In addition to an advance directive, your loved one should talk with his or her health care provider about a Medical Orders for Scope of Treatment (MOST). This is literally an order from a doctor detailing the life support treatments your relative wishes to receive or not receive. Think of it like a prescription.
Across all settings In the chain of command of the medical system, a MOST provides the instructions for all the other people on the health care team. No matter where your loved one is—at the hospital, in a skilled nursing facility, or at home with EMTs (emergency medical techs) from a 911 call—the MOST makes it clear what the staff is supposed to do, or not do, to be true to your loved one’s wishes.
Shared decision-making tool Although the order is from the doctor, the MOST is designed to be a tool to assist in a conversation with your relative. The doctor can describe the different life support measures, their pros and cons. It is your loved one who makes the decision about which ones feel right for his or her values and desired quality of life.
Your loved one stays in control With a MOST, your relative’s choices are what matters. He or she has set the course ahead of time so care unfolds according to his or her wishes, even if your loved one is unconscious or unable to speak when the time comes.
Get help with the conversation If you would like to have someone to talk to about the MOST, give us a call at 704-945-7170. We are well-versed in this document and have people dedicated to answering your questions!
The doctor will keep it in his or her medical records. If the doctor’s office is linked up with the local hospital’s electronic record system, they will have it also. You should ask for a copy. Keep it on the refrigerator at your loved one’s home. Emergency medical techs (the people who respond to 911 calls) are trained to look there for important documents and instructions like the MOST. If you are driving to the hospital yourselves, without an ambulance, try to remember to bring the MOST with you. It simply helps to keep it with your relative at all times.
• How is a MOST different from an advance directive?
Many people wonder whether they need to complete a MOST AND an advance directive. The answer is YES. An advance directive names your loved one’s preferred decision maker. It also gives a general sense of preferred life support measures. Advance directives can come in several formats and they are not always the same. They often include room for more descriptions, like a conversation. In an emergency, medical staff need short, easy to find, quick instructions. A MOST provides that and makes sure that each of the possible life support measures has been addressed.
• Can a MOST be changed?
Yes. As long as your loved one is conscious and can talk to the doctor about his or her wishes, a new MOST can be created. It will be put in the medical records and your relative will be given a new form to replace the old one.
• Where can we learn more about life support measures?
Check out our article about Health Care Planning. There is a section about life support measures. For each intervention, it will give you some facts about success rates, long-term consequences, risks and benefits. Reading this before meeting with the doctor can help your loved one prepare questions for the conversation.
• Should everyone have a MOST?
No. Unlike an advance directive, a MOST is just for people who are seriously ill. If your loved one does not want to have this discussion, a MOST is not required. Having a MOST simply adds greater certainty that all desired medical treatments, and only the desired medical treatments, will be employed.
Want to talk?
If you or your loved one have questions about the MOST, or about advance directives, give us a call at 704-945-7170. Our knowledgeable team can give you and your loved one the time that is needed to fully understand and work through the options.
What can you do to help your loved one make an appointment to create a MOST with his or her health care provider?
I have had the pleasure of collaborating with Caregiving Corner as a Fractional COO since March 2023, and my experience has been nothing short of exceptional. From the moment I joined their team, it was evident that they prioritize their clients and care managers, fostering an environment of mutual respect and support.The company's commitment to streamlined processes and effective communication has been a game-changer. As a Fractional COO, I've had the opportunity to implement strategies that optimize operations and enhance overall efficiency. What truly sets Caregiving Corner apart is its unwavering dedication to the well-being of its clients. They prioritize open dialogue and maintain a strong sense of partnership, which has contributed significantly to the success of their education and partnerships in the community.In an industry where compassion and efficiency go hand in hand, Caregiving Conrer strikes the perfect balance.As a Fractional COO, I couldn't ask for a more fulfilling and rewarding partnership. If you're a caregiver looking for support, I wholeheartedly recommend Caregiving Corner. They are a true embodiment of integrity, compassion, and operational excellence.
Jennifer and Caregiving Corner are a trusted resource for senior care. Jennifer has a wealth of knowledge and will give you honest, unbiased advice in planning for the care of your loved one. Investing in her services is money well spent.
Jennifer and the Team at Caregiving Corner are patient, kind, courteous and generous with their time and their efforts. I would trust them implicitly with my family's best interest. Jennifer's willingness to provide support and guidance is second to none! Highly, highly recommend her services. Amazing advocate for her clients. She truly, truly cares and has their best interests at heart.
I'm writing to recommend Care Giving Corner for the best elder care management services I have come across. We were introduced to them for help with our parents' care by the Rev. Lisa Saunders at Christ Episcopal Church in Charlotte, who had known our family for 20 or 30 years. We had worked with a couple of the big national elder-care chains before, but their people seem so limited and their standard of care seemed very "average" at best.We work with Susan Ferone as our case worker/manager and Allyson Cooksy as our RN. They are conscientious, high-caliber, top-flight people. They're the kind of people we'd want to entertain with and be friends with, not just tolerate as hired help.They recently helped my parents identify and move to a retirement community that is a vast improvement over the retirement facility they had been in before. They connected us with services that helped with organizing, packing, moving, unpacking, setting up, and settling in. They even helped my mother find a decorator to help with some fabric choices and paint schemes to suit her new digs. That alone is half the battle - knowing who are the reliable, trustworthy service providers for various ancillary services.Allyson has helped my parents manage medical appointments, keep track of treatments and prescriptions, and devise daily structure that keeps things on track. She has helped identify and get services from therapists, etc. Allyson is amazing and a delight to be around.We live in a time when even those of us who are well-established and well-connected in our communities can feel bewildered by the experience of aging and everything that goes with it. Susan, Allyson, and their colleagues comprise an able and caring resource in an otherwise confusing and dysfunctional elder-care environment.
Jennifer and her team are top-notch and, without question, the best in the business. As an elder law attorney, I routinely refer my clients to Caregiving Corner because I know they will treat my clients like family. Thank you, Jennifer, for building such an incredible business that meets the needs of so many people!
Jennifer Szakaly is a registered guardian with high integrity and ethics. Jennifer goes above and beyond for her clients and she is not afraid to handle difficult cases and family dynamics to ensure her wards receive the best and most appropriate care. I cannot recommend her highly enough and I refer clients the Charlotte area to her very regularly. For any client in need of Aging Life Care Management or a Guardian, Jennifer and Caregiving Corner is the superior choice.
Caregiving Corner is an amazing resource for anyone who is navigating the experience of aging or caring for an aging family member. Jennifer and her team offer such a broad range of services - from helping families choose care facilities and make healthcare decisions to serving as a legal guardian for those who don't have family members (or whose family members are too unreliable). Their collective experience is invaluable, and most importantly, they have a genuine passion for working with older adults and their caregivers, and it shows. I enthusiastically recommend Caregiving Corner to everyone I know who is dealing with the often-challenging situation of caring for an aging loved one.
Since I started Transition With Care in 2009, a senior move management company, I have confidently referred my clients and families in need of care management services to Caregiving Corner. I have never received any negative feedback from my clients and consider Jennifer Szakaly and her team to be a shining example of how to help seniors and families navigate the complexities of caring for an aging loved one.
Our team at The Charlotte Assisted Living Community and Memory Care has had the pleasure of working with Jennifer and the Caregiving Corner Team for the last six months.During what can be some of the most trying and difficult times for their clients and loved ones, the Caregiving Corner team assists in navigating the journey to find a solution.Their compassion and dedication to their clients is above board. They offer a professional and sincere level of care to each family they are assisting. We look forward to our continued partnership.
I’m thankful for the guidance I’ve received from Jennifer Szakaly. She has helped me address current caregiving needs as well as understand options for what’s ahead. Her professionalism and experience is second to none.
I am an elder law attorney who has worked almost exclusively in the field of incompetency/guardianship for folks who no longer have the capacity to care for themselves. This is an extremely sensitive family matter, and the family of the incapacitated elder find themselves in a crisis and a world they do not understand. Caregiving Corner has been a savior to these families and lawyers in this field. Jennifer Szakaly, the founder and owner of Caregiving Corner, has assisted me in many cases, in Mecklenburg and surrounding counties, with evaluating, advocating for and acting as corporate guardian in these unfortunate situations. Caregiving Corner has a staff of professionals who assess the crisis, help find placement for the individual, and care for the individual and act in their best interests in all of their health matters. Jennifer is approved with the Clerks of Court who appoint her company. She is a Board member of affiliated organizations and non-profits. She is nationally certified as a corporate guardian, as well as holds degrees and other certifications in the field of geriatric care. I don't know anyone more qualified in this field or anyone more compassionate for the work she does for others.