Five Wishes – Definition & Detailed Explanation – End-of-Life and Hospice Care Glossary

What is Five Wishes?

Five Wishes is a comprehensive advance care planning document that allows individuals to express their wishes regarding medical treatment and end-of-life care. It goes beyond a traditional living will by addressing not only medical preferences but also personal, emotional, and spiritual needs. Five Wishes is designed to help individuals communicate their preferences to loved ones and healthcare providers, ensuring that their wishes are honored in the event that they are unable to make decisions for themselves.

How is Five Wishes different from a living will?

While a living will typically focuses on medical treatment preferences, Five Wishes goes beyond medical care to address personal, emotional, and spiritual needs. It allows individuals to specify their preferences regarding comfort measures, personal care, and the kind of treatment they would like to receive. Five Wishes also includes a section for individuals to designate a healthcare proxy, who can make decisions on their behalf if they are unable to do so.

Who can use Five Wishes?

Five Wishes is designed for individuals of all ages and health statuses. It can be used by anyone who wants to ensure that their wishes are known and respected in the event of a medical crisis or end-of-life situation. Five Wishes is particularly helpful for individuals who want to have a voice in their care and make sure that their values and beliefs are taken into consideration.

What are the key components of Five Wishes?

Five Wishes is divided into five key sections, each addressing different aspects of advance care planning:

1. The first section allows individuals to designate a healthcare proxy, who can make medical decisions on their behalf if they are unable to do so.
2. The second section addresses the kind of medical treatment individuals would like to receive, including preferences for life-sustaining measures.
3. The third section focuses on personal comfort measures, such as pain management and emotional support.
4. The fourth section allows individuals to specify their wishes regarding personal care, including preferences for where they would like to receive care.
5. The fifth section addresses individuals’ spiritual and emotional needs, including preferences for religious or cultural rituals.

How can Five Wishes help with end-of-life planning?

Five Wishes can help individuals and their loved ones navigate difficult decisions and ensure that their wishes are honored. By completing a Five Wishes document, individuals can clarify their preferences regarding medical treatment, personal care, and emotional support. This can provide peace of mind for both individuals and their families, knowing that their wishes will be respected in the event of a medical crisis or end-of-life situation.

What is the legal status of Five Wishes documents?

Five Wishes is a legally recognized advance care planning document in 42 states, including the District of Columbia. In states where Five Wishes is not legally recognized, it is still a valuable tool for individuals to communicate their wishes to loved ones and healthcare providers. While Five Wishes is not a substitute for a legal document such as a living will, it can serve as a helpful guide for individuals and their families to navigate end-of-life decisions.