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How to Have a Conversation About the End of Your Life

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Give yourself and your loved ones a special gift by having a life care planning conversation, which Ellen Goodman, co-founder of The Conversation Project, calls “estate planning for the heart.”

Even though we know it’s beneficial, few of us have been willing to have the conversation. According to the California Healthcare Foundation, 90 percent of Americans say that talking to loved ones about end-of-life care is important, yet only 27 percent have actually done so.  Additionally, less than 30 percent have completed an Advance Healthcare Directive, which documents your choice of healthcare representative and specifies the end of life care you want to receive.

Linda Trowbridge, CEO of  Center for Elders’ Independence (CEI), a PACE health plan for East Bay seniors designed to help them continue to live at home, recommends starting the life care planning conversation early. “The minute a young person gets a driver’s license, parents should ask ‘who would you trust to make your decisions, if for some reason – like being in a car accident – you could not speak for yourself?’”

Trowbridge suggests that the conversation should continue throughout a lifetime, as answers often change when people age. “We have to get better at having this conversation. Injury and disease can happen at any point, and young or old, it’s best to be prepared,” adds Trowbridge. She urges families to talk about the details of what it means to be placed on life-sustaining treatment before being faced with that reality. “There are so many medical options that are now available people really need to understand the consequences of their decisions.

Alicia English, Director of Behavioral Health at CEI, suggests that the conversation consider “your values, what matters most to you, and what you would consider to be a good end to your life.”  She recommends that people ask themselves, “Who do I trust to carry out my wishes, even if they disagree with me? Talking with loved ones about what you want ahead of time helps ensure that your wishes will be honored,” added English.

Fortunately, excellent Bay Area resources are available to help initiate and guide this life care planning conversation. The East Bay Conversation Project, a coalition of healthcare providers, faith leaders, advocacy groups, and more, offers events and trainings to churches and community groups to promote engagement in life care planning. The organization’s free Conversation Starter Kit is a step-by-step guide to exploring personal beliefs and values about the dying process. Some people want all possible medical interventions, while others prefer to be at home, surrounded by the things that give them peace and joy.

English encourages seniors at CEI to “be brave enough to have these conversations” with their families about end-of-life considerations. She recommends GO WISH, a card game designed to help people discuss sensitive issues in a light-hearted way.

For information about Center for Elders’ Independence, visit cei.elders.org or call (510) 433-1150.  For information about the East Bay Conversation Project, the Conversation Starter Kit, and Advance Healthcare Directive forms, visit eastbayacp.org. To play the GO WISH game, visit gowish.org.

To read part 1 of the series, click here.

Activism

Oakland Post: Week of April 24 – 30, 2024

The printed Weekly Edition of the Oakland Post: Week of April 24 – 30, 2024

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To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.

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Alameda County

DA Pamela Price Stands by Mom Who Lost Son to Gun Violence in Oakland

Last week, The Post published a photo showing Alameda County District Attorney Pamela Price with Carol Jones, whose son, Patrick DeMarco Scott, was gunned down by an unknown assailant in 2018.

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District Attorney Pamela Price with Carol Jones
District Attorney Pamela Price with Carol Jones

Publisher’s note: Last week, The Post published a photo showing Alameda County District Attorney Pamela Price with Carol Jones, whose son, Patrick DeMarco Scott, was gunned down by an unknown assailant in 2018. The photo was too small for readers to see where the women were and what they were doing.  Here we show Price and Jones as they complete a walk in memory of Scott. For more information and to contribute, please contact Carol Jones at 510-978-5517 at morefoundation.help@gmail.com. Courtesy photo.

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City Government

Vallejo Welcomes Interim City Manager Beverli Marshall

At Tuesday night’s Council meeting, the Vallejo City Council appointed Beverli Marshall as the interim city manager. Her tenure in the City Manager’s Office began today, Wednesday, April 10. Mayor Robert McConnell praised Marshall’s extensive background, noting her “wide breadth of experience in many areas that will assist the City and its citizens in understanding the complexity of the many issues that must be solved” in Vallejo.

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Beverli Marshall began her first day with the City on April 10. ICMA image.
Beverli Marshall began her first day with the City on April 10. ICMA image.

Special to The Post

At Tuesday night’s Council meeting, the Vallejo City Council appointed Beverli Marshall as the interim city manager. Her tenure in the City Manager’s Office began today, Wednesday, April 10.

Mayor Robert McConnell praised Marshall’s extensive background, noting her “wide breadth of experience in many areas that will assist the City and its citizens in understanding the complexity of the many issues that must be solved” in Vallejo.

Current City Manager Michael Malone, whose official departure is slated for April 18, expressed his well wishes. “I wish the City of Vallejo and Interim City Manager Marshall all the best in moving forward on the progress we’ve made to improve service to residents.” Malone expressed his hope that the staff and Council will work closely with ICM Marshall to “ensure success and prosperity for the City.”

According to the Vallejo Sun, Malone stepped into the role of interim city manager in 2021 and became permanent in 2022. Previously, Malone served as the city’s water director and decided to retire from city service e at the end of his contract which is April 18.

“I hope the excellent work of City staff will continue for years to come in Vallejo,” he said. “However, recent developments have led me to this decision to announce my retirement.”

When Malone was appointed, Vallejo was awash in scandals involving the housing division and the police department. A third of the city’s jobs went unfilled during most of his tenure, making for a rocky road for getting things done, the Vallejo Sun reported.

At last night’s council meeting, McConnell explained the selection process, highlighting the council’s confidence in achieving positive outcomes through a collaborative effort, and said this afternoon, “The Council is confident that by working closely together, positive results will be obtained.” 

While the search for a permanent city manager is ongoing, an announcement is expected in the coming months.

On behalf of the City Council, Mayor McConnell extended gratitude to the staff, citizen groups, and recruitment firm. 

“The Council wishes to thank the staff, the citizens’ group, and the recruitment firm for their diligent work and careful consideration for the selection of what is possibly the most important decision a Council can make on behalf of the betterment of our City,” McConnell said.

The Vallejo Sun contributed to this report.

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