Empowering Peace: Navigating Life Beyond the Present with Advance Directives

April 12, 2024

April 16th marks Healthcare Decisions Day, a day dedicated to promoting advance care planning (ACP), ensuring individuals' medical preferences are honored, even when they can't communicate them. Diagnosed with chronic kidney disease at 35, Ashley Holt had to learn to navigate and accept her new reality, as well as prepare for life after now. Through her journey and current role at Bluegrass Care Navigators (BCN), she intertwines personal experience with advocacy for ACP, particularly within communities of color and support groups, highlighting the importance of planning for life beyond the present. 

“My purpose is to make sure people have access to things that they can benefit from!” Holt, Health Equity and Engagement Manager for Central Kentucky, said. “This one is personal to me because I understand a lot of the barriers that are there, especially for the black community as it relates to our end of life. For me, when there’s not a plan, there’s a lot of dysfunction, but if there is a plan, there is function. I utilize ACP education to bring the function back into our families for generations. Advance care planning can help these conversations reflect a true celebration of your life and give the gift of life to your loved ones.” 


Holt underwent a variety of evaluations and tests to prepare for the transplant she needed to survive. During one appointment her social worker gave her a Five Wishes booklet. The social worker explained that advance directives, such as a living will, healthcare surrogate, power of attorney and the Five Wishes booklet, are legal documents that provide instructions for your family and healthcare team. 


These words resonated with Holt, but it wasn’t until she accepted her current role at BCN that she took the next step and made her plan. As she did so, Holt realized that these documents allowed her to continue to have control over her medical treatment and continue to care for her loved ones, especially her daughter who was 11 at that time. 


“I did a deep dive into advance care planning and long-term care and realized this was a way that I would be able to talk about plans for life after now with the communities I would be serving,” Holt said. “In order for me to have those conversations, I needed to do my own plan so I could speak authentically and use my own story and experience to help others.” 


Holt found the Five Wishes Booklet to be literally as easy as filling in the blanks. Five Wishes facilitates conversations around end-of-life options with a more personal touch and guides you to additional documents, such as a living will or power of attorney that you need to fill out. 


“That’s what happened for me,” Holt said. “It provided me with the encouragement that I actually completed something that is going to be beneficial for my life after now. I was truly excited because I knew that I still had the power and had the final say. I was still the boss of my own life, even when I may not have been able to vocalize that. And I gave my family a plan that they could literally follow line by line.” 


As a young, black, educated, female, Holt reminds the millennial and gen x communities the importance living life abundantly through advance care planning. Although at first these discussions can be daunting, she has found that these moments spark conversations, laughter and allow you to learn things from your people through their lived experiences. 


“I would start by sitting with whoever you consider family to talk and figure out the plan,” Holt said. “Embrace the raw emotions and know that this will be an ongoing conversation. If you need a place to start, you can start with BCN. We have a whole team who can walk you through that and support you. But you can also start with your medical provider or employer.” 


If you would like assistance with creating Advance Directives, contact Bluegrass Care Navigators at 855.492.0812 or visitour website.   

July 24, 2026
Bluegrass Care Navigators has received grant funding from Truist Foundation and the Lexington-Fayette Urban County Government (LFUCG) to purchase an additional transportation van for Bluegrass PACE participants in Fayette County. The new van will expand Bluegrass PACE Care’s existing transportation fleet, helping meet growing demand and ensuring participants can reliably access the care and services they need.
Northern Kentucky Voluteer Flower Program Participants
July 9, 2026
The dedication of Bluegrass Care Navigators’ Northern Kentucky Flower Program volunteers was recently recognized at the Garden Club of Kentucky Annual Convention, highlighting the powerful impact of their service to BCN patients. In addition to celebrating 22 awards earned for a wide range of gardening projects throughout Boone County, the Boone County Garden Club was also honored with the prestigious Club of Honor for its outstanding partnership with Bluegrass Care Navigators. This recognition reflects the heartfelt commitment of our volunteers and the meaningful difference they make in our community.
Mom and family find hope through Bluegrass Grief Care
July 9, 2026
Grief arrives without warning. For Crystal Huddle and her children, it came in an instant, through a car accident that took her husband’s life and forever changed their family.
BluegrassPACECareopensAlternativeCareSiteinFrankfort
July 9, 2026
Bluegrass Care Navigators is proud to expand access to Bluegrass PACE Care with the opening of a new PACE Alternative Care Site in Frankfort, celebrated with a ribbon cutting and open house on May 14. As Kentucky’s first provider of the Program of All‑Inclusive Care for the Elderly (PACE), BCN continues to grow its innovative model that helps adults age 55 and older with complex health needs live safely at home.
Retiring President Liz Fowler with new President Jamie Moen
July 9, 2026
After 12 years of leading Bluegrass Care Navigators (BCN) as President & CEO, Liz Fowler has determined it is time to move towards retirement. Liz shared her news with the Board of Directors last year, and together, they have conducted a nation-wide search for BCN’s next President.
Bluegrass Care Navigators Partners with God’s Pantry to Address Patient Food Insecurity
June 29, 2026
Bluegrass Care Navigators has partnered with God’s Pantry to provide food boxes to patients experiencing food insecurity across its service lines. In the first month alone, team members and volunteers delivered 50 boxes to medically frail older adults. By addressing barriers like transportation, mobility, and limited income, this collaboration extends patient care beyond clinical needs to better support overall health and quality of life.
Caregiver testimonial
June 11, 2026
For the women holding it all together—until it’s too much.
Grief support for Father's Day
June 4, 2026
For many, Father’s Day can be particularly challenging day after the loss of a father or paternal figure. This day often brings back waves of grief—even if you thought you had already worked through those feelings. Everyday moments, like passing by Father’s Day displays in a store or participating in one of your father’s favorite activities, can unexpectedly trigger emotions and memories. As you navigate this difficult day, it is essential to give yourself permission to grieve. Take time to reflect on the joyful moments and cherished traditions you shared with your father.
From Medically Fragile to Safely Housed: How BCN Provides New Beginnings
May 26, 2026
For many individuals experiencing homelessness, medical hardship and housing instability are deeply intertwined. BCN’s Medical Respite Program bridges that gap by providing a short-term, hotel-based recovery program that offers compassionate care to unhoused individuals who need a safe place to heal and receive medical care.
May 26, 2026
Supported by a grant from the CommonSpirit Health Community Health Improvement Grants program, BCN’s Integrative Medicine created memory-making kits now used by social workers and volunteers to support patients and families in hospital settings.