the act of choosing : the act of picking or deciding between two or more possibilities
the opportunity or power to choose between two or more possibilities : the opportunity or power to make a decision
a range of things that can be chosen
Choice. We cherish our freedom to make choices, and Oregonians facing end-of-life decisions for themselves or family members have an unprecedented range of options from which to choose. Sometimes the path forward is obvious, but many times it is not. Fortunately, none of us facing such decisions need feel alone. We have a wealth of information and resources available to help.
How do we even express our choices, though, if we haven’t yet talked with our friends and families? TEDMED speaker Michael Hebb notes that, “How we want to die represents the most important and costly conversation Americans aren’t having.” Hoping, he says, “to spark the gentlest revolution imaginable,” Hebb founded Let's have dinner and talk about death, a web-based initiative designed to give us the tools to have these difficult and potentially transformative conversations.
The National Institutes of Health offers an online “End of Life” module aimed at helping people understand the many practical and emotional aspects of preparing for death. The module provides visitors with information about the most common issues faced by the dying and their caregivers.
Seriously ill or frail Oregonians may opt to talk with their healthcare providers about Physician Orders for Life-Sustaining Treatment--commonly known as POLSTs. POLSTs help individuals exercise more control over the type of end-of-life care they receive; they are medical orders that emergency personnel will follow to ensure that the desired level of care is provided.
Hospice care is often chosen when curative treatment is no longer effective or no longer wanted, and when life expectancy is measured in months or weeks. Hospice is a philosophy of compassionate and comprehensive care for dying persons and their families that addresses the medical, psychosocial, spiritual and practical needs of the individual, and the related needs of the family and loved ones, throughout the periods of illness and bereavement. The Oregon Hospice Association provides information on resources for families and patients.
In 1994, Oregon became the first state to legalize physician-assisted suicide. Since then, more than 500 Oregonians have taken their mortality into their own hands. In How to Die in Oregon, available at Multnomah County Library as a program, DVD, and streaming video, Filmmaker Peter Richardson enters the lives of the terminally ill as they consider whether--and when--to end their lives by lethal overdose. The film examines both sides of this complex, emotionally charged issue. More information on the Death with Dignity Act is available from the Oregon Public Health Division and from Compassion & Choices.