February 2020 – Use the 6 D’s to trigger follow-up conversations with a surrogate decision-maker and to update POLST and living will.
Review goals and documents
Decade: Every ten years (some advocate for annual review).
Diagnosis: When you develop a new serious illness.
Divorce: Assure the right person is advocating for you.
Death: When someone significant in your circle of support dies.
Decline: When you have changes in condition or illness progression.
Distance: When you or your decision-makers move to a new area or have a new care provider.