SlideShare ist ein Scribd-Unternehmen logo
1 von 14
The Role of the Clinical Social Worker in the MDA Clinic Presented by: Kristy Walgren, MSW, LCSW and  Destiny Pistone, MSW Intern
The Clinical Social Worker provides two main services to patients of the MDA Clinic. Resource and Referral: Individual, couples, family and group Counseling:
Why would I need individual, couples, family or group counseling? There are a number of reasons counseling can be a good idea for either the patient or the caregiver at times during a complicated or extended illness such as a Muscular Dystrophy. ,[object Object]
 Caregiver burnout – that feeling that you just can’t do this any longer.  You begin to wonder how long until your loved is going to pass.  Then, you feel guilty that you even would have those thoughts.,[object Object]
Some people experience a great amount of anxiety over needing to file for disability.  A couple of counseling sessions to get guidance through the applications and information on what to do next goes a long way toward easing that anxiety.,[object Object]
 If the main caregiver is the spouse, this role can cause a huge stressor on the spousal relationship, causing a marital relationship that was good to feel stressed.  If the marital relationship was strained before the diagnosis, this caregiver role can push the marriage over the edge.  Couples counseling early may help.,[object Object]
Resource and Referral What kind of resources do you have access to?
Resource and Referral Income and Insurance resources and referrals. ,[object Object]
 I can provide you with information about COBRA, Medicare, Medicaid and other health insurance options and how having one impacts the others.
 I have created handouts to help you navigate these issues, but if you are anxious about going through this process you may schedule a counseling appointment with may.  This will be billed through your insurance as a counseling visit.,[object Object]
 United Way’s 211 Helpline can help you locate resources for all of these things in your local area.
 The “All About Seniors” book.  It’s not just for seniors.
 Your local Department of Social Services.  Again, you can use Google to find the phone number, or it is usually in the front of the phone book.,[object Object]
 Second, seek the help of family and friends.  In-home nursing care is rarely covered by private insurance or Medicare.  So, home care usually has to be coordinated and managed by the family.

Weitere ähnliche Inhalte

Was ist angesagt?

Caring for Aging Parents - Equip for Life Session | Session 1
Caring for Aging Parents - Equip for Life Session  |  Session 1Caring for Aging Parents - Equip for Life Session  |  Session 1
Caring for Aging Parents - Equip for Life Session | Session 1Heritage Community Church
 
Nursing Homes: Making the Right Choice
Nursing Homes: Making the Right ChoiceNursing Homes: Making the Right Choice
Nursing Homes: Making the Right ChoiceDavid Corman
 
Planning For A Loved One With Special Needs
Planning For A Loved One With Special NeedsPlanning For A Loved One With Special Needs
Planning For A Loved One With Special NeedsElder Law Arkansas
 
Insurance Appeal Presentation, AZ Autism Coalition
Insurance Appeal Presentation, AZ Autism CoalitionInsurance Appeal Presentation, AZ Autism Coalition
Insurance Appeal Presentation, AZ Autism Coalitiondrsuelerner
 
JASC OCBC CAREGIVER CONFERENCE
JASC OCBC CAREGIVER CONFERENCEJASC OCBC CAREGIVER CONFERENCE
JASC OCBC CAREGIVER CONFERENCEKEIRO2
 
1 policy disclosure slides2
1 policy disclosure slides21 policy disclosure slides2
1 policy disclosure slides2Cedric Dark
 
Caregiver stress
Caregiver stressCaregiver stress
Caregiver stressashbrink
 
Understanding and Alleviating Caregiver Fear
Understanding and Alleviating Caregiver FearUnderstanding and Alleviating Caregiver Fear
Understanding and Alleviating Caregiver FearInnovations2Solutions
 
Health care directives what you can do
Health care directives  what you can doHealth care directives  what you can do
Health care directives what you can doLaurie Crane
 
Rishi Manchanda, Health Begins
Rishi Manchanda, Health Begins Rishi Manchanda, Health Begins
Rishi Manchanda, Health Begins cehjf
 
Disability benefits
Disability benefitsDisability benefits
Disability benefitsCareInvalids
 
Duty Of Care For Mental Health Practitioners
Duty Of Care For Mental Health Practitioners Duty Of Care For Mental Health Practitioners
Duty Of Care For Mental Health Practitioners Kerry O'Brien
 
Top Caregiving Resources to Empower Caregivers
Top Caregiving Resources to Empower CaregiversTop Caregiving Resources to Empower Caregivers
Top Caregiving Resources to Empower CaregiversBrightStar Care
 
BlissCONNECT Powers Full Circle America
BlissCONNECT Powers Full Circle AmericaBlissCONNECT Powers Full Circle America
BlissCONNECT Powers Full Circle AmericaBliss Health, Inc
 

Was ist angesagt? (19)

Caring for Aging Parents - Equip for Life Session | Session 1
Caring for Aging Parents - Equip for Life Session  |  Session 1Caring for Aging Parents - Equip for Life Session  |  Session 1
Caring for Aging Parents - Equip for Life Session | Session 1
 
Nursing Homes: Making the Right Choice
Nursing Homes: Making the Right ChoiceNursing Homes: Making the Right Choice
Nursing Homes: Making the Right Choice
 
The 9 myths of long term care
The 9 myths of long term careThe 9 myths of long term care
The 9 myths of long term care
 
Special Needs Planning 2015
Special Needs Planning 2015Special Needs Planning 2015
Special Needs Planning 2015
 
Sandwiched In:
Sandwiched In: Sandwiched In:
Sandwiched In:
 
Ihss ca
Ihss caIhss ca
Ihss ca
 
SandwichGeneration
SandwichGenerationSandwichGeneration
SandwichGeneration
 
Planning For A Loved One With Special Needs
Planning For A Loved One With Special NeedsPlanning For A Loved One With Special Needs
Planning For A Loved One With Special Needs
 
Insurance Appeal Presentation, AZ Autism Coalition
Insurance Appeal Presentation, AZ Autism CoalitionInsurance Appeal Presentation, AZ Autism Coalition
Insurance Appeal Presentation, AZ Autism Coalition
 
JASC OCBC CAREGIVER CONFERENCE
JASC OCBC CAREGIVER CONFERENCEJASC OCBC CAREGIVER CONFERENCE
JASC OCBC CAREGIVER CONFERENCE
 
1 policy disclosure slides2
1 policy disclosure slides21 policy disclosure slides2
1 policy disclosure slides2
 
Caregiver stress
Caregiver stressCaregiver stress
Caregiver stress
 
Understanding and Alleviating Caregiver Fear
Understanding and Alleviating Caregiver FearUnderstanding and Alleviating Caregiver Fear
Understanding and Alleviating Caregiver Fear
 
Health care directives what you can do
Health care directives  what you can doHealth care directives  what you can do
Health care directives what you can do
 
Rishi Manchanda, Health Begins
Rishi Manchanda, Health Begins Rishi Manchanda, Health Begins
Rishi Manchanda, Health Begins
 
Disability benefits
Disability benefitsDisability benefits
Disability benefits
 
Duty Of Care For Mental Health Practitioners
Duty Of Care For Mental Health Practitioners Duty Of Care For Mental Health Practitioners
Duty Of Care For Mental Health Practitioners
 
Top Caregiving Resources to Empower Caregivers
Top Caregiving Resources to Empower CaregiversTop Caregiving Resources to Empower Caregivers
Top Caregiving Resources to Empower Caregivers
 
BlissCONNECT Powers Full Circle America
BlissCONNECT Powers Full Circle AmericaBlissCONNECT Powers Full Circle America
BlissCONNECT Powers Full Circle America
 

Ähnlich wie Role of Clinical Social Worker in MDA Clinic

Peace of Mind
Peace of MindPeace of Mind
Peace of MindHayesLaw
 
Incapacity Planning in Texas
Incapacity Planning in TexasIncapacity Planning in Texas
Incapacity Planning in TexasSteve P. Mendel
 
Caring for aging parents
Caring for aging parentsCaring for aging parents
Caring for aging parentsTyrone Clarence
 
Long-Term_Care_-Guide-Planning_for_Aging_Parents
Long-Term_Care_-Guide-Planning_for_Aging_ParentsLong-Term_Care_-Guide-Planning_for_Aging_Parents
Long-Term_Care_-Guide-Planning_for_Aging_ParentsHenry Weatherby
 
Geriatric Care Managers Partnerships
Geriatric Care Managers PartnershipsGeriatric Care Managers Partnerships
Geriatric Care Managers PartnershipsTina Cheplick
 
"This is how i want to die" DPT Study Day 16th September 2011
"This is how i want to die" DPT Study Day 16th September 2011"This is how i want to die" DPT Study Day 16th September 2011
"This is how i want to die" DPT Study Day 16th September 2011Hospiscare
 
Chapter 10 Case ManagementCounselingReading this excerpt from.docx
Chapter 10 Case ManagementCounselingReading this excerpt from.docxChapter 10 Case ManagementCounselingReading this excerpt from.docx
Chapter 10 Case ManagementCounselingReading this excerpt from.docxcravennichole326
 
Advance Directives
Advance DirectivesAdvance Directives
Advance Directivespuahslove
 
Advance care planning 21 sept 11
Advance care planning 21 sept 11Advance care planning 21 sept 11
Advance care planning 21 sept 11Hospiscare
 
Wellness Series Presentation
Wellness Series PresentationWellness Series Presentation
Wellness Series PresentationFelician Village
 
Good to Go End of Life Care Planning for DC Residents
Good to Go End of Life Care Planning for DC ResidentsGood to Go End of Life Care Planning for DC Residents
Good to Go End of Life Care Planning for DC ResidentsJaredBHughes
 

Ähnlich wie Role of Clinical Social Worker in MDA Clinic (20)

Palliative Group wk2
Palliative Group wk2Palliative Group wk2
Palliative Group wk2
 
Peace of Mind
Peace of MindPeace of Mind
Peace of Mind
 
Planning for your future care
Planning for your future carePlanning for your future care
Planning for your future care
 
Taking Care of Aging Parents
Taking Care of Aging ParentsTaking Care of Aging Parents
Taking Care of Aging Parents
 
Incapacity Planning in Texas
Incapacity Planning in TexasIncapacity Planning in Texas
Incapacity Planning in Texas
 
Caring for aging parents
Caring for aging parentsCaring for aging parents
Caring for aging parents
 
new PDS
new PDSnew PDS
new PDS
 
Long-Term_Care_-Guide-Planning_for_Aging_Parents
Long-Term_Care_-Guide-Planning_for_Aging_ParentsLong-Term_Care_-Guide-Planning_for_Aging_Parents
Long-Term_Care_-Guide-Planning_for_Aging_Parents
 
Geriatric Care Managers Partnerships
Geriatric Care Managers PartnershipsGeriatric Care Managers Partnerships
Geriatric Care Managers Partnerships
 
Multiple Atrophy System(MSA) Trust Caregiver's Guide
Multiple Atrophy System(MSA) Trust Caregiver's GuideMultiple Atrophy System(MSA) Trust Caregiver's Guide
Multiple Atrophy System(MSA) Trust Caregiver's Guide
 
"This is how i want to die" DPT Study Day 16th September 2011
"This is how i want to die" DPT Study Day 16th September 2011"This is how i want to die" DPT Study Day 16th September 2011
"This is how i want to die" DPT Study Day 16th September 2011
 
Chapter 10 Case ManagementCounselingReading this excerpt from.docx
Chapter 10 Case ManagementCounselingReading this excerpt from.docxChapter 10 Case ManagementCounselingReading this excerpt from.docx
Chapter 10 Case ManagementCounselingReading this excerpt from.docx
 
SUMMER2015PAMPHLET
SUMMER2015PAMPHLETSUMMER2015PAMPHLET
SUMMER2015PAMPHLET
 
2011 05-28 pam marshall
2011 05-28 pam marshall2011 05-28 pam marshall
2011 05-28 pam marshall
 
Advance Directives
Advance DirectivesAdvance Directives
Advance Directives
 
Advance care planning 21 sept 11
Advance care planning 21 sept 11Advance care planning 21 sept 11
Advance care planning 21 sept 11
 
Wellness Series Presentation
Wellness Series PresentationWellness Series Presentation
Wellness Series Presentation
 
Who Decides When I Can't?
Who Decides When I Can't?Who Decides When I Can't?
Who Decides When I Can't?
 
Oregon Advance Directives
Oregon Advance DirectivesOregon Advance Directives
Oregon Advance Directives
 
Good to Go End of Life Care Planning for DC Residents
Good to Go End of Life Care Planning for DC ResidentsGood to Go End of Life Care Planning for DC Residents
Good to Go End of Life Care Planning for DC Residents
 

Kürzlich hochgeladen

Oppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmOppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmStan Meyer
 
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...Association for Project Management
 
BIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptx
BIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptxBIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptx
BIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptxSayali Powar
 
Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1GloryAnnCastre1
 
Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...Seán Kennedy
 
How to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 DatabaseHow to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 DatabaseCeline George
 
INTRODUCTION TO CATHOLIC CHRISTOLOGY.pptx
INTRODUCTION TO CATHOLIC CHRISTOLOGY.pptxINTRODUCTION TO CATHOLIC CHRISTOLOGY.pptx
INTRODUCTION TO CATHOLIC CHRISTOLOGY.pptxHumphrey A Beña
 
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptxDIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptxMichelleTuguinay1
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxlancelewisportillo
 
Using Grammatical Signals Suitable to Patterns of Idea Development
Using Grammatical Signals Suitable to Patterns of Idea DevelopmentUsing Grammatical Signals Suitable to Patterns of Idea Development
Using Grammatical Signals Suitable to Patterns of Idea Developmentchesterberbo7
 
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...DhatriParmar
 
4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptxmary850239
 
Expanded definition: technical and operational
Expanded definition: technical and operationalExpanded definition: technical and operational
Expanded definition: technical and operationalssuser3e220a
 
Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4JOYLYNSAMANIEGO
 
Concurrency Control in Database Management system
Concurrency Control in Database Management systemConcurrency Control in Database Management system
Concurrency Control in Database Management systemChristalin Nelson
 
4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptx4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptxmary850239
 
ROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptxROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptxVanesaIglesias10
 
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfGrade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfJemuel Francisco
 
Multi Domain Alias In the Odoo 17 ERP Module
Multi Domain Alias In the Odoo 17 ERP ModuleMulti Domain Alias In the Odoo 17 ERP Module
Multi Domain Alias In the Odoo 17 ERP ModuleCeline George
 

Kürzlich hochgeladen (20)

Paradigm shift in nursing research by RS MEHTA
Paradigm shift in nursing research by RS MEHTAParadigm shift in nursing research by RS MEHTA
Paradigm shift in nursing research by RS MEHTA
 
Oppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmOppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and Film
 
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
 
BIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptx
BIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptxBIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptx
BIOCHEMISTRY-CARBOHYDRATE METABOLISM CHAPTER 2.pptx
 
Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1
 
Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...
 
How to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 DatabaseHow to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 Database
 
INTRODUCTION TO CATHOLIC CHRISTOLOGY.pptx
INTRODUCTION TO CATHOLIC CHRISTOLOGY.pptxINTRODUCTION TO CATHOLIC CHRISTOLOGY.pptx
INTRODUCTION TO CATHOLIC CHRISTOLOGY.pptx
 
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptxDIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
 
Using Grammatical Signals Suitable to Patterns of Idea Development
Using Grammatical Signals Suitable to Patterns of Idea DevelopmentUsing Grammatical Signals Suitable to Patterns of Idea Development
Using Grammatical Signals Suitable to Patterns of Idea Development
 
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
 
4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx
 
Expanded definition: technical and operational
Expanded definition: technical and operationalExpanded definition: technical and operational
Expanded definition: technical and operational
 
Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4
 
Concurrency Control in Database Management system
Concurrency Control in Database Management systemConcurrency Control in Database Management system
Concurrency Control in Database Management system
 
4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptx4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptx
 
ROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptxROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptx
 
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfGrade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
 
Multi Domain Alias In the Odoo 17 ERP Module
Multi Domain Alias In the Odoo 17 ERP ModuleMulti Domain Alias In the Odoo 17 ERP Module
Multi Domain Alias In the Odoo 17 ERP Module
 

Role of Clinical Social Worker in MDA Clinic

  • 1. The Role of the Clinical Social Worker in the MDA Clinic Presented by: Kristy Walgren, MSW, LCSW and Destiny Pistone, MSW Intern
  • 2. The Clinical Social Worker provides two main services to patients of the MDA Clinic. Resource and Referral: Individual, couples, family and group Counseling:
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Resource and Referral What kind of resources do you have access to?
  • 8.
  • 9. I can provide you with information about COBRA, Medicare, Medicaid and other health insurance options and how having one impacts the others.
  • 10.
  • 11. United Way’s 211 Helpline can help you locate resources for all of these things in your local area.
  • 12. The “All About Seniors” book. It’s not just for seniors.
  • 13.
  • 14. Second, seek the help of family and friends. In-home nursing care is rarely covered by private insurance or Medicare. So, home care usually has to be coordinated and managed by the family.
  • 15.
  • 16. Estate Planning The Healthcare Power of Attorney. This is the document which you prepare that assigns the power to at least one, and up to three, other person(s) to make healthcare decisions on your behalf, and as if they were you, in the event that you are unable to make your own healthcare decisions or unable to communicate your healthcare choices.
  • 17. Estate Planning Living Will. This is the document which you prepare that give guidance to your healthcare power of attorney and your physicians regarding what healthcare procedures you do and do not want performed on you in the event you are unable to make or communicate your own healthcare decisions.
  • 18.
  • 19. Once completed, these documents should be given to each person listed as your healthcare agent and each of your treating physicians.
  • 20. Talk to all your family members about your healthcare wishes, whether they are listed as an agent or not. This will increase the likelihood of your wishes being known and followed.