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Medical Directives & Future Planning • Serving Nassau & Suffolk County

Expert Guidance on Advance Care Planning & Medical Directives

Don't leave your family guessing during a crisis. Geriatric Physician Consultants bridges the gap between legal theory and medical reality. We translate your personal values into legally valid, portable medical orders (MOLST), ensuring your wishes are respected even when you cannot speak for yourself.

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What Is Advance Care Planning (ACP)?

Advance Care Planning is a standard of care for aging adults that goes far beyond a simple will. It is a medical process where a geriatrician integrates your specific prognosis with your personal values to create "clinically actionable" orders. Unlike general legal documents, we help you complete portable orders like the MOLST (Medical Orders for Life-Sustaining Treatment). These are bright-colored, signed physician orders that emergency responders and hospital teams must follow immediately, ensuring your specific choices regarding CPR, ventilation, and nutrition are honored.

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Why You Need a Medical Guide for Legal Decisions

Standard legal preparation often leaves gaps that cause chaos in the Emergency Room. A consultation with Dr. Desire is vital if you are facing:

Vague Instructions:

Phrases like "no heroics" or "no machines" are not medical orders. EMTs need specific protocols to follow.

Early Dementia:

If a diagnosis of Alzheimer's or dementia has been made, you must facilitate discussions now while the patient still has the "decisional capacity" to participate.

Family Conflict:

Disagreements among siblings about "what Mom would want" can destroy relationships. A neutral medical expert can resolve this.

Fear of the Future:

Anxiety about becoming a burden or undergoing unwanted aggressive treatments that prolong suffering rather than life.

Guiding Your Family Discussions

Dementia-Specific Planning

We guide you on how to have sensitive planning conversations with a loved one who has early dementia, ensuring their voice is heard while they can still speak.

Actionable Portability (MOLST)

We translate broad wishes into the NYS MOLST form, a portable medical order that travels with the patient, ensuring EMS and ER doctors know exactly what to do (and what not to do).

Surrogate Coaching

We advise the chosen "Health Care Proxy" on their role, helping them understand what it means to make decisions based on the patient's values, not their own.

Conflict Resolution

We act as a neutral, expert "roadmap." By focusing on the patient’s documented values, we resolve family disagreements and prioritize the patient's wishes over differing family opinions.

Dr. Nathanael Desire from GPC Consultants

Clinical Orders, Not Just Legal Theory

Lawyers draft documents; doctors draft orders. Geriatric Physician Consultants ensures your plan is medically realistic. We explain the actual outcomes of interventions like CPR or feeding tubes in the context of your specific health status, helping you avoid "Cognitive Dissonance." We view ACP as an ongoing conversation, not a one-time document. As your health evolves, we help you revisit and update your goals, ensuring your care plan always matches your current reality.

Navigating New York's Medical Laws

New York State has specific requirements for end-of-life orders. We guide you through the intricacies of the MOLST form (Medical Orders for Life-Sustaining Treatment), ensuring it is completed correctly so there is no hesitation from medical providers during an emergency in Nassau or Suffolk County.

Common Questions About Medical Directives

1. What is the difference between a Living Will and a MOLST?

A Living Will is a legal document stating your preferences. A MOLST is a medical order signed by a physician. EMTs cannot follow a Living Will in an emergency; they must follow a MOLST. We help you get the latter.

2. Does "Palliative Care" mean giving up?

Absolutely not. Palliative care focuses on "goal-concordant care", ensuring comfort and dignity. It is about living as well as possible for as long as possible, managing symptoms rather than just fighting disease.

3. Can we change these forms later?

Yes. In fact, we encourage it. Health goals change as we age. We act as your partner, helping you update your directives to reflect your current condition and wishes.

Medical Consultations from GPC Consultants

Take Control of Your Medical Future.

You have questions. Dr. Desire has answers. Claim your complimentary session today and get the clarity you need to move forward with confidence.