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Government of the District of Columbia Department of Health Emergency Medical Services Comfort Care Program The District of Columbia Emergency Medical Services ...

How to fill out comfort care order

How to Fill Out a Comfort Care Order:

1. Begin by obtaining the appropriate comfort care order form from your healthcare provider or facility.
2. Fill in your personal information, including your name, date of birth, and contact information.
3. Provide the name and contact information of your primary care physician or the healthcare professional overseeing your care.
4. Indicate the date on which the comfort care order is being filled out.
5. Specify the medical condition or diagnosis that necessitates the need for comfort care.
6. Clearly state your preferences and goals for comfort care, including any specific treatments or interventions you wish to receive or avoid.
7. If desired, designate a healthcare proxy or power of attorney who will have the authority to make decisions on your behalf, should you become unable to do so.
8. Discuss and document your understanding of the potential risks and benefits of comfort care interventions.
9. Review the comfort care order form with your healthcare provider, ensuring that all necessary information is accurately recorded.
10. Sign and date the comfort care order form, and provide any additional documentation or consent forms as required by your healthcare facility.

Who Needs a Comfort Care Order:

1. Individuals with advanced or terminal illnesses who prioritize comfort and quality of life over curative treatments may benefit from a comfort care order.
2. Patients experiencing severe pain, discomfort, or distress as a result of their medical condition may require a comfort care order to address their symptoms.
3. Anyone who wishes to have their end-of-life preferences respected and followed can benefit from having a comfort care order in place, ensuring that their wishes are honored during times of critical medical decision-making.

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What is comfort care order?

Comfort care order is a medical directive that outlines the specific care and treatment a patient wishes to receive, particularly at the end of life when curative measures are no longer appropriate.

Who is required to file comfort care order?

Comfort care orders are typically filed by healthcare providers, in consultation with the patient and their family or designated healthcare proxy.

How to fill out comfort care order?

Comfort care orders are filled out by a healthcare provider in collaboration with the patient or their designated decision-maker. It includes details on the type of care and treatments the patient wishes to receive or not receive.

What is the purpose of comfort care order?

The purpose of a comfort care order is to ensure that a patient's end-of-life wishes are respected and that they receive care that aligns with their preferences for comfort and quality of life.

What information must be reported on comfort care order?

A comfort care order typically includes information on the patient's preferences for pain management, nutrition/hydration, resuscitation, and other medical interventions.