About You
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MyCare
The MyCare Decision Aid
Before we start, you can watch this introduction video. You will learn about what to expect and the process of the MyCare decision aid.

MyCare is a tool that will share information with you about what your health may be like in the future, help you reflect on what is most important to you and share this information with others so that you can get the health care you want and make sure that your wishes are respected.
About You-
"We can't wait to meet you"

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To start we will be asking some questions About You. You can expect some questions about your health, strengths, fears, and abilities. For each question you can select an answer by touching or clicking on the picture. If you would like to add an option that is not available, you can click on other and type in your answer. For each question you can select more than one answer.
Question Heading
Question Heading
What are your biggest fears or worries in the future with your health?
What gives you strength as you think about the future?
Let's review your "Goals of Care" before we continue. In your answers so far you told us that:

If my health situation was to worsen, my goals include *responses inserted here*.     

You added that your goals If your health was to worsen includes: *other text response*

Activities that bring me joy and meaning  are *responses inserted here*

You added that activities you enjoy include: *other text response*

If my health was to get worse my biggest worries are *responses inserted here*

You added that your biggest fears include: *other text response*

My sources of strength as I think about the future are  *responses inserted here* 

You added that a source of strength includes: *other text response*

Nothing gives me strength

Difficult Medical Treatments

If you became seriously ill, you may need to decide if you would go through medical treatments for the possibility of living longer.

This section asks what you are willing to go through for the possibility of living longer. Each question asks about a medical treatment that may allow you to live longer. For each question assume that if you do not take the treatment there is a chance you will die peacefully in your home in the next 7 days. If you accept the treatment, you may have more time but will need to endure the treatments and may continue to become weaker.

There are no right answers.

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Section 2 - Q6 Text input
Let's review your "Difficult Medical Treatments" before we continue. In your answers so far you told us that if I become seriously ill;

I am willing to stay in hospital for 1 week 4 weeks 8 weeks 12 weeks more than 12 weeks for medical treatments giving the possibility of living 6 more months.

I would definitely I would probably I would probably not I would definitely not I don't know if I would be willing to go through medical treatments for 1 month with the possibility of living 3 more months feeling weaker than I do now.

I would definitely I would probably I would probably not I would definitely not I don't know if I would be willing to go to the hospital 3 times a week to receive treatments that would keep me alive for 6 months.

I would definitely I would probably I would probably not I would definitely not I don't know if I would be willing to go through medical treatments that cause moderate discomfort everyday for 4 weeks for the possibility of living 6 more months.

I would definitely I would probably I would probably not I would definitely not I don't know if I would be willing to go to the hospital to receive medical treatments if I would never be able to live at home again and would need to move into a long-term care home.

Other difficult medical treatment you would be unwilling to go through include: *other text response*

Critical Abilities

Medical care can help you live longer and treat symptoms to make you more comfortable. The questions in this section ask if living longer would be an important goal for you if you had different disabilities and symptoms.

You will always receive treatment for symptoms like pain, nausea, or trouble breathing even if you chose not to have treatments to help you live longer.

For each question, consider whether you would want treatments to help you live longer if you found yourself in the following circumstances, with no reasonable chance of improvement.

What would you say about your quality of life if you were unable to feed yourself?
What would you say about your quality of life if you were unable to wash yourself?
What would you say about your quality of life if you were constantly short of breath?
What would you say about your quality of life if you were unable to make your own decisions?
What would you say about your quality of life if you were unable to control your bowels or bladder (may need to wear adult diapers)?
What would you say about your quality of life if you were unable to control your bowels or bladder (may need to wear adult diapers)?
What would you say about your quality of life if you were unable to understand what others say or communicate thoughts?
What would you say about your quality of life if you were unable to understand what others say or communicate thoughts?
What would you say about your quality of life if you were unable to recognize or talk with family or friends?
What would you say about your quality of life if you were unable to walk, could only get around by wheelchair?
Additional Information

Text

Let's review "Critical abilities" before we continue. In your answers so far you told us that:

I would definitely go through difficult medical treatments to live longer even if it meant I were unable to feed myself

I would definitely go through difficult medical treatments to live longer even if it meant I were unable to wash myself

I would definitely go through difficult medical treatments to live longer even if it meant I was short of breath all the time

I would definitely go through difficult medical treatments to live longer even if it meant I was unable to make my own decisions

I would definitely go through difficult medical treatments to live longer even if it meant I was unable to control my bowels or bladder, needing to wear adult diapers

I would definitely go through difficult medical treatments to live longer even if it meant I was unable to communicate my own thoughts

I would definitely go through difficult medical treatments to live longer even if it meant I could no longer understand others

I would definitely go through difficult medical treatments to live longer even if it meant I could talk

I would definitely go through difficult medical treatments to live longer even if it meant I could no longer recognize my friends and family

I would definitely go through difficult medical treatments to live longer even if it meant I were no longer able to walk and required a wheelchair

Other disabilities or symptoms you would not want even if it meant you live longer include: *response*

Your Results
Share Results

Your Values
Your values are the things that matter to you - what you feel is important in life. In health care, your wish for treatment will depend on your values.

Health Situation...‍

Health Situation...‍

In the event my health situation worsens my goals include *responses inserted here*

You added that your goals If your health was to worsen includes: *other text response*

Enjoyed Activities...‍

Enjoyed Activities...‍

Activities I enjoy doing include *responses inserted here*.

You added that activities you enjoy include: *other text response*

Fears...‍

Fears...‍

My biggest fears regarding your future health are *responses inserted here*.

You added that your biggest fears include: *other text response*

Support...‍

Support...‍

I get strength from, *responses inserted here* as I think about the future.

You added that a source of strength includes: *other text response*

Nothing gives me strength

If I became seriously ill...

I am willing to stay in hospital for 1 week 4 weeks 8 weeks 12 weeks more than 12 weeks for medical treatments giving the possibility of living 6 more months.

I would definitelyI would probablyI would probably notI would definitely not I don't know if I would be willing to go through medical treatments for 1 month with the possibility of living 3 more months feeling weaker than I do now.

I would definitelyI would probably I would probably not I would definitely not I don't know if I would be willing to go to the hospital 3 times a week to receive treatments that would keep me alive for 6 months.

I would definitelyI would probably I would probably not I would definitely not I don't know if I would be willing to go through medical treatments that cause moderate discomfort everyday for 4 weeks for the possibility of living 6 more months.

I would definitelyI would probably I would probably not I would definitely not I don't know if I would be willing to go to the hospital to receive medical treatments if I would never be able to live at home again and would need to move into a long-term care home.

Other difficult medical treatment you would be unwilling to go through include: *response*

Critical Abilities...‍

I would definitely go through difficult medical treatments to live longer even if it meant I were;

  • I were unable to feed myself

  • I were unable to wash myself

  • I were short of breath all the time

  • I would be unable to make my own decisions

  • I were unable to control my bowels or bladder, needing to wear adult diapers

  • I were unable to communicate my own thoughts

  • I could no longer understand others

  • I could no longer talk

  • I could no longer recognize my friends and family

  • I were no longer able to walk and required a wheelchair

I would probably go through difficult medical treatments to live longer even if it meant;

  • I were unable to feed myself

  • I were unable to wash myself

  • I were short of breath all the time

  • I would be unable to make my own decisions

  • I were unable to control my bowels or bladder, needing to wear adult diapers

  • I were unable to communicate my own thoughts

  • I could no longer understand others

  • I could no longer talk

  • I could no longer recognize my friends and family

  • I were no longer able to walk and required a wheelchair

I would probably not go through difficult medical treatments to live longer even if it meant;

  • I were unable to feed myself

  • I were unable to wash myself

  • I were short of breath all the time

  • I would be unable to make my own decisions

  • I were unable to control my bowels or bladder, needing to wear adult diapers

  • I were unable to communicate my own thoughts

  • I could no longer understand others

  • I could no longer talk

  • I could no longer recognize my friends and family

  • I were no longer able to walk and required a wheelchair

I would definitely not go through difficult medical treatments to live longer even if it meant;

  • I were unable to feed myself

  • I were unable to wash myself

  • I were short of breath all the time

  • I would be unable to make my own decisions

  • I were unable to control my bowels or bladder, needing to wear adult diapers

  • I were unable to communicate my own thoughts

  • I could no longer understand others

  • I could no longer talk

  • I could no longer recognize my friends and family

  • I were no longer able to walk and required a wheelchair

Other disabilities or symptoms you would not want even if it meant you live longer include: *response*

Sharing your Information

You may want to do MyCare again in the future if your health, goals or wishes change. By clicking the button below you can download a summary of your answers today. Enter your name here so that your name appears on the summary of your answers.

You can now print or download a summary of your answers that you can share with people important to you. Information you enter here will not be stored online or sent to anyone. All your answers will be deleted from the computer automatically when you are done.

Print Report

Downloading & Sharing the MyCare Report:
1. Click "Print Report".
2. In the print dialogue select "Print to PDF" from the printer dropdown.
3. Click "Print" on the print dialogue. This will download the report as a PDF.
4. Share the report with others by emailing the PDF as an email attachment.

Selecting a Substitute Decision Maker

A substitute decision maker or proxy is a person who would make medical decisions for you if you were unable to make decisions for yourself. It is up to you to choose this person. It could be a spouse, relative or friend. It should be someone that you trust to make the right decisions for you. The process of legally appointing a proxy is different depending on where you live.

You can find out how to legally appoint a proxy You can use the summary of your answers from MyCare to talk to your proxy about what you want and what is important to you. By talking to your proxy you will prepare them to speak on your behalf and make sure that your wishes are respected.

Substitute Decision Maker

We recommend that you share this document with the people who would make medical decisions for you if you could not decide for yourself. Your substitute decision maker is someone who would make these decisions if you could not.

Health Care Team

We recommend that you share this document with the people on your healthcare team who help you make medical decisions. This information will help them understand what choices to make if your health becomes worse and you could not speak for yourself.

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