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TERMINATION OF LIFE SUPPORT WORKSHEET1. Is this individual a Ward of the Commonwealth of Kentucky? Yes No If yes, Status of Guardianship: (Attach copy of Order of Appointment)Date of Appointment:
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How to fill out termination of life support

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How to fill out termination of life support

01
Gather all necessary documentation, such as the patient's medical records, advance directive, and any legal documents related to healthcare decision-making.
02
Consult with the patient's healthcare team to understand the condition and prognosis of the patient.
03
Discuss the decision to terminate life support with the patient's family members or designated healthcare proxy.
04
Seek a second opinion from another healthcare professional to ensure the decision is well-informed.
05
Complete the necessary paperwork, following any legal requirements for terminating life support.
06
Ensure that the patient's comfort and pain management are adequately addressed during the process.
07
Coordinate with the healthcare team to gradually remove life support, following established protocols to minimize discomfort for the patient.
08
Monitor the patient closely and provide emotional support to both the patient and their family during this difficult time.
09
Document the entire process accurately and thoroughly for legal and medical purposes.
10
Provide bereavement resources and support to the family after the termination of life support.

Who needs termination of life support?

01
Individuals who are terminally ill and have no realistic chance of recovery.
02
Individuals who have expressed their wishes to refuse life-sustaining treatment in advance directives or living wills.
03
Individuals who are in a persistent vegetative state or irreversible coma with no chance of meaningful recovery.
04
Individuals with severe and irreversible organ failure.
05
Individuals whose quality of life has significantly deteriorated, and the burdens of life-sustaining treatment outweigh the benefits.

What is TERMINATION OF LIFE SUPPORT WORKSHEET - manuals sp chfs ky Form?

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Termination of life support is the act of removing medical treatment or life-sustaining measures from a patient who is terminally ill or in a vegetative state.
The legal guardian or next of kin is usually required to file for termination of life support on behalf of the patient.
To fill out termination of life support, one must consult with medical professionals, legal counsel, and follow the laws and guidelines in place in the respective jurisdiction.
The purpose of termination of life support is to honor the wishes of the patient, relieve suffering, and allow for a peaceful passing.
Information such as the patient's medical condition, prognosis, treatment plan, and decision-making process must be documented on termination of life support.
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