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a medical emergency strikes the ambulance comes a professional start administering care but what if that emergency is life or death and theres no document to help doctors or family make critical decisions it sounds dramatic but sadly its a scenario continuing to play out across the state with far too many people in the mindset that end of life care happens solely in those critical moments before death in reality health care professionals say it can occur in the days weeks months and even years before dying but how do you get people to talk about it and better yet to plan for it we only have a little less than a third of our residents having that type of conversation when theyre in end-of-life when they have a life limiting illness wed like to see that number grow a national poll from the Kaiser Family Foundation shows just one out of every 10 adults reported discussing their own end of life care wishes with a doctor and it didnt improve much with age on top of that only roughly 1/