ACP Decisions is dedicated to meeting patients where they are. We convey medical information in a culturally sensitive manner using patient’s native language.

Goals of Care in Ilocano

Hospice in Ilocano

Frances Calantoc is the business manager of The Family Medicine Center in Hilo, HI and has worked in the medical field for over 30 years. She was born in Sarrat, Ilocos Norte, Philipines and attended Far Eastern University in Manila. After graduating she moved to Hawaii and is currently a certified medical assistant. Frances collaborated with members of the Ilocano community in Hawaii to develop the Ilocano narration for the ACP Decisions Video Library.

How are you using the ACP Decisions Video Library with your patients?

At our office we have three medical providers, two doctors and one physician assistant. We do pre-visit planning where we identify patients who need to watch or who can benefit from a video. For some of our Ilocano speaking patients, we had numerous discussions about advance care planning with no decision. When we started using an ACP Decisions video with an Ilocano narrator, we began to see patients finding their voice and completing advance care planning documents.. Some of our patients, after finding their voices, brought spouses so that their loved ones could find voice and document their choices. I feel that it’s been successful. It feels good to help patients find their voice. I’ve been showing three or four videos a day, it’s working well with our workflow.

Why is talking about advance care planning important, especially in the Ilocano community?

Like many in our community, Ilocanos in Hawaii need to know about advance care planning so that they and their family can decide what care they prefer. Some Ilocanos had very limited educational opportunities. Often they may lack an understanding of their choices and therefore find it difficult to voice their preferences. Without education, many will let the healthcare system decide for them. So these conversations are important – sometimes patients need more time to discuss with their family and we continue the conversation at their next followup.