Planning For Your Future Care And Wellbeing

1y ago
9 Views
2 Downloads
6.20 MB
30 Pages
Last View : 8d ago
Last Download : 3m ago
Upload by : River Barajas
Transcription

Blackburn with DarwenClinical Commissioning GroupEast LancashireClinical Commissioning GroupAdvance Care Planning GuidePlanning for Your FutureCare and Wellbeing Preparing for the future and your healthand wellbeing needs Identifying practical arrangements Enabling the right care to be given at theright time and in the right place for you

Advance Care Planning GuideHow it can help you plan your future carePlease note that this booklet and Sections are not designed to becompleted all at once. It can be filled in over a period of time, asand when you feel comfortable to do so, but a good place to start isSection One “Statement of your wishes and care preferences”Advance Care Planning can help you plan for the future. It gives you anopportunity to think about, talk about and write down your preferences andpriorities for your future care, including how you want to receive your care.The choice is yours as to who you share the information with. By recordingyour preferences in this booklet it will help to ensure that your wishes are takeninto account.Advance Care Planning can help you and your carers (family and friends who areinvolved in your care) to understand what is important to you. The plan providesan ideal opportunity to discuss and record in writing your views with those whoare close to you. It will help you to be clear about the decisions you make and itwill allow you to record your wishes in writing so that they can be carried out atthe appropriate time.Remember that your feelings and priorities may change over time. You havechoices in what may happen in the future such as being able to remain livingindependently at home. This document allows you to voice your ownpreferred choices.You can change what you have written whenever you wish to, and it would beadvisable to review your plan regularly (every 3-6 months) to make sure that itstill reflects what you want. Remember to sign and date this document when youreview it so that it is clear to others.2Advance Care Planning Guide: Planning for Your Care and Wellbeing

There are Six Sections in total:Statement of your wishes and care preferencesSection 1Putting your affairs in orderSection 2Making a Will Section 3Funeral Planning Section 4Advance Decision MakingSection 5Reminder checklistSection 6Advance Care Planning Guide: Planning for Your Care and Wellbeing3

Section 1a - Statement of yourwishes and care preferencesThis section is for you to record anywishes or preferences that would beimportant to you should you everbecome unwell, or have difficulty inmaking decisions for yourself. Thiswill give everyone (family, carersand professionals) a clear idea ofknowing what is important to youwhen deciding what needs to happen.Your wishes and preferences must beconsidered at these times though theyare not legally binding.If you want to refuse a specifictreatment then the section in thisguide about ‘Advance Decisions’ isavailable which is a legal way to refusetreatments that may be offered toyou in the future (Section 5). AnAdvance Decision is different to anadvance statement.4Advance Care Planning Guide: Planning for Your Care and Wellbeing

Your wishes and preferences can berecorded on page 13, here are someexamples you may want to consider: If you become ill, where you mightprefer to be treated (at home or inhospital for example). What might help you feel relaxedand comfortable should you need toreceive care or treatment at home orin hospital. Who you would like with you or whoyou would like to visit you shouldyou need care or treatment at homeor in hospital. Who you would like to look after yourdependants and pets should you beunable to do so because of illness. What would be important regardingreligious, spiritual or cultural concernsfor you should you need care ortreatment at home or in hospital. Who you would like to be informedif you become ill and need careor treatment. If your health/condition worsens,how much information you would liketo receive about how serious yourcondition might be. What your wishes and choicesregarding possible organ or tissuedonation are, as you may need tomake your family aware of yourwishes as their consent will also besought if you have chosen to donateyour organs or tissue (please seebelow for further information).The corresponding form relating to this section can be found in Section 1b (page 13)Further transplant.org.ukAdvance Care Planning Guide: Planning for Your Care and Wellbeing5

Section 2a - Putting YourAffairs in Order ChecklistEnsuring that your paper work anddocuments are up to date and easierto find will save time and reduceanxiety for your family/next of kin if youbecome unable to attend to your affairsor if you are taken ill or suddenly die.Your next of kin can be either yourpartner, a member of your family ora good friend but it is important todiscuss with those you have chosen asyour next of kin that they are willing tobe so1.Information you may wish to startputting togetherInformation you may wish to startputting together and have recordedin a safe place include bank name andaccount details, Insurance Policies,Pension Details, Passport, Birth/Marriage Certification, House Detailsto name a few. A tick box list can befound in Section 2b (page 18) which youcan use as a reminder of what to thinkabout. Have you nominated someoneyou can trust to tell them where yoursafe place is, so they will know wherethis information is kept in order to beable to access the details you haverecorded if the need ever arises?Appointing Someone toMake Decisions for YouThere are some situations whensomeone is able to foresee that theywill, in the future, deteriorate mentally(e.g. dementia). If this is the case theymay well decide to ask a specific personto undertake the responsibility formaking decisions for them if and whenthey are unable to do so themselves.That person is given Lasting Power ofAttorney (LPA).The person you choose can be yourpartner, a friend, a relative, or aprofessional. More than one person canact as attorney on your behalf. LastingPower of Attorneys are exclusive to youand the amount of power and limits ofthat power are decided by you.The role of attorney involves a greatdeal of power and responsibility, somake sure you think carefully aboutwho you choose. You must be able totrust them to make decisions in yourbest interests.There is no legal definition of next of kin and you should consider verycarefully who you state to be your next of kin, particularly if this is someoneoutside your immediate family.16Advance Care Planning Guide: Planning for Your Care and Wellbeing

There are two types of Lasting Power of Attorney: A Property and Financial Affairs LPA covers decisionsabout your property and money i.e. managing a bankor building society, paying bills, collecting benefits or apension and selling your home. This can be used as soonas it’s registered with your permission. A Personal Welfare LPA covers decisions about yourhealthcare and personal welfare ie. your daily routine(washing dressing, eating), medical care, moving into acare home and life-sustaining treatment. This can onlybe used when you’re unable to make your own decisions.You can choose to make one type orboth. Forms need to be completed andthen registered with the Office of thePublic Guardian. You can fill in formson the internet - ower, or you can request forms tobe posted to you. The Office of PublicGuardian (OPG) can give you details oforganisations to help you use the onlineservice if you don’t have a computer orif you want to use the online service butneed some help.There is a cost involved to registeran LPA however you can check withorganisations such as Age UK orCitizens Advice Bureau to see if youare eligible for either a reduction orexemption. You are advised to look atthe OPG website to find out the currentfee for registration.You can cancel your LPA if you no longerneed it or want to make a new one.The corresponding form relating to this section can be found in Section 2b (page 18)Further InformationGov.uk wOffice of the Public Guardian (OPG)Tel: 0300 456 0300 (low call rate)Web: www.publicguardian.gov.ukAge UKTel: 0300 303 1234Citizens Advice BureauWeb: www.citizensadvice.org.ukAdvance Care Planning Guide: Planning for Your Care and Wellbeing7

Section 3 - Making a WillMany problems occur when a persondies without making a Will as thereare clear laws which dictate how yourpossessions would be allocated.If there is no Will the time taken tosort things out can be lengthy andexpensive and will cause added stressto your family/next of kin.You can make a Will without a solicitor,and forms can be purchased fromstationers or via the internet. This is onlyadvisable if the Will is straightforward.The Law Society advises that specialistadvice is sought from a solicitor if youhave a number of beneficiaries and yourfinances are complicated.In addition, the outcome from thisprocess may not be as you would wish,so it is advisable to make a Will toensure that your belongings are left tothe people you want to inherit them.8Advance Care Planning Guide: Planning for Your Care and Wellbeing

Think about the following aspects prior to visiting a solicitor as this will saveyou time and money. A list of all beneficiaries (peoplewho you would like to benefit fromyour Will) - and what you would likethem to receive A list of your possessions - savings,pensions, insurance policies,property etc Any arrangements you want foryour dependants or petsThe Solicitors Regulation Authority(information below) is able to provideadvice on how to find a solicitor who Decide who will be yourexecutor(s) - the person/s who willdeal with distributing your moneyand possessions after your death.You may have up to four, but it isa good idea to have at least two incase one dies before you do. Theycan also be beneficiaries and careshould be taken when choosingexecutors to ensure that they aresuitable and also willing.is best suited to your individual needs,as well as what information you shouldexpect to receive from your solicitor.Further InformationCitizen’s Advice Bureauwww.citizensadvice.org.ukSolicitors Regulation Authority (SRA)Tel: 0870 606 2555 (national call rate)Web: www.sra.org.ukAdvance Care Planning Guide: Planning for Your Care and Wellbeing9

Section 5a - Advance Decision MakingAn Advance Decision (previouslyknown as a Living Will) is different fromAdvance Statement of Wishes and CarePreferences as it is a formal, legallybinding document which allows anindividual to refuse certain treatments.A person must be over eighteen tomake an Advance Decision and musthave mental capacity to do so.It does not allow for a request to havelife ended and cannot be used torequest medical treatments.An Advance Decision (AD) is veryspecific and is used in situations whenparticular treatments would not beacceptable to someone. An examplewould be if a person had a severestroke which resulted in swallowingproblems. If the thought of being fed byalternative methods was not tolerablethen this could be documented formallyas an Advance Decision.An Advance Decision to refusetreatment can be made verbally, but itis preferable for decisions to be madein writing. If the Advance Decisionincludes the refusal for life sustainingtreatment, it must be in writing,signed and witnessed and include thestatement ‘even if life is at risk’.An Advance Decision will only be usedif, at some time in the future, you losethe ability to make your own decisionsabout your medical treatment. Tobe valid, an Advance Decision mustbe made before you lose your abilityto make such decisions. You canchange your mind about your AdvanceDecision, or amend it at anytime,provided you still have the capacity todo so.In order to make an AdvanceDecision advice should be soughtfrom someone who understands thecomplexity of the process such as ahealth care professional e.g. your GP/Doctor, or a solicitor.10Advance Care Planning Guide: Planning for Your Care and Wellbeing

An Advance Decision cannot beused to: Refuse basic care essential tokeep you comfortable, such aswashing or bathing Refuse the offer of food or drinkby mouth (but can be used torefuse feeding by tube(s)) Refuse the use of measuressolely designed to maintaincomfort – for examplepainkillers (which relieve painbut do not treat the condition) Refuse treatment for a mentaldisorder in the event that youare detained under the MentalHealth Act 1983The corresponding form relating to this section can be found in Section 5b (page 22)Further n 20050009 en l.htmAdvance Care Planning Guide: Planning for Your Care and Wellbeing11

Most of the forms included in this guide are non-legally binding, the table belowshows which are legally binding or non-legally bindingSectionLegally BindingNon-legally BindingYour Priorities for CareüPutting your affairs in orderüFuneral PlanningüReminder of things to doüAdvance Decision DocumentüThe forms included this guide can be found as below:Section 1bYour priorities for carePage 13Section 2bPutting Your Affairs in Order ChecklistPage 18Section 4Funeral PlanningPage 21Section 5bAdvance Decision DocumentPage 22Section 6Reminder of things to doPage 2712Advance Care Planning Guide: Planning for Your Care and Wellbeing

Section 1b - Your priorities for care(A non-legally binding document to represent your future hopes and wishes)Ideally keep this document to hand, share it with anyone involved in your care,including your GP (they may wish to keep a copy for their own records) and letthem know when it is changed.Your NameDateAddressPostcodeDistinguishing features (e.g. tattoos, birthmarks)Things about me that I would like you to knowName I like to be calledCarer / the person who knows me bestI would like you to knowMy life so far (family, home, backgroundand treasured possessions)Current interestsThe routines important to meMy diagnosis/diagnoses and what Iunderstand about thisAdvance Care Planning Guide: Planning for Your Care and Wellbeing13

Do you have a Legal Advance Decision?(Formally known as a Living Will)1Yes No If yes, where do you keep it and who has a copy?You may wish to name someone - or even more than one person - who shouldbe asked about your care if you are not able to make decisions for yourself. Thisperson may be a close family member, a friend or any other person you choose.Please state below who else you would like to be involved in making decisions?Contact 1Relationship to youTelephoneAddressDoes the person have a Lasting Power of Attorney for you?If yes please state which type - see page 7 for further informationYes No TypeContact 2Relationship to youTelephoneAddressDoes the person have a Lasting Power of Attorney for you?If yes please state which type - see page 7 for further informationYes No TypeAn Advance Decision (formally known as a Living Will) is a formal, legallybinding document which allows an individual to refuse certain treatments.A person must be over eighteen to make an Advance Decision and must havemental capacity to do so.114Advance Care Planning Guide: Planning for Your Care and Wellbeing

Page 5 of this guide may help you to complete the questions below. Consider eachof these questions carefully.Do you have any special requests or preferences regarding your future care?If your condition deteriorates where would you most like to be cared for?Generally is there anything you would ideally like to avoid happening to you?Do you have any comments or wishes that you would like to sharewith others?Advance Care Planning Guide: Planning for Your Care and Wellbeing15

Section 1b - Your priorities for care(A non-legally binding document to represent your future hopes and wishes)Your NameDateFamily Member / Carer / Next of Kin Signature (if present)DateHealth / Social Care ProfessionalDateDetails of any other family members involved in Advance CarePlanning discussionsI am happy and give consent for the information in thisdocument to be shared with relevant healthcare professionals- I.e. GP, Consultant, Specialist Nurse etcSignedDatePlease sign here each time you review and update this to your care er to regularly review (e.g. every 3-6 months) to ensure that thisdocument still represents your wishes. Sign and date any changes you make.16Advance Care Planning Guide: Planning for Your Care and Wellbeing

Is there anything else important toyou that you wish to document here?e.g.: you are registered on the Organ andTissue donation register, music or films that you like to listento/watch, caring for pets, adaptations made to your houseso that you can remain livingindependently at home. your faith or belief (includingreligious preferences),Advance Care Planning Guide: Planning for Your Care and Wellbeing17

Section 2b - Putting Your Affairs inOrder ChecklistEnsuring that your paper work and documents are up to date and easierto find will save time and reduce anxiety for your family/next of kin if youbecome unable to attend to your affairs or if you are taken ill or suddenly die.Information you may wish to start putting togetherUse the tick boxes below as a reminder that you have thought about andrecorded in a safe place the details listed. Have you nominated someone youcan trust who will be able to access those details if the need ever arises?Your Name:Date of Birth:Bank Name and where account details (including credit card) are storedInsurance PoliciesPension DetailsPassportBirth / Marriage CertificateHouse Details Mortgage, House Deeds, Landlord, Warden etcHire Purchase AgreementsWill (See page 8 for further guidance)Other Important Documents / Contacts e.g. Solicitor, financial informationDetails of any Funeral Arrangements (see page 19 and 21)Domestic Arrangement i.e. paper delivery, window cleaner, petsAddresses and Contact Number of Family, Friends and ColleaguesTax Office Address and Contact DetailsAdvance Decision18Advance Care Planning Guide: Planning for Your Care and Wellbeing

I nominate (Family Member/Carer/Next of Kin)contact number, as the person who willaccess the detailed information if requiredSigned(self)DateSigned(nominee)DateThis section allows an opportunity to consider specific wishes and preferencesrelating to end of life (as with all sections of this document this is optional and youmay choose not to complete it).Five things I like to doFive things I don’t liketo doFive things I would liketo be remembered for1.1.1.2.2.2.3.3.3.4.4.4.5.5.5.Advance Care Planning Guide: Planning for Your Care and Wellbeing19

How would you like your final days to look and sound?(e.g. what music/pictures/fragrance would you like around you?)Who would you like with you at end of life if possible?Where would you prefer to die if possible?(e.g. home, care home, hospital or hospice)20Advance Care Planning Guide: Planning for Your Care and Wellbeing

Section 4 - Funeral PlanningYour Name:DetailsPerson I wish to be responsible formaking my funeral arrangementsPeople who are important to me whoneed to know what has happenedMy preferred funeral director isMy pre-paid funeral plan is withI wish to be buried / cremated / other(e.g. donation for medical science –specific documents will need tobe signed)I wish my funeral service to be inaccordance with my faith.Please state (if any)I would like the venue to beI would like the following music,hymns or readings includedI would like the following person(s) toconduct the service if possibleOther details and information youwould like to record e.g. donationsto named charity, flowers, people tobe informedAdvance Care Planning Guide: Planning for Your Care and Wellbeing21

Section 5b Advance DecisionDocument (part 1 of 5)Your Name:Date of Birth:Date of Advance Decision completed:Copies need to be provided to allprofessionals involved in your care,otherwise they will not necessarilyknow your wishes and be able to actin accordance with them Your GP to keep with your records Someone who you wish to beconsulted about your treatmentshould this ever be necessary.(e.g. next of kin, solicitor) A member of your Care Team,Hospital Consultant, CommunityPalliative Care Nurse, Hospice Team,District Nurse, Mental Health Nurseor Care Home as appropriatePlease make sure that health careprofessionals and others are awarethat your Advance Decision exists.Please discuss with your healthprofessionals to confirm if theambulance service needs to be awarethat an Advance Decision exists. If so,health professionals are able to let theambulance service know on your behalf,in case they are called to your address.All forms must be signed by at leastone person who is not a close relativeor expecting to benefit from your will(e.g. health care professional).You might also wish to consult witha solicitor.Remember to review this document at regular intervals (every three to sixmonths) to ensure it still represents your wishes. Signing and dating at thebottom when you do this will indicate how recently you have thought aboutit. If you change your mind about anything you have written, tell your GP,health care professional, next of kin or appointed representative, amend thedocument accordingly and provide them with an updated copy.22Advance Care Planning Guide: Planning for Your Care and Wellbeing

Section 5b Advance DecisionDocument (part 2 of 5)Your Name:Date of Birth:Date of Advance Decision completed:I would like the following people to be consulted if it ever becomes too difficultfor me to make decisions for myself.Contact 1Contact 2Relationship to youRelationship to youTelephoneTelephoneAddressAddressDoes the person have anEnduring or Lasting Powerof Attorney for you?Does the person have anEnduring or Lasting Powerof Attorney for you?Yes No Yes No If yes please state which type - see below forwhich type (further information on page 6)If yes please state which type - see below forwhich type (further information on page 6)TypeTypeTo my family, my doctor and all other persons concerned this Advance Decision is made by me:Full NameOf (Address)I am writing this at a time when I am able to think things through clearly and I have carefullyconsidered my situation. I am aware that I have been diagnosed as suffering from:I am over eighteen years old and I am writing this of my own free will.SignedDateAdvance Care Planning Guide: Planning for Your Care and Wellbeing23

Section 5b Advance DecisionDocument (part 3 of 5)Your Name:Date of Birth:Date of Advance Decision completed:I declare that if I become incapable of making decisions about my medical care,then and in those circumstances, my directions are as follows: I refuse to receivethe specific treatments stated below even if my life is at risk as a result.Signature(Continue in box below / on a separate sheet if necessary)Treatment to be refused(E.g. resuscitation, stoma formation,surgery, blood transfusion)Details of situations you haveanticipated in which the refusalwould be valid (see examples below)Examples I refuse Cardiopulmonary Resuscitation (CPR) in the event of a cardiac arrest(if your heart and lungs stop working) I refuse all life-sustaining treatment (including but not limited to CPR, artificial nutritionand hydration, breathing machines) if I am diagnosed as being in a vegetative or minimallyconscious state I refuse all life-sustaining treatment (including but not limited to CPR, artificial nutrition andhydration, breathing machines) if I lose capacity to the extent that I cannot remember recentevents or recognise or communicate with my family membersIf unsure of medical condition and impact of refusal of treatment, please seek medical advice.24Advance Care Planning Guide: Planning for Your Care and Wellbeing

Section 5b Advance DecisionDocument (part 4 of 5)Your Name:Date of Birth:Date of Advance Decision completed:I reserve the right to revoke (cancel) this Advance Decision at any time, but unless Ido so it should be taken to represent my continuing directions.My General Practitioner is:Name if GPAddressTelephoneBefore signing this I have talked it over with my:GP DrNurseHospice Consultant / Hospital DoctorDrSolicitorFamily / Carer / Next of KinIt is recommended that you discuss this with at least one of the aboveprofessionals. If you are in hospital or hospice then the consultant caring foryou should be aware of and clear about the scope of this advance decision.I have attached a sheet with further wishes about my treatment.Yes No I acknowledge that the information in this document will be shared with otherrelevant healthcare professionals?Yes No SignedDateAdvance Care Planning Guide: Planning for Your Care and Wellbeing25

Section 5b Advance DecisionDocument (part 5 of 5)Your Name:Date of Birth:Date of Advance Decision completed:Witnesses: I/We testify that the maker of this Advance Decision signed it in my/ourpresence, and made it clear to me/us that he/she understood what it meant. I/Wedo not know of any pressure being brought on him/her to make such a Decisionand I/we believe it was made by his/her own wish. So far as I am /we are aware I/we do not stand to gain from his/her death.Only one witness is legally required.Witnessed by:Witness 1 (Recommended GP, orHospice Doctor, Hospital Doctor)Witness 2 (not close family, orpersons expecting tobenefit from your essReviews: This directive was reviewed and confirmed by me dWitnessDateTimeSignedWitnessDateTime26Advance Care Planning Guide: Planning for Your Care and Wellbeing

Section 6 - Reminder of things to doNow that you have completed one, some or all of the forms in this guide, achecklist of what to do next is below in case of assistance:Who have you told that you have completed the form(s)? I.e. GP Family Member Carer Next of kin Consultant Social workerHave you given a copy of the form(s) to all of the above?Have you signed the form(s) where a signature is needed?Where are the completed form(s) kept?If you have completed the form(s) on your computer, have you printed off acopy (copies) and signed it (them)?If you have a message in a bottle in your fridge, have you put informationin there to say that you have completed an advance decision and where tofind it?Have you reviewed what you have written in the form(s) (suggested reviewof every 3-6 months) to make sure what you have written is still correct or ifit needs changing?Have you told people (as above) that you have reviewed the advancedecision and made any changes?Advance Care Planning Guide: Planning for Your Care and Wellbeing27

Further InformationWho to contactAdvice or Information ProvidedAdmiral Nurse ServiceCommunity dementia nurse service offeringspecialist support, information and advicefor the carers of people with dementia.Admiral Nurses are mental health nursesspecialising in dementia careTel:0845 257 9406Email: direct@dementiauk.orgAlzheimer’s SocietyTel: 0300 222 11 22Web: www.alzheimers.org.ukAge UKProvide information, advice and supportincluding advance decisions and advancestatements to people living with or affectedby DementiaProvide advice, information and advocacyservices including advice on services,regarding benefits and entitlements,legal advice, means testing for Power ofAttorney registrationTel: 0300 303 12 34Web: www.ageuk.org.ukBritish Lung FoundationTel: 0300 003 05 55Web: www.blf.org.ukEmail: enquiries@blf.org.ukhelpline@blf.org.ukCitizen’s Advice BureauTelephone No’s for local offices:Blackburn with Darwen: 03444 889 622Burnley and Pendle:01282 616 750Hyndburn:03444 889 622Ribble Valley:01200 428 966Rossendale:0844 499 4121Provide support for all those affected bya lung condition through a helpline, webcommunity, penpals, Breathe Easy supportgroups, booklets. Lung disease can befrightening and debilitating. Also offer hopeand support at every step so that no onehas to face it aloneProvide help for people to resolve theirlegal, money and other problems byproviding free, independent andconfidential adviceWeb: www.citizensadvice.org.ukBlackburn with Darwen Carers ServiceTel: 01254 688 440Web: www.bwdcarers.org.uk28Provide information, advice and support forcarers living in Blackburn with DarwenAdvance Care Planning Guide: Planning for Your Care and Wellbeing

Carers Link Lancashire(Covering Burnley, Pendle, Rossendale,Hyndburn and Ribble Valley)Provide information, advice and support forcarers living in East LancashireTel: 0345 688 7113Web: www.eastlancscarers.org.ukCompassion in DyingTel: 0800 999 2434Web: www.compassionindying.org.ukA Lancashire Information and advice serviceTel:0303 333 1111Local Hospices:Provides information and support to peopleto complete an Advance Decision, AdvanceStatement or a Health and Welfare LastingPower of AttorneyFree and local information in Lancashireand for practical support, guidance and / orinformation including managing finances,social services, getting the right helpand support, housing support, repairand maintenanceProvide specialist, supportive and end of lifecare for people and their familiesEast Lancashire HospiceTel: 01254 733 400Web: eastlancshospice.org.ukPendleside HospiceTel: 01282 440 100Web: www.pendleside.org.ukRossendale HospiceTel: 01254 733400Web: www.rossendalehospice.orgOrgan Donor LineTel: 0300 123 23 23Web: www.organdonation.nhs.ukRegistration of organ donation either byphone or online and advice line for queries.Solicitors Regulation Authority (SRA)Tel: 0870 606 2555 (national call rate)Web: www.sra.org.ukAdvice on how to contact a local solicitorInformation booklets about the MentalCapacity Act (2005)T

guide about 'Advance Decisions' is available which is a legal way to refuse treatments that may be offered to you in the future (Section 5). An Advance Decision is different to an advance statement. 4 Advance Care Planning Guide: Planning for Your Care and Wellbeing

Related Documents:

Bruksanvisning för bilstereo . Bruksanvisning for bilstereo . Instrukcja obsługi samochodowego odtwarzacza stereo . Operating Instructions for Car Stereo . 610-104 . SV . Bruksanvisning i original

10 tips och tricks för att lyckas med ert sap-projekt 20 SAPSANYTT 2/2015 De flesta projektledare känner säkert till Cobb’s paradox. Martin Cobb verkade som CIO för sekretariatet för Treasury Board of Canada 1995 då han ställde frågan

service i Norge och Finland drivs inom ramen för ett enskilt företag (NRK. 1 och Yleisradio), fin ns det i Sverige tre: Ett för tv (Sveriges Television , SVT ), ett för radio (Sveriges Radio , SR ) och ett för utbildnings program (Sveriges Utbildningsradio, UR, vilket till följd av sin begränsade storlek inte återfinns bland de 25 största

Hotell För hotell anges de tre klasserna A/B, C och D. Det betyder att den "normala" standarden C är acceptabel men att motiven för en högre standard är starka. Ljudklass C motsvarar de tidigare normkraven för hotell, ljudklass A/B motsvarar kraven för moderna hotell med hög standard och ljudklass D kan användas vid

LÄS NOGGRANT FÖLJANDE VILLKOR FÖR APPLE DEVELOPER PROGRAM LICENCE . Apple Developer Program License Agreement Syfte Du vill använda Apple-mjukvara (enligt definitionen nedan) för att utveckla en eller flera Applikationer (enligt definitionen nedan) för Apple-märkta produkter. . Applikationer som utvecklas för iOS-produkter, Apple .

This presentation and SAP's strategy and possible future developments are subject to change and may be changed by SAP at any time for any reason without notice. This document is 7 provided without a warranty of any kind, either express or implied, including but not limited to, the implied warranties of merchantability, fitness for a .

och krav. Maskinerna skriver ut upp till fyra tum breda etiketter med direkt termoteknik och termotransferteknik och är lämpliga för en lång rad användningsområden på vertikala marknader. TD-seriens professionella etikettskrivare för . skrivbordet. Brothers nya avancerade 4-tums etikettskrivare för skrivbordet är effektiva och enkla att

Den kanadensiska språkvetaren Jim Cummins har visat i sin forskning från år 1979 att det kan ta 1 till 3 år för att lära sig ett vardagsspråk och mellan 5 till 7 år för att behärska ett akademiskt språk.4 Han införde två begrepp för att beskriva elevernas språkliga kompetens: BI