

Family
Mary wants care that keeps her comfortable, calm, and connected with the people she loves. Being aware, able to communicate, and able to handle basic daily needs is important to her. She does not want machines or tubes keeping her alive if recovery is unlikely.
She trusts her son Joe Hartley to make decisions if she cannot speak for herself, with Wilma Flintstone as her backup. If recovery is likely, she is open to treatment. If not—such as with advanced illness or severe brain injury—she wants comfort to guide her care.
Mary prefers dim lighting, a cool room with blankets, and soft background noise or TV. She enjoys laughter and wants visitors to act naturally. She has a strong fear of falling and wants caregivers to be aware of this.
She keeps her important documents together and ensures her advocates know where to find them. She trusts her family to decide where she should be toward the end of life and is open to chaplain or clergy support.

EHR ACP Summary – 6/6/2025
Decision-Maker: Joe Hartley (primary); Wilma Flintstone (alternate)
Goals/Values: Comfort, communication, basic ADLs, avoids burden on family
Life-Sustaining Treatment: Declines LST for terminal illness or non-recoverable brain injury; comfort-focused
CPR: Defers to agent; prefers no heroic measures
Reversible Conditions: Accepts treatment if high likelihood of returning to baseline
Artificial Nutrition/Hydration: Does not want long-term tube feeding or artificial fluids to sustain life
Comfort Preferences: Dim lighting, cool room, blankets PRN, background noise/TV, supportive environment
Key Concerns: Significant fear of falling; avoids prolonged machine dependence
End of Life: Agent decides location of care; open to chaplain/clergy involvement
Mary H.
CAUTION: This is NOT the legal Advance Directive. Please note the date this was signed. These statements reflect Mary's wishes at the time of signing. Always confirm you are using the most current version.