Advance Directives: L*ve or Let D*e

Review historical overview of medicolegal ethics and introduce advance directives.  We will have an interactive discussion about the facts and emotions of Health Care Power of Attorney, living wills, and Five Wishes.  We will discuss the difference between the choice of Do Not Resuscitate and Allow Natural Death and the palliative effects of Artificial Nutrition and Hydration.

At the end of the presentation, the learner will be able to:

  1. List their own advance directives.
  2. Create an ethical framework to guide discussions related to end of life.

This applies to Principle 2 – Board Certified Case Managers (CCMs) will respect the rights and inherent dignity of all their clients, Principle 3 – Board Certified Case Managers (CCMs) will always maintain objectivity in their relationships with clients and Principle 4 – Board Certified Case Managers (CCMs) will act with integrity and fidelity with clients and others.


martha Martha became an RN in 1975 and a Lamaze Certified Childbirth Educator in 1980.  She worked OB in a high-risk tertiary hospital and had a Lamaze business for 7 yrs.  In the AF she worked OB in a level 1 hospital with a wartime job as an OR nurse. During her AF career, she received an MS in Operations Management.  Before going to BCBSSC as a case manager, she worked for several hospices. She is ANCC certified in Case Management since 2004 and part of ANCC’s Content Expert Panel for Case Management for the past 7 years.  Martha is a retired Lt Colonel from the AFR.