Advanced Decision Making – Brain Donation

Advance decision-making is a proactive process for planning end-of-life care, often formalized as an “advance directive.” This legal document is part of estate planning. Your Advance Directive outlines a person’s wish for medical treatments and interventions before they become urgent. It’s particularly crucial for those caring for individuals with special needs.
The Benefits of an Advance Directive:
- Provides clarity during difficult situations
 - Offers peace of mind to decision-makers
 - Can be adjusted as needed
 - Helps avoid stress in emotional times
 - Important to understand the patient’s baseline behaviors and quality of life
 
For Caregivers:
- Create a communication plan for healthcare teams
 - Consider discussing topics gradually, especially with younger patients
 - Remember that decisions like hospice or DNR can be revoked
 - Allows additional time to process difficult decisions and the emotions that arise
 
Resources:
- Advance Decision Making Planning Sheet for preparation
 - Acute Care Decision Making Sheet for immediate situations
 - Tissue donation options are available. Anyone who wishes to consider donation of whole brain tissue for research purposes after a loved one passing should contact the University of Maryland Brain and Tissue Bank (UMBTB) at btbumab@som.umaryland.edu
 
Planning ahead empowers caregivers and ensures dignified care aligned with the patient’s wishes.
Updated 09/25/24 (KK)

