Advance Care Planning: How to Have the Hard Conversations Before It's Too
Late
By Rasha Morad, MD

Rasha Morad, MD noted that advance care planning is one of the most important steps individuals can take to ensure that their healthcare preferences are understood and respected, especially in times of crisis or severe illness. These discussions, while difficult, are crucial to ensuring that loved ones and healthcare providers know what a person wants when they are no longer able to communicate those wishes themselves The key to advanced care planning lies in having open, honest conversations before an emergency arises.
One of the most significant barriers to advance care planning is the discomfort surrounding end-of-life topics Many people avoid these conversations, hoping they won’t need to have them, but the reality is that having these discussions early can provide peace of mind for everyone involved. It’s important to remember that advance care planning isn't just about making decisions; it's about making those decisions clear to the people who will carry them out
The process of advance care planning typically involves selecting a healthcare proxy a trusted individual who will make decisions on your behalf if you cannot This trusted person should understand your values, beliefs, and preferences to ensure that they can act in your best interest Additionally, documenting your healthcare wishes in an advance directive, such as a living will, allows you to outline exactly what kind of care you do or do not want, including preferences regarding life-sustaining treatments.
It’s essential to approach these conversations with care, especially with family members. Share your thoughts calmly, ensuring that your loved ones feel informed, not overwhelmed Discussing your values and goals for healthcare, whether you want to pursue aggressive treatment or opt for palliative care, can help ease the burden on your family during a difficult time.
While these conversations may seem uncomfortable at first, they provide clarity and can ensure that your wishes are honored when the time comes. Advance care planning is about giving yourself and your family the peace of mind that the right decisions will be made, even when you can no longer make them yourself