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End of Life Care Checklist EO LC Resource RN/RRT contact for support/information Presenting: Meeting: Arrange time and place Identify all stakeholders to be at meeting (e.g. attending services, etc.)
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How to fill out end of life care

How to fill out end of life care
01
Start by discussing your wishes and preferences for end of life care with your loved ones and healthcare provider.
02
Consider creating an advance directive or living will which outlines your healthcare choices and proxy decision-maker.
03
Choose a healthcare proxy, someone who you trust to make medical decisions on your behalf if you become unable to communicate.
04
Discuss your end of life care preferences with your healthcare proxy and ensure they understand your wishes.
05
Make sure your healthcare provider has a copy of your advance directive and that it is easily accessible in case of emergency.
06
Consider whether you want to receive palliative care or hospice care and discuss these options with your healthcare provider.
07
Explore options for pain management and symptom control with your healthcare provider.
08
Determine where you want to receive end of life care, whether it's at home, in a hospice facility, or in a hospital.
09
Communicate your end of life care plans to your loved ones and make sure they are aware of your wishes.
10
Regularly review and update your end of life care plans as your medical condition or preferences change.
Who needs end of life care?
01
Individuals who have been diagnosed with a terminal illness and have a limited life expectancy.
02
Elderly individuals who have multiple chronic conditions and are nearing the end of their natural lifespan.
03
Patients who are no longer responding to curative treatments and wish to focus on comfort and quality of life.
04
Individuals who have expressed a desire to die at home rather than in a medical facility.
05
Patients who require specialized end of life care services such as hospice.
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What is end of life care?
End of life care is support for people who are in the last months or years of their life. It aims to help them live as well as possible until they die.
Who is required to file end of life care?
End of life care is not something that is filed, but rather provided by healthcare professionals to individuals who are nearing the end of their life.
How to fill out end of life care?
There is no specific form or document to fill out for end of life care. It is usually discussed and planned with healthcare providers and the individual receiving care.
What is the purpose of end of life care?
The purpose of end of life care is to improve the quality of life for individuals who are approaching the end of their life, by providing physical, emotional, and spiritual support.
What information must be reported on end of life care?
The information reported on end of life care may include the individual's preferences for care, pain management plans, advanced directives, and goals of care.
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