Our mission is to help you and your loved ones attain your end-of-life goals.

We try to reduce how long and how intense patients and their loved ones must suffer from any terminal illness, especially those living with advanced dementia.

We strive to provide an “ironclad” solution so no one will ever consider premature, preemptive suicide for themselves, or consider “mercy killing” for their loved one.

One way to express this goal is

Plan Now, Die Later®—to Live Longer

Caring Advocates consists of a team of clinical, legal, and pastoral professionals who are dedicated to help people attain private, peaceful, and timely transitions.

We offer Advance Care Planning that includes:

  • A unique patient decision aid—My Way Cards—that facilitates making decisions that reflect your values,
  • An end–of–life intervention—Natural Dying—designed to be both effective and acceptable to those in authority, and
  • Strategies that will motivate physicians and others to honor your end–of–life wishes or those of your loved ones’.

In addition to planning, we offer active professional help in the final chapter of people’s lives.

We offer two Protocols for two kinds of people:
 Strategic Advance Care Planning is for people who still have the mental ability to make treatment decisions.  
 Now Care Planning is for patients who have already reached the stage of advanced dementia but lack an adequate or effective living will.  

The Natural Dying Living Will is Unique:

 Compelling: Severe enough suffering is the single criterion used to determine when patients want to die of their underlying disease.
 Comprehensive: Patients (or their proxies/agents) judge over four dozen conditions that include what people dread most about prolonged dying in advanced dementia and other terminal illnesses.
 Easy to complete: Illustrated and written at the 4th grade of reading comprehension, My Way Cards can be used by many patients in early dementia to make judgments about future possible conditions.
 Straightforward to interpret: Instead of asking physicians to assess patients’ suffering, they answer: “Has the patient reached a clinical condition that the patient did judge, or would have judged, causes severe enough suffering to be allowed to die now?”
 Acceptable: The intervention “Natural Dying” (as explained) aspires to be accepted by authorities who view it as legal, ethical, moral, and consistent with the teachings of conservative religions.
 Respectful: Avoids conflict that could lead to either prolonged or premature dying by:
(A) interpreting feeding behavior; (B) using (arbitrary) “stage of disease”; (C) empowering physicians to (paternalistically) judge patients’ “Best Interest”; and, (D) relying on such vague terms as “indignity” and “quality of life” (that could begin a dangerous slippery slope).
 Effective: Strategies can be added that strive to overcome more than 14 common challenges, rather than assuming others will honor patient’s clear and specific wishes.

My Way Cards examples

For Most:
No Suffering

For Most:
Severe Enough Suffering

Condition 0.0 Condition 8.3
Condition 3.3 Condition 3.3

People’s judgments vary

Condition 4.5 Condition 5.5

General information:

Both Protocols are protected by trademarks, copyrights and applications for patents pending with the USPTO.

Professional fees are typically covered in part by Medicare and other health insurance policies. Our staff can help estimate your cost.

We offer HIPAA-Compliant Internet Video chatting, if you prefer to not travel to our offices.

 Click here for more information about Strategic Advance Care Planning and two free offers

 Click here for more information about Now Care Planning and two free offers

Is your (or your loved one’s) living will adequate and effective?

Caring Advocates offers this time-limited, free service:
Send us your living will so we can offer our opinion.
Email your form to Dr. Terman: dr.terman@psychiatricalternatives.com
Or FAX your form to 888-767-6322

Dr. Terman devised a set of strategic solutions including ingeniously coupling a specially designed Advance Directive and a set of physician orders with adequate safeguards that reflect Dr. Terman's strong advocacy against ending life prematurely. Ironically, learning how to end life really empowers us to prolong our meaningful and enjoyable life.

Ronald B. Miller, MD, FACP, Founding Director of the Program in Medical Ethics, University of California Irvine