Pre-Planned vs. Unplanned End-of-Life Decisions

Talking about death and dying is challenging for several reasons. Some people find it distasteful, as if discussing it will actualize it faster. Others find it hard to imagine being in the position of making end-of- life decisions, due to their own health or age. The truth is that end-of-life decisions will need to be made, regardless of whether they are planned. Despite the difficulty of having these honest conversations, the benefits of having them far outweigh the alternative.

Below is a comparison of pre-planned vs. unplanned end-of-life decisions, followed by resources to get you started on your own conversations.

At a minimum, end-of-life decisions can be communicated to a loved one, healthcare provider lawyer or religious leader.

It may not be an easy conversation to start, but it may be the respite loved one’s need when navigating your care.

If you are unsure where to start, we recommend the following resources.

• “Getting Your Affairs in Order” checklist from the National Institute of Aging

• “End-of-Life Planning” from the Alzheimer's Association, which offers a comprehensive review of what medical care to consider

• “Making Decisions for Someone at the End of Life” from the National Institute of Aging, covering how to navigate end-of-life care when preferences and decisions aren’t shared ahead of time

• “The Conversation Starter Guide” helps prepare people for having the difficult conversation of end-of-life care