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My Final Playlist

A campaign with celebrities posting 'Final Playlists' of music to hear in their last days could popularize EOL planning in a "playful" way.

Photo of Karla Van Meter
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Who is your idea designed for and how does it reimagine the end-of-life experience?

Viewed by non-health professionals, current advance care directives(ACD) other than are unwelcoming documents. A campaign of creating your 'Final Playlist'(FP) could open the topic to the general public in a non-threatening manner. Creating your own playlist is a familiar, empowering experience. If MyDirectives has a public FP page with celebrity FPs, linked from Pandora and FaceBook, people posting their FP publicly or privately to MyDirectives are more likely to create a ACD.

I have watched demented relatives receive aggressive healthcare at the insistence of their spouse or child; care that they had stated they would not want. As an epidemiologist, I started researching ways that a cogent adult could specify only palliative care in case s/he became demented. Currently, the best communication method is to create videos as part of a advance care directive(ACD). But most people are too busy and the topic is not pleasant, so they don't get around to creating an ACD. 

When I created my MyDirectives ACD, I noticed that filling in the music request feature was a relatively upbeat experience. Contemplating the music I would like to hear if demented or dying was the most cheerful part of planning. 

Since creating playlists for various occasions is a common topic in the media, bringing a Final Playlist into the public space should be much easier than the ACD topic. Some celebrities posting their Final Playlist on various media, tweeting, discussing them on late night television shows or talk radio might make the concept a topic of normal conversation and FaceBook posting. At the least, it would make the topic current.

If FaceBook, Pandora and other platforms could be persuaded to link to a page on MyDirectives, that would encourage people to actually create an ACD. Technically, a focus group should give input on questions of whether an account needs to be created to post on the public page and other web details that could be off-putting.

What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?

Not my community, but could actually create a public Final Playlist page and see if it increases new accounts.

What skills, input or guidance from the OpenIDEO community would be most helpful in building out or refining your idea?

The MyDirectives people would be essential participants, although the campaign to broaden the conversation could happen without the links to creating advance care directives. Other people experienced in media and publicity, or access to celebrities would be needed for creating a campaign. People with access to decision-makers in various media and platforms are needed to create the digital space. And people experienced in working with users to create friendly websites would be necessary.

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Art At The End


Join the conversation:

Photo of Suzana Makowski

Sue Kemple,  I am so glad that you linked your website to this. It is a fabulous idea!  I may promote that we add it to the online advance care planning put forth by Luminat.  I would love to connect you with them.

Photo of Sue Kemple

Would love that, Suzana. Thanks so much!

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