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Developed by West Midlands South IEC: Advance Care Planning Project Name: Date of Birth: Preferred Priorities for Care Patients own property:Handheld Record of Preferences for Care. To all Health
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How to fill out preferred priorities for care:

01
Start by carefully reviewing the preferred priorities for care form provided to you. Familiarize yourself with its sections and categories.
02
Begin by providing your personal information, such as your name, contact details, and any identification numbers required.
03
Consider your healthcare preferences and goals. Think about your values, beliefs, and what matters most to you when it comes to your healthcare decisions.
04
Determine your preferred medical treatments and interventions. Reflect on different scenarios and indicate the level of intervention you desire, such as resuscitation, life support, or palliative care.
05
Consider your desired level of comfort and care. Specify if you prefer pain management, hospice care, or any other specific measures to enhance your quality of life.
06
Reflect on your preferences concerning organ donation or autopsy. Indicate whether you wish to donate your organs or have an autopsy performed.
07
Include any additional information or specific instructions you want healthcare providers to be aware of. This could involve religious or cultural considerations, preferences for healthcare professionals, or any other relevant details.
08
Review your filled-out form to ensure all sections are properly completed and understandable. Make any necessary amendments or clarifications.
09
Sign and date the form, confirming that the provided information is accurate to the best of your knowledge.
10
Make copies of the completed form for your personal records, your healthcare proxy, and any other relevant parties involved.

Who needs preferred priorities for care:

01
Anyone who wants to have a say in their healthcare decisions, especially in cases where they are unable to communicate their preferences due to medical conditions or emergencies.
02
Individuals who have specific preferences regarding the level of medical interventions they desire or wish to avoid, ensuring their treatment aligns with their personal values and beliefs.
03
Patients facing serious illnesses or at end-of-life stages who want to outline their choices for care, including pain management, comfort, and other important aspects of their well-being.
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Preferred priorities for care refers to the specific medical treatments and decisions that an individual wants if they become unable to communicate their wishes.
Any individual over the age of 18 is encouraged to file preferred priorities for care, especially those with specific medical conditions or concerns.
Fill out a preferred priorities for care form with your healthcare provider or legal representative, detailing your medical preferences and treatment wishes.
The purpose of preferred priorities for care is to ensure that an individual's medical wishes are known and respected if they are unable to make decisions for themselves.
Information such as preferred medical treatments, end-of-life care preferences, and healthcare proxy designations should be reported on preferred priorities for care.
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