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Southern Caregiver Resource Center Caring for those who care for othersFact Sheet: Advanced Illness: CPR & DNR Big issue sand big decisions confront us when we think about the imminent death of a
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To fill out advanced illness, follow these steps:
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Gather all the necessary documents and information, such as the patient's medical history, current medications, and any relevant test results.
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Start by filling out the patient's basic information, including their name, date of birth, and contact details.
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Provide details about the patient's medical condition, including the diagnosis, prognosis, and any specific treatment plans.
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Answer the questions regarding the patient's preferences for medical interventions, such as resuscitation, life support, and pain management.
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Submit the filled-out advanced illness form to the appropriate healthcare provider or organization as instructed.

Who needs advanced illness?

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Advanced illness is typically needed for individuals who:
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- Have been diagnosed with a terminal illness
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- May not have the capacity to make medical decisions in the future
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- Want to document their preferences for end-of-life care
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- Wish to appoint a healthcare proxy to make decisions on their behalf
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- Desire to ensure that their medical wishes are respected
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- Want to relieve their loved ones from the burden of making difficult medical decisions
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Advanced illness refers to a serious health condition that is likely to worsen over time and may require extensive medical treatment or palliative care.
Advanced illness is typically filed by healthcare providers or caregivers of patients who have been diagnosed with a terminal or chronic condition.
To fill out advanced illness, one must provide detailed medical information about the patient's condition, treatment plan, and prognosis.
The purpose of advanced illness is to ensure that patients receive appropriate medical care and support as their condition progresses.
Information that must be reported on advanced illness includes the patient's diagnosis, treatment plan, prognosis, and any advance directives or preferences for end-of-life care.
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