10.8 Chapter Assignment

Advanced Directive & Planning for Illness & Death Assignment

This chapter focused on the importance of advanced planning for illness and death. You have 2 options for this chapter’s assignment. Option 1 involves completing your Advanced Care Plan (ACP) and Power of Attorney for Personal Care via a downloadable and fillable PDF document. Option 2 involves writing a reflection paper. It is important to complete all chapter materials (chapter content, including all embedded links to readings and videos, and the required course materials) prior to starting either Option 1 or 2 for the assignment. 

Options for assignment #10

Option 1

After downloading a document containing the necessary forms, this assignment option requires you to do three things: (1) complete your Advanced Care Plan (ACP)/ Advanced Directives (including signature); (2) appoint your Substitute Decision-Maker (SDM)/Attorney for Personal Care (APC) via the creation of a Power of Attorney for Personal Care (including signatures); and (3) submit the PDF document to demonstrate completion of the assignment.

Steps to Completing Option 1 Assignment
  1. Click on the following link to download a PDF of the ACP for Ontario to your computer Advance Care Planning Kit Website for Ontario
  2. Read the document in its entirety so you understand what it is you are completing.
  3. Fill in your Advance Care Directives (ACP) form, carefully following the directions (especially #1 and #2 of the instructions on page 2 of the document). Be sure to take some time to carefully reflect on the questions that are asked and the answers you choose.
  4. Sign, date and print your name at the bottom of the form. You must actually sign the document. To add your signature you can: print and sign; sign with your finger or digital pencil on an iPad or similar device; or create a digital signature, through one of the many free digital signature sites on the web, which you can then add to the document.
  5. Fill out your Power of Attorney for Personal Care form.
  6. Sign and date where indicated on the form, in the presence of 2 witnesses (as noted in #1 of the instructions for this document, witnesses cannot be: people under 18 years of age; the person/people you are appointing to act as your Attorney for Personal Care; your spouse or child). You must put your actual signature on the document (see D above for details).
  7. Have your 2 witnesses sign, date and print their names on the form (they too must put their actual signature on the document, following the same directions provided in D above).
  8. Save the entire PDF document (beginning with the Death with Dignity Logo and Advanced Care Directive/Wishes instructions to the end of your Power of Attorney for Personal care form) in PDF format to your computer.
  9. Give the document a name that clearly indicates whose document it is and what it is (e.g., Smyth, Jasmine, Advanced Directives & Power of Attorney Assignment).
  10. Submit the properly labelled (as per I) entire PDF document (beginning with the Death with Dignity Logo and Advanced Care Directive/Wishes instructions to the end of your Power of Attorney for Personal care form) to demonstrate completion of the assignment.

Option 2

Write a reflection paper that details/explains/explores: what you learned from or got out of this course; how this course impacted you; if and how what you learned and/or your experiences taking the course altered your views of how you approach death, dying, grief, etc.; why you chose not to complete Option 1 for this assignment, and what steps will it take for you to get to a place where you can and will complete those documents.

Assignment Formatting & Style for Written Report
  • Assignments formatting requirements: Arial 12-point font; 1 inch/2.54 centimeter margins; single spaced; APA in-text citation style, reference section and cover page.
  • Use proper essay/paragraph style.
  • Paraphrase as opposed to relying on direct quotes.
  • Proofread your submission to make sure it is clear, well written and intelligible.
Steps to Completing Option 2 Assignment
  1. Click on the following link to download a PDF of the ACP for Ontario to your computer Advance Care Planning Kit Website for Ontario
  2. Read the document in its entirety.
  3. Write a 1000-word reflection paper (give or take 100 words) that addresses what is outlined under Option 2 above.
The following must be submitted as part of Option 2 assignments
  1. A proper APA style cover page.
  2. A written reflection paper, as per text under Option 2 above.
  3. A proper APA reference section that contains any/all the material cited in the reflection paper.

License

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On Death and Dying (Original) Copyright © 2022 by Jacqueline Lewis is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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