April 01, 2023

1400H - 1500H
Via Zoom

Empowerment
objective - for
HEALTHCARE laypeople to have a
DECISIONS basic understanding
DAY of the HEALTHCARE
AWARENESS DECISIONS DAY
AWARENESS in their
health management.
 April 01, 2023
1400H - 1500H
Via Zoom
Welcome all!

MUTE yourself but always

Empowerment show your video picture.

objective - for Sign in your name, FB

HEALTHCARE laypeople to have a account, or email address in
the Chat Box! Include names
DECISIONS basic understanding of companions attending.

DAY of the HEALTHCARE Use the Chat Box to ask

AWARENESS DECISIONS DAY questions and make
comments while the PEP TALK
AWARENESS in their is on.
health management.
Group pictures at start and
end of PEP TALK – show your
face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:

FEEDBACK TO THIS
Empowerment PEP TALK!
objective - for
HEALTHCARE laypeople to have a Pls. type in your
DECISIONS basic understanding feedback in the chat
of the HEALTHCARE box during the open
DAY
forum and before we
AWARENESS DECISIONS DAY adjourn!
AWARENESS in their
health management. Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for START PEP TALK
PROPER IN 2
HEALTHCARE laypeople to have a MINUTES!
DECISIONS basic understanding
DAY of the HEALTHCARE Pls. turn on your
AWARENESS DECISIONS DAY video!
AWARENESS in their Show your face!
health management.
 Empowerment ROJoson PEP Talk
objective - for I have a Patient
HEALTHCARE laypeople to have a Empowerment
DECISIONS basic understanding Program in which I
DAY of the HEALTHCARE like to empower the
AWARENESS DECISIONS DAY lay people or
AWARENESS in their patients to take
control in the
health management. management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm and
perseverance.
 My PEP TALK today is
entitled:
Empowerment HEALTHCARE
objective - for DECISIONS DAY
HEALTHCARE laypeople to have a AWARENESS
DECISIONS basic understanding
DAY of the HEALTHCARE in consonance with
AWARENESS DECISIONS DAY the advocacy of
AWARENESS in their
HEALTHCARE
health management. DECISIONS DAY in
April 16, 2023 (USA)
 Contents
• What is Healthcare Decisions Day?
HEALTHCARE • What are Advance Healthcare Directives?
DECISIONS • What are the benefits of Advance Healthare
DAY Directives?
AWARENESS • What are 2 initiatives that try to facilitate
making of a formal Advance Healthcare
Directives?
• Samples of ROJoson Advance Healthcare
Directives and 5 Wishes
 Healthcare Decisions Day is a project
HEALTHCARE started in the USA (2008) used to inspire,
DECISIONS educate and empower the public and
DAY providers (healthcare providers) about
AWARENESS the importance of advance health care
planning.

- an initiative to encourage patients to

express their wishes regarding healthcare
and for providers and facilities to respect
those wishes, whatever they may be.
 I am glad that America is continually promoting
awareness of the importance of the advance
HEALTHCARE directives.
DECISIONS
DAY In America, April 16 has been declared on
AWARENESS National Healthcare Decisions Day, “part of a
national campaign to encourage Americans to
complete their advance directives or living wills
and document their desires regarding medical
treatment at the end of life. ”  There is NO such
http://www.nhdd.org formal and wide-
scale initiative yet in
I support this project. the Philippines.
 In the Philippines,
I think we should also have a national campaign
HEALTHCARE similar to that in the USA to encourage more
DECISIONS Filipinos to make their advance directives or
DAY living wills.  
AWARENESS
Awareness and advocacy campaigns should be
conducted by both physicians and health care
institutions regardless of specialty. 

The campaigns should not be delegated to the

hospice specialists only.
 Advance care planning starts with talking with
your loved ones, your healthcare providers, and
HEALTHCARE even your friends - all are important steps to
DECISIONS making your wishes known.
DAY
AWARENESS These conversations will relieve loved ones and
healthcare providers of the need to guess what
you would want if you are ever facing a
healthcare or medical crisis.
 Advance directives are the main targets of the
Healthcare Decisions day.
HEALTHCARE
DECISIONS “Advance Directives” are legal documents (Living
DAY Will and Healthcare Power of Attorney)
AWARENESS
that allow you to plan and make your own end-
of-life wishes known in the event that you are
unable to communicate.

http://www.caringinfo.org/i4a/pages/index.cfm
?pageid=3537
 As early as 2006, I have made a formal
declaration of my wishes on how I am going to
HEALTHCARE die.  I have made an advance directive or living
DECISIONS will, the other term for an advance directive.
DAY
AWARENESS I have been regularly updating my advance
directive almost every year.
 A common practice
I have not have my living will notarized since
or expectation
2006. 
HEALTHCARE though is that
DECISIONS advance directives
I felt it is NOT necessary.  I personally think,
DAY should be notarized
especially, in the context of my family
making them legal
AWARENESS environment, it is enough that my immediate
documents to
and extended family members know that I have
prevent conflicts
such a documented will and they know my
between patients
wishes.
and relatives; among
relatives; and
patients, relatives
and healthcare
providers.
 For me and for others -----
HEALTHCARE Advance directives will be of great help to my
DECISIONS family members, physicians, and also to myself in
DAY decision-making during my end-of-life stage.
AWARENESS
Foremost, they will help me die with dignity and
with shortest duration of agony. 

They will also keep my hospitalization and

medical expenses to just a “necessary
“minimum.
 In the past and at present, I have seen quite a
number of patients and relatives suffering,
HEALTHCARE physically, emotionally, and financially, that
DECISIONS could have been minimized if not avoided by the
DAY presence of advance directives and end-of-life
AWARENESS counseling by physicians.
 My advance directive
HEALTHCARE ROJoson Advance Health Care Directive and
DECISIONS Implementing Guidelines and Instructions
DAY
AWARENESS can be seen in

https://rojoson.wordpress.com/2021/08/28/rojoson-
advance-health-care-directive-and-implementing-
guidelines-and-instructions/
 It is not easy to make an “advance directive.” Advocates of
Advance Directive
HEALTHCARE A lot of people are trying their best
DECISIONS - Do not want to talk and more so, to think to promote the
DAY about death, the inevitable event for initiative through
AWARENESS everyone. various “friendly
- Do not know the healthcare problems and strategies, such as
challenges during the near-end of life. • The Conversation
- Do not know what to place in a healthcare Project
advance directive or living will. • The 5 Wishes
 The Conversation Project of the Institute for Advocates of
Healthcare Improvement is dedicated to helping Advance Directive
HEALTHCARE people talk about their wishes for care through are trying their best
DECISIONS the end of life so those wishes can be to promote the
DAY understood and respected. initiative through
AWARENESS various “friendly
https://www.facebook.com/ strategies, such as
TheConversationProject/ • The 5 Wishes
• The Conversation
Project
 5 things that advocates from the The Conversation Project say you
should know about starting this conversation with your loved ones.
HEALTHCARE 1. You can start out by writing a letter—to yourself, a loved one, or a
DECISIONS friend — and you might consider having a practice conversation with
DAY someone you trust.
AWARENESS 2. Try finishing the sentence ‘What matters to me at the end of life
is…’
3. You can broach the topic by saying things like “I was thinking about
what happened to , and it made me realize…” or “I need to think
about the future. Will you help me?”
4. You don’t have to steer the conversation; just let it happen.
5. Keep in mind there are legal and medical documents you should
think about producing for the Advance Directive.
 Five Wishes is a document that, like other
advance directives, makes your wishes known
HEALTHCARE ahead of time. It is unique among other advance
DECISIONS directives, however, because it addresses all of a
DAY persons needs: medical, personal, emotional,
AWARENESS and spiritual.
 According to Aging with Dignity (
http://www.agingwithdignity.org) the
HEALTHCARE organization that created Five Wishes, the
DECISIONS document lets your family and health care
DAY providers know:
AWARENESS 1.Which person you want to make health care
decisions for you when you can’t make them.
2.The kind of medical treatment you want or
don’t want.
3.How comfortable you want to be.
4.How you want people to treat you.
5.What you want your loved ones to know.
 Below are my 5 wishes (2023):
HEALTHCARE WISH 1
DECISIONS The Person I Want to Make Health Care Decisions
DAY for Me When I Can’t Make Them for Myself.
AWARENESS 1. First Choice: My wife
2 Second Choice: Consensus of my son and
daughter
 WISH 2
My Wish for the Kind of Medical Treatment I
HEALTHCARE Want or Don’t Want.
DECISIONS
DAY I believe that my life is precious and I deserve to
AWARENESS be treated with dignity. When the time comes
that I am very sick and am not able to speak for
myself, I want the following wishes, and any
other directions I have given to my Health Care
Agent, to be respected and followed.
 What You Should Keep in Mind as my Caregiver
HEALTHCARE • I do not want to be in pain. I want my doctor to
DECISIONS give me enough medicine to relieve my pain,
DAY even if that means that I will be drowsy or sleep
AWARENESS more than I would otherwise.
• I want to be offered food and fluids by mouth.
 Life-support treatment
• Close to death:
HEALTHCARE • In a Coma and Not Expected To Wake Up or
DECISIONS Recover:
DAY • Permanent and Severe Brain Damage and Not
AWARENESS Expected to Recover:

I do not want life-support treatment. If it has

been started, I want it stopped.
 Life-support treatment
HEALTHCARE In Another Condition Under Which I Do Not Wish
DECISIONS to Be Kept Alive:
DAY
AWARENESS Advanced cancer, stroke, and other severe
disability and terminally-ill diseases
 WISH 3
My Wish for How Comfortable I Want to Be.
HEALTHCARE
DECISIONS • I do not want to be in pain. I want my doctor to
DAY give me enough medicine to relieve my pain,
AWARENESS even if that means I will be drowsy or sleep more
than I would otherwise.
• If I show signs of depression, nausea, shortness
of breath, or hallucinations, I want my care givers
to do whatever they can to help me.
• I want my lips and mouth kept moist to stop
dryness.
 WISH 3
My Wish for How Comfortable I Want to Be.
HEALTHCARE
DECISIONS • I wish to have warm baths often. I wish to be
DAY kept fresh and clean at all times.
AWARENESS • I wish to be massaged as often as I can be.
• I wish to have my favorite music played when
possible until my time of death.
• I wish to have personal care like shaving, nail
clipping, hair brushing, and teeth brushing, as
long as they do not cause me pain or discomfort.
• I wish to have religious readings and well-loved
poems read aloud when I am near death.
 WISH 4
My Wish for How I Want People to Treat Me.
HEALTHCARE
DECISIONS • I wish to have people (my family members)
DAY with me when possible. I want someone to be
AWARENESS with me when it seems that death may come at
any time.
• I wish to have my hand held and to be talked to
when possible, even if I don’t seem to respond to
the voice or touch of others.
• I wish to be cared for with kindness and
cheerfulness, and not sadness.
 WISH 4
My Wish for How I Want People to Treat Me.
HEALTHCARE
DECISIONS • I wish to have pictures of my loved ones in my
DAY room, near my bed.
AWARENESS • If I am not able to control my bowel or bladder
functions, I wish for my clothes and bed linens to
be kept clean, and for them to be changed as
soon as they can be if they have been soiled.
• I want to die in my home, if that can be done.
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS
DAY • I wish to have my family and friends know that
AWARENESS I love them.
• I wish to be forgiven for the times I have hurt
my family, friends, and others.
• I wish to have my family, friends and others
know that I forgive them for when they may have
hurt me in my life.
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS
DAY • I wish for my family and friends to know that I
AWARENESS do not fear death itself. I think it is not the end,
but a new beginning for me.
• I wish for all of my family members to make
peace with each other before my death, if they
can.
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS
DAY • I wish for my family and friends to think about
AWARENESS what I was like before I became seriously ill. I
want them to remember me in this way after my
death.
• I wish for my family and friends and caregivers
to respect my wishes even if they don’t agree
with them.
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS
DAY • I wish for my family and friends to look at my
AWARENESS dying as a time of personal growth for everyone,
including me. This will help me live a meaningful
life in my final days.
• I wish for my family and friends to get
counseling if they have trouble with my death. I
want memories of my life to give them joy and
not sorrow.
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS
DAY • After my death, I would like my body to be
AWARENESS cremated.
• My remains should be put in Manila Memorial
Park.
• The following persons know my funeral wishes:
My wife, my son, and my daughter.
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS • If anyone asks how I want to be remembered,
DAY please say the following about me:
AWARENESS To my family –
Good husband –
•Responsible
•Loving
•Faithful
•Provide material needs
•Provide emotional needs
•Support wife’s emotional needs
•Promote wife as a human being (rights)
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS
DAY • If anyone asks how I want to be remembered,
AWARENESS please say the following about me:
To my family –
Good father –
•Provide companionship
•Serve as a role model
Good man –
•Man for family
•Man for others
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS • If anyone asks how I want to be remembered,
DAY please say the following about me:
AWARENESS To my acquaintances –
Good man
Man for family
Responsible father
•Provide
•Support
•Promote children as human beings
•Provide companionship
•Serve as role model
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS • If anyone asks how I want to be remembered,
DAY please say the following about me:
AWARENESS To my acquaintances –
Man for others
Vision-mission
•For himself
•For his family
•For his community
 WISH 5
My Wish for What I Want My Loved Ones To
HEALTHCARE Know.
DECISIONS • Epitaph on my tombstone: Good Husband,
DAY Father, Man, Physician, and Teacher (with my
AWARENESS picture on tombstone)
• I don’t like memorial services.
• I will donate organs from my body that are
“donatable.”

Reynaldo O. Joson (Sgd)

March 22, 2023
 Contents Summary
• What is Healthcare Decisions Day? Take Away
HEALTHCARE • What are Advance Healthcare Directives?
DECISIONS • What are the benefits of Advance Healthare
DAY Directives?
AWARENESS • What are 2 initiatives that try to facilitate
making of a formal Advance Healthcare
Directives?
• Samples of ROJoson Advance Healthcare
Directives and 5 Wishes
 For me and for others ----- Summary
HEALTHCARE Take Away
Advance directives will be of great help to my
DECISIONS family members, physicians, and also to myself in
DAY decision-making during my end-of-life stage.
AWARENESS
Foremost, they will help me die with dignity and
with shortest duration of agony. 

They will also keep my hospitalization and

medical expenses to just a “necessary
“minimum.
 In the past and at present, I have seen quite a Summary
number of patients and relatives suffering, Take Away
HEALTHCARE physically, emotionally, and financially, that
DECISIONS could have been minimized if not avoided by the
DAY presence of advance directives and end-of-life
AWARENESS counseling by physicians.
 Be always in touch with reliable medical Take Away in
HEALTHCARE information on ADVANCE DIRECTIVES. relation to
DECISIONS Patient
DAY Knowledge is power; it gives power. Empowerment
AWARENESS Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
making ADVANCE DIRECTIVE in one’s
health management.
 Empowerment
objective - for
HEALTHCARE laypeople to have a
DECISIONS basic understanding
DAY of the HEALTHCARE
AWARENESS DECISION DAY
AWARENESS in their
health management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:

FEEDBACK TO THIS
Empowerment PEP TALK!
objective - for
HEALTHCARE laypeople to have a Pls. type in your
DECISIONS basic understanding feedback in the chat
DAY of the HEALTHCARE box during the open
forum and before we
AWARENESS DECISIONS DAY adjourn!
AWARENESS in their
health management. Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for START Q&A AND
INTERACTIONS!
HEALTHCARE laypeople to have a
DECISIONS basic understanding Pls. turn on your
DAY of the HEALTHCARE video!
AWARENESS DECISIONS DAY Show your face!
AWARENESS in their
health management.