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In the specific situation, both people are in their early 70s, they are long-time friends and share a house, the person who is ill might or might not have created a health-care power-of-attorney document, the person who is not ill might or might not be the agent. I'm interested in tips generally because I'm sure I will encounter other "We need to talk about the end of life" situations, and other folks on this forum will, too. Thank you.

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Final update: Friend 1 died today.
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Reply to Rosered6
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Llamalover47 Oct 14, 2025
So sorry. Condolences.
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Update: Friend 1 is in an ICU. Friend 1's POA has been activated, so Friend 2 is making decisions for Friend 1. It seems as though this could be the end for Friend 1. I think everyone is muddling through as well as they can given the circumstances: their personalities, their relationship, and that not all health problems can be fixed.
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Reply to Rosered6
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Llamalover47 Oct 9, 2025
Thank you for the update.
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In your particular situation there’s a bit of uncertainty not only for your partner or roommate because it appears you share a residence. Do you both own half? How is it titled?
It’s always best to be upfront and honest about their concerns and yours. In regard to their end of life wants and arrangements.
1. Do you have a will or trust?
Could you give me the name of your attorney whom has your trust or will should I need to contact them?

2. Do you have a POA for financial and medical? If so who should I need to contact for you if you are not able.
3. If you don’t have one since we live here together can you get one so I know what I need to do should something happen?
4. If you want me to be your medical POA let’s discuss what your wishes are for end of life request I want to make I can adhere to your wishes without interfering with my own religious beliefs before agreeing to being your POA.
5. If your joint owners of house do you have right of survivorship to the home? If not you should discuss how much time you will have to refinance the home should you decide to stay and have them put that in their will/ trust.
6. At the same time you can discuss the exact same question and answers that your roommate/ partner as well is wondering for you.
We never know when our rulers run out and the good lord calls us home.
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Reply to Jennytrying
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Thank you, Evamar. I should also have written that many people DO understand what their responsibilities are when they are the health-care power-of-attorney agent.
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Reply to Rosered6
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I am husband’s POA financial and otherwise.
Financial is fudiciary duty, not some privilege.
His choices of end of life are pretty straightforward. Nothing to be done.
I respect that.
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Rosered6: Thank you for your update.
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Reply to Llamalover47
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Friend 1 has expressed frustration with and distress about what F1 perceives as Friend 2's desire to die. Given that F1 is the agent on the health-care power of attorney, I hope that F1 will have enough of a conversation with F2 so that F1 clearly understand's F2's health-care and end-of-life-care decisions and is prepared to respect those decisions.
Generally, I have noticed that there are many people (including in this forum) who seem to think that being a POA agent means that they get to decide what to do for the principal, regardless of the principal's wishes. An agent is supposed to do what the principal said should be done or what they think the principal would say. In the situation of my friends, I think F2 might want to die and F1 might not be prepared to go along with that. It is unfortunate.
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Reply to Rosered6
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Be direct. Ask if they have created a Living Will, or Advanced Directive, and ask if they would like help creating a living will.
Point out the importance of having an advocate for your care and treatment when one becomes incapacitated.
Such documents exist which guide you through questions about life saving treatments and preferences. Having that out on the table and going through it together provides a way to open up the discussion.
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Reply to CaringWifeAZ
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You tell us below that "Friend 1 is healthcare agent for Friend 2 who is ill".

Simply say, when an appropriate time comes up, or she is talking of her friend "You know, it's so wonderful that you are health care POA for Mildred; she has to be so comforted in knowing that you will see to her wishes regarding care if she's unable to speak for herself" (this being the sole function of a health care proxy.)

She will then decide how the conversation goes.
You can add "Are you comfortable with her advance directive, and her choices"
or any number of things.

Quite honestly, this is sort of private if you know what I mean.
One friend is ill and has appointed another as he health care advocate. That is usually only done when the directive or "Advance Directive" is done. And this is a private document about private choices, not really the business of "other friends" if you know what I mean.

I am assuming you just want comfort for your friend who is proxy. Has she ever evidenced in your presence "discomfort" with choices made? Or not made?
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Reply to AlvaDeer
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Rosered6 Aug 22, 2025
Yes
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you could always create a story. When everybody is in a good place say something like your friend had someone pass away and did not have anything together for your friend. So your friend has no idea what her loved one wanted. You could say that got you thinking about your own will and POA. And ask them about theirs. That might be an easy leeway to start the conversation. Good luck God bless.
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Reply to stressedmess
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I would begin by telling them you have been working on your own. Maybe by talking about the need to designate someone to carry out your wishes, if you are unable to, will prompt their input. If it doesn't, just ask if they have made arrangements of their own.
For me, my mom's progression with dementia, that necessitated a nursing home, helped me to approach my dad. Mom would have been his #1. That also inspired me to handle my own affairs.
So start there. Good luck.
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Reply to LaurieEV
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State that you've been working on your plans and inquire if they've started to think about it. Ask if they have recommendation for an estate attorney. You should be able to bring it up easily and naturally if you're friends.

If you can't bring it up easily and naturally, then you may not be a close enough friend to discuss it with them at all. Whatever the situation, DO NOT agree to take care of them yourself. Friends who do that often end up not being friends anymore!
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Reply to Fawnby
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I guess it starts with who owns the house and if it needs to be sold for facility costs. If this is the person with dementia, I hope you find the will/POA by just asking. I feel you're just going to come out and ask, where you going to leave something for your friend if something happened to you,do you have a will? Maybe it's time to plan for each other? Or vice-versa with the friend. If nothing was setup and the person is deemed not cognizant, it's going to be difficult to make a will/POA,it would be difficult to legalize it. Then someone would have to apply for guardianship. If the house is in both names, one inherits if something happens or if need be sold,divided equally. I hope you don't have to rifle through a whole mess of papers. First look would be a safety deposit box if they have one. Maybe their Dr has something in writing about care/ contact information?
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“Being Mortal, Medicine and What Matters in the End” by Atul Gawande, discusses many things about aging but is well known for the five questions Gawande suggests doctors should ask patients towards the end of life.

Later in interviews he suggested these questions should be asked earlier and often as people change their mind or haven’t really thought about it yet when first asked. And we should ask each other these questions.

Here are the questions.

What is your understanding of where you are and of your illness?
Your fears or worries for the future
Your goals and priorities
What outcomes are unacceptable to you? What are you willing to sacrifice and not?
And later, what would a good day look like?

This is a great book that PBS broadcast a documentary using.

You could also look at The Five Wishes that several states use to see if it is helpful.
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Reply to 97yroldmom
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Rosered6 Aug 17, 2025
Thank you. These questions are the type that I hope Friend 1 (who is not ill and is the health-care POA agent) will broach with Friend 2.
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Don't call it end of life. We really need to have certain things in place no matter what the age.

Just ask or tell. "Just wondering do you both have your ducks in a row? Have you assigned anyone DPOA and Medical proxy? DNRs, in my State now, are written like living Wills, do they have that in place. Do they have beneficiaries on bank accounts? "

Explain to them without having these things in place, a stranger maybe making decisions for them.
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Reply to JoAnn29
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ForWhatItsWorth Aug 23, 2025
Because of so many things I’ve read on this site, I said exactly that to my MIL (99 yo) and she said she doesn’t want to talk about depressing things like that. I asked, ‘but if you don’t choose someone, complete strangers will be making decisions for you. Is that what you want?’ She just would not budge. Stubborn to the end. And then the family will be left with sorting out the problems. We don’t even know if she has a will, or enough $$ to last. And none of her actual children (4 sons, 2 daughters) will even ask.
But if she ever needs to come live with us, I wouldn’t budge until at least a springing POA and a care contract are in place. She’s currently sharp as a tack tho physically quite frail.
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