End-of-Life
Care: A Novel
Approach
Shawnette Adams
May 8, 2013
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Problem Statement




In a 2012 study of Californians’ attitudes and
experiences with death and dying, 60% of
respondents said that making sure their family is not
burdened by tough decisions about their care at the
end of life is “extremely important.”
Yet 56% had not communicated their end-of-life
wishes to the loved one they would want making
decisions on their behalf, and only 23% said they
have their wishes in writing.
41% of Californians said they had too many other
things to worry about right now
39% said that they or their loved one didn’t want to
think about death or dying.
Resource: http://healthcareexperiencedesign.com/eolc/
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Problem Resolution Goals
 Promote
awareness and create a
compelling experience that leads to
greater activation and more people
communicating their preferences by
having a conversation, and completing
an advance directive
 Target non-activated people, and help
take a person from pre-contemplation to
contemplation, or contemplation to
action.
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Problem Resolution
 Prototype
Website
 Main Aspects



1) Why plan for end-of-life care?
2) Learn how to plan for end-of-life care? What
materials and information needs to be provide?
3) Take action by completing the form and obtaining
the proper signatures
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Design Aspects
 Language
Choice
 State Choice
 Live Chat and FAQ
 Online Completion or Manual Completion
 ‘What If’ Video Scenarios
 Learning How to Complete Directive
 Take Actions to Complete Directive

Including official signatures
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Design Walkthrough
 The
following slides will discuss aspects
and specific details of the website
prototype.
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Medically Mindful Homepage
a. Language Dropdown – Translate the
website and advance directive form into
the selected language.
a.
b.
c.
d.
b. State Dropdown – The state chosen
will populate the website with that
state’s officially or most commonly
approved healthcare directive.
c. Navigation Buttons – These buttons
indicate where the user is in the
process.
d. Information Area – This area describes
the 3 main parts of the website and the
content of each part. The Go To buttons
also navigate to the steps displayed in
section c.
e. ‘Chat with a Consultant & FAQ’ Button –
This button will allow the end user to chat
live with a consultant in the selected
state about the advance directive
process and to access the FAQs that are
available.
e.
f.
f. Sharing Area – The buttons in this area
will allow the end user to share this page
with friends and family members via
Facebook, email, and Twitter.
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‘What If’ Scenario Page
a. Main Video Area – This video in this
area will swap with those in the ‘Learn
More’
b. Learn More – The state chosen will
populate the website with that state’s
officially or most commonly approved
healthcare directive.
a.
c. Events You May Already Plan For –
These buttons indicate where the user
is in the process.
d. Next Step Area – This area describes
the 3 main parts of the website and the
content of each part.
b.
c.
d.
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Learn More Page – Tab 1
a. Choosing Healthcare Agent Tab – This
tab provides information necessary to go
about choosing a healthcare agent for
the directive.
b. Bottom of the Choosing Healthcare
Agent Tab – The bottom of the scroll
pane has two buttons that 1) allow the
end user to either go directly to the
directive form to choose a healthcare
agent or 2) view the next tab, Deciding
Healthcare Choices.
a.
b.
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Learn More Page – Tab 2
a. Deciding Healthcare Choices Tab –
This tab provides information of which
decisions will need to be made, such as
life support treatments and autopsy
choices.
b. Bottom of the Deciding Healthcare
Choices Tab – The bottom of the scroll
pane has two buttons that 1) allow the
end user to either go directly to the
directive form to select healthcare
choices or 2) go to Step 3, which is
begin filling out the directive from Part 1.
a.
b.
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Take Action Page – Part 1
a.
a. Print Blank Directive Button – This
button allows the end user to print a
hardcopy of all parts of the directive, as
well as the signature forms that
accompany it. This allows for manual
completion of the form rather than
entering the information online.
b. Part I of the Directive – Part 1 is the first
section of the directive where the end
user will enter the information for the
healthcare agents of their choosing. At
the bottom of the page, the end user
has the option to clear the information
that has been entered on the page or
go to Part 2 of the directive.
b.
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Take Action Page – Part 2
a. Part 2 of the Directive – This button
allows the end user to print a hardcopy
of all parts of the directive, as well as the
signature forms that accompany it. This
allows for manual completion of the form
rather than entering the information
online.
b. Bottom of Part 2 of the Directive – The
bottom of the page consists of 3
buttons. 1) Back to Part 1 takes the end
user to the previous page, 2) the end
user can clear the text entered on this
page or 3) Go to Part 3 takes the user to
the third page of the directive.
a.
b.
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Take Action Page – Part 3
a. Part 3 of the Directive – This part of the
directive allows the end user to enter
their name, address, and date, print the
form the sign it.
a.
b. Bottom of Part 2 of the Directive – The
bottom of the page consists of 6 buttons
- 1) Back to Part 2 takes the end user to
the previous page, 2) the end user can
clear the text entered on this page or 3)
print all 3 sections of the directive. 4) In
addition, the Final Step for the end user
is to print either the Witness Form or the
Notary form. One of those pages are
required to ensure the directive is
official. 5) The Nursing Home Form
button allows the proper form to be
printed and signed, then the end user
must submit it to the director of the
nursing home.
b.
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Take Action Page – Witness Form
a. Witness Form – This form provides
directions concerning the requirements
to be an advance directive witness.
There is space for 2 witness as required to
make the directive official
b. Bottom of Part 2 of the Directive – The
bottom of the page consists of 4 buttons
- 1) the end user can clear the text
entered on this page, 2) the user can
print the witness form, 3) the user can
view the Notary Form if they decide that
they do not have 2 appropriate
witnesses and 3) the user can complete
and print the Nursing Home then submit
it to the director of the nursing home.
a.
b.
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Take Action Page – Notary Form
a. Notary Form – This form provides
directions to have a Notary Public sign
the form.
b. Bottom of Part 2 of the Directive – The
bottom of the page consists of 4 buttons
- 1) the end user can clear the text
entered on this page, 2) the user can
print the notary form, 3) the user can
view the Witness Form if they decide
that they do not want to use a Notary
and 4) the user can complete and print
the Nursing Home then submit it to the
director of the nursing home.
a.
b.
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Take Action Page – Nursing Home Form
a. Nursing Home Form – This form
provides directions to have a Notary
Public sign the form.
b. Bottom of Nursing Home Form – The
bottom of the page consists of 4 buttons
- 1) the end user can clear the text
entered on this page, and 2) the user
can print the notary form.
a.
b.
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Conclusion
 Website

Prototype
3 Main Aspects
 Reasoning
for planning
 Learn how to create a directive
 Take action and complete the directive
 Meets
Problem Resolution Goals
 Takes end user from pre-contemplation to
contemplation to action.
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Thank You for Your Consideration this Design
Solution to improve End-of-Life Care
Preparation!