs'.

  • "What if we've done this wrong?"

  • We don't turn up and say: "Let's talk about death."

  • Or: "Tell me what you want if I tell you that you're dying."

  • You sent me your Advance Care Plan booklet

  • and I've filled that in up to a point.

  • Although when it came to the, you know,

  • "Do you want your window open or shut? Or your light on?

  • Or what about your hygiene?"

  • And I thought: "No - I can't even think about that."

  • But it is simply a case of getting things together

  • so that it's easy for my family.

  • By documenting this information now

  • you are at the centre and we, as professionals, and your close ones

  • and family, will do the best we can to make sure you have the care

  • and the preferences you want.

  • It's really important that you tell your GP or your healthcare provider

  • what your preferences are if they relate to medical options.

  • It's important to let your friends and family know

  • where they can find that document

  • if it's in a particular part of your house.

  • Disabled young people don't necessarily want to be focusing

  • on more planning

  • which is around their illness

  • or their disability.

  • Personally for me I feel like I've spent a lot of time

  • negotiating my health, negotiating the support that I receive,

  • the care that I receive, my diagnoses,

  • and so I want to spend any extra time or extra energy that I have

  • really living, and making sure

  • that I'm doing the things which I think are important.

  • Within healthcare these days, there's an expectation,

  • both from healthcare professionals and patients,

  • that people can have a say about what's important to them.

  • However that can put a lot of pressure on people

  • to make sense of quite a vast array of information

  • and at a time when they actually might want to defer

  • the decision making to someone else.

  • If we have to, and you're not able to tell us what you want,

  • we will do what we think is best for you from what we know.

  • It's not a yes, you've got a plan or no, you haven't.

  • It's more of a kind of evolution of thinking.

  • And you can revisit them and change them as your life is progressing

  • or as your values are changing.

  • It's a true gift of love because you're taking away that burden.

  • Put your wishes down, file away, and forget about it.

  • Focus on the important bits of living and getting on with life.

  • We insure our house, we insure our cars,

  • we insure our pets.

  • Why are we not insuring ourselves?

  • Nobody's going to say, "Well Adil didn't say what he wanted".

  • Because I did and it's there on paper.

It's just something we don't like to think about.

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