### Keyword Analysis
- Keyword: "five wishes form pdf"
- Core Components:
- Occasion: This is not a celebratory event. It pertains to a serious and profound life task: end-of-life planning. The "Five Wishes" is a specific advance directive or living will that allows an individual to document their wishes for medical treatment and personal care if they become unable to communicate. The user is looking for the document itself and, implicitly, guidance on how to approach this sensitive process.
- Tone: The tone must be respectful, empathetic, serious, comforting, and empowering. It should be gentle and supportive, avoiding any sense of morbidity or fear. The focus is on dignity, clarity, and love.
- Recipient: The primary recipient is the person filling out the form for themselves. A secondary audience includes close family members (a spouse, an adult child) who are helping a loved one with this process or seeking to understand their wishes.
### Invented Categories
Based on the analysis, the "wishes" are not for a greeting card, but rather prompts to help someone articulate their desires within the Five Wishes document itself, or messages of support for someone undertaking this process.
1. Prompts for Your Medical Care Wishes: Guiding phrases to clearly state preferences on medical treatment.
2. Prompts for Your Personal Comfort Wishes: Ideas for expressing how you want to be cared for beyond medical procedures.
3. Prompts for How You Wish to Be Treated with Dignity: Messages focusing on respect, personal space, and spiritual needs.
4. Prompts for What You Wish Your Loved Ones to Know: Heartfelt messages of love, forgiveness, and remembrance to leave behind.
5. Messages of Support for Someone Completing Their Five Wishes: Encouraging words for a family member or friend who is courageously undertaking this planning.
Completing a Five Wishes form is a profound act of love and foresight. It’s a gift you give to yourself and to the people who care about you, ensuring your voice is heard even when you cannot speak. This task, while deeply important, can also feel overwhelming. Where do you even begin to put your deepest desires into words? It’s about more than just checking boxes on a form; it’s about articulating the essence of what matters most to you.
This guide is designed to help you through that process. Think of these phrases not as a script, but as gentle prompts to spark your own reflections. Whether you are filling this out for yourself or supporting a loved one on this journey, our hope is that these words bring you clarity, comfort, and peace of mind.
Prompts for Your Medical Care Wishes
This section corresponds to the first two wishes, focusing on your healthcare agent and the kind of medical treatment you want or don’t want. Clarity is your greatest ally here.
1. My primary wish is for a plan that prioritizes my quality of life over the length of it.
2. I wish to avoid any life-support treatment that would only prolong the dying process.
3. If there is a reasonable hope of recovery, my wish is to try all available treatments.
4. Please entrust all final medical decisions to my healthcare agent, [Name], knowing they understand my heart.
5. My wish is for palliative care to be introduced early to manage my symptoms and maintain my comfort.
6. I do not wish to be on a ventilator long-term if I am in a permanent vegetative state or terminal condition.
7. I wish for my healthcare agent to have the courage to say "enough" when treatments cause more suffering than benefit.
8. My desire is to be allowed a natural death. Please do not perform CPR if my heart or breathing stops.
9. I wish for a second opinion before any major, non-emergency procedure is decided upon.
10. Please know that I value my independence and cognitive function above all else when making decisions.
Prompts for Your Personal Comfort Wishes
This section aligns with the third wish: "How Comfortable I Want to Be." Think about the small, humane details that make you feel cared for and at peace.
1. My wish is to be kept clean, warm, and as free from pain as possible at all times.
2. I wish for my favorite music to be played softly in my room. A playlist can be found [Location].
3. Please ensure my lips are kept moist and my skin is comfortable.
4. I would find great comfort in having photos of my family, especially [Specific people or events], where I can see them.
5. My wish is to be in a room with natural light, near a window if possible.
6. I would love for my favorite blanket, the [Color/Type] one, to be with me.
7. Please read to me. I especially love [Author/Book/Genre].
8. My simple wish is for the peace and quiet of my own thoughts, with limited noise and interruptions.
9. If I am able, I wish to be offered small tastes of my favorite foods or drinks, like a sip of tea or a spoonful of ice cream.
10. I find comfort in the scent of [e.g., lavender, clean linen]. A small amount of essential oil would be lovely.
Prompts for How You Wish to Be Treated with Dignity
This section reflects the fourth wish, "How I Want People to Treat Me." It's about ensuring your humanity is honored through every stage.
1. My wish is for people to speak to me directly, even if they think I can't understand.
2. Please hold my hand. The simple act of human touch would be a great comfort.
3. I wish for my spiritual or religious needs to be honored, including visits from a [Priest/Rabbi/Imam/Spiritual Advisor].
4. Tell me what is happening in the world and in our family. I still want to feel connected.
5. My wish is for people to share happy memories with me, rather than only speaking in hushed, sad tones.
6. Please respect my privacy and modesty when providing personal care.
7. I wish for my family to be allowed to be with me around the clock, if they so choose.
8. Do not speak about my condition or prognosis in front of me as if I am not there.
9. My wish is that my final moments are as peaceful as possible, surrounded by love, not machines.
10. Remember to laugh in my room. A life of joy should not end in a space of only sorrow.
Prompts for What You Wish Your Loved Ones to Know
This is the heart of the fifth wish. It’s your chance to write your own final greeting card, leaving a message of enduring love.
1. My final wish is for you to know the immense depth of my love for you. It is the greatest accomplishment of my life.
2. Please do not let grief consume you. I wish for you to live fully, love deeply, and find joy in every new day.
3. Forgive me for my shortcomings. Know that I always did the best I could with what I knew.
4. I want you to remember me with smiles and laughter, thinking of [A specific happy memory].
5. My wish is for all of you to support one another and remain a close, loving family. That would be my greatest legacy.
6. There is no need for regrets. We lived, we loved, and that is more than enough.
7. Thank you. Thank you for the joy, the challenges, the lessons, and the unconditional love you brought into my life.
8. I am at peace with my journey. My wish is for you to find your own peace with it, too.
9. Celebrate my life with good food, great stories, and the music I loved.
10. Know that my love will always be with you. Look for me in sunsets, in the kindness of strangers, and in the faces of our family.
Messages of Support for Someone Completing Their Five Wishes
If you are helping a parent, spouse, or friend, your role is one of gentle support. These messages can help you express your love and gratitude during the process.
1. Thank you for trusting me with your wishes. It's an honor to listen and help ensure they are respected.
2. I’m so proud of you for taking this step. I know it isn't easy, but it’s such a thoughtful and loving thing to do.
3. I am here to support you in any way you need. Let's take our time with this.
4. Hearing your wishes helps me understand what truly matters to you. Thank you for sharing this part of yourself with me.
5. This is a profound act of love for all of us, and it gives me peace of mind to know we can honor you perfectly.
6. I’ll be your advocate and your voice. I promise to carry out your wishes exactly as you’ve stated.
7. Your strength in planning for the future is an inspiration to me.
8. Let me know if you just want to talk, or if you’d rather I just sit with you quietly while you think. No pressure at all.
### A Final Thought
The wishes you document are a final, beautiful expression of your life and your values. Use these prompts as a starting point, but let your own unique voice shine through. Speak from the heart, be specific, and know that in doing so, you are creating a final chapter that is deeply and authentically your own.