Q |​ Where can I look for help to prepare for my care in later life?

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For help preparing for medical care in later life, a doctor or nurse can provide more information about the long-term effects of any health conditions you have, and they can give some guidance as you complete an advance directive. For more complex medical directives or to create a will, consider contacting a lawyer for individual assistance or attend a legal event where lawyers can assist members of the public with medical and financial directives at low or no cost. Services also exist to help older adults prepare for later life in a holistic way through care management and patient advocacy (for an example, see IKOR→ of Charlottesville, Virginia). Although these forms of support are not trans-specific, they can help you get started. Check out the SAGE LGBTQ+ Advance Care Planning Toolkit→ for more ideas.

Q |​ Who can support me as my healthcare proxy if I can’t think of anyone to ask?

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You do not have to choose a healthcare proxy from within your biological family. Think about people whom you would trust to make medical decisions for you if you are no longer able, such as:

 

• Friends

• Peers

• Neighbors

• Care providers (e.g., a nurse not directly involved in your care)

• Service providers (e.g., your hairdresser or barber you’ve known for years)

• Members of your faith community

• Colleagues

 

Try making a short list of a few people in and outside your family whom you could ask to serve as your healthcare proxy. If you’re getting stuck, a social worker or patient advocate in the health system you use may be able to help you brainstorm options. For general tips on naming a healthcare proxy, see Your Guide to Choosing a Healthcare Proxy→ from The Conversation Project.