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Advance care planning worksheet Thank you for beginning your advance care plan. By talking about your values, preferences and beliefs, your loved ones and doctors will better understand what you want.
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How to fill out wwwonsorgadvance-care-planning-worksheetadvance care planning worksheet
How to fill out wwwonsorgadvance-care-planning-worksheetadvance care planning worksheet
01
To fill out the www.ons.org/advance-care-planning-worksheet/advance care planning worksheet, follow these steps:
02
Gather all necessary information and documents related to your medical history, current health condition, and any specific medical preferences or instructions you may have.
03
Start by entering your personal information such as name, date of birth, and contact details in the appropriate fields.
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Proceed to the section where you can provide information about your healthcare proxy or designated healthcare agent, if applicable. Include their name, relationship to you, and contact information.
05
Move on to the section where you can outline your medical preferences, treatment decisions, and end-of-life wishes. Be specific and detailed to ensure your healthcare providers understand your intentions.
06
Consider including information about any religious or cultural beliefs that may influence your healthcare decisions.
07
If you have any specific instructions regarding organ donation, make sure to include them in the designated section.
08
Review the completed worksheet for accuracy and make any necessary revisions or additions.
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Once you are satisfied with the information provided, save a copy of the worksheet for your personal records and make sure it is easily accessible in case of emergencies or healthcare decisions.
10
It is recommended to discuss your completed advance care planning worksheet with your healthcare professionals, family members, and designated healthcare agent to ensure everyone understands your wishes and can advocate for you when necessary.
Who needs wwwonsorgadvance-care-planning-worksheetadvance care planning worksheet?
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The www.ons.org/advance-care-planning-worksheet/advance care planning worksheet is designed for individuals of all ages who wish to engage in advance care planning. This includes individuals who:
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- Want to document their medical preferences and end-of-life wishes
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- Have a chronic illness
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- Are approaching the later stages of life
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- Are undergoing medical treatments that may have potential risks or complications
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- Want to ensure their healthcare decisions align with their personal beliefs and values
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- Want to assign a healthcare proxy or designated healthcare agent to make decisions on their behalf if they become incapable of doing so
08
- Wish to avoid potential conflicts or disagreements among family members regarding their healthcare decisions
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- Want to provide clarity and guidance to their healthcare providers in case of emergencies or critical situations
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What is www.ons.org/advance-care-planning-worksheet/advance care planning worksheet?
The www.ons.org/advance-care-planning-worksheet is a worksheet used to document advance care planning directives and preferences.
Who is required to file www.ons.org/advance-care-planning-worksheet/advance care planning worksheet?
Patients and individuals who wish to plan ahead for their healthcare decisions are required to fill out the advance care planning worksheet.
How to fill out www.ons.org/advance-care-planning-worksheet/advance care planning worksheet?
To fill out the worksheet, individuals can download the form from www.ons.org, carefully read and complete each section providing details about their healthcare preferences and directives.
What is the purpose of www.ons.org/advance-care-planning-worksheet/advance care planning worksheet?
The purpose of the advance care planning worksheet is to help individuals communicate their healthcare wishes and preferences to their healthcare providers and family members in advance.
What information must be reported on www.ons.org/advance-care-planning-worksheet/advance care planning worksheet?
The worksheet typically includes information about preferred medical treatments, end-of-life care decisions, appointment of healthcare proxies, and other directives.
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