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ADDRESSOGRAPH!CHORD! GOALS OF CARE DESIGNATION (CD) ORDER DATE TIME___ ___ ___ (YYY)(MM)___ (HH:mm)(DD)Goals of Care Designation Order To order a Goals of Care Designation for this patient, check
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How to fill out goals of care designations

How to fill out goals of care designations
01
Review the patient's medical history and current health status.
02
Discuss with the patient or their designated healthcare proxy about their values, beliefs, and treatment preferences.
03
Explain the different goals of care designations available, such as full code, do not resuscitate (DNR), do not intubate (DNI), comfort care, or limited interventions.
04
Document the patient's chosen goals of care designation in their medical records.
05
Review and update the goals of care designations as needed based on changes in the patient's health status or preferences.
Who needs goals of care designations?
01
Patients with chronic or life-limiting illnesses who may require medical interventions in the future.
02
Elderly patients who may have multiple comorbidities and a higher risk of medical complications.
03
Patients who want to ensure their healthcare preferences are respected in case they are unable to communicate them in the future.
04
Healthcare providers who need clear guidance on the appropriate level of care to provide for their patients.
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What is goals of care designations?
Goals of care designations are a way for individuals to communicate their wishes for medical treatment, particularly in end-of-life situations.
Who is required to file goals of care designations?
Goals of care designations are typically completed by the individual themselves, but can also be completed with the assistance of a healthcare provider or loved one.
How to fill out goals of care designations?
Goals of care designations can be filled out by discussing with a healthcare provider, reviewing sample forms, and considering personal values and beliefs.
What is the purpose of goals of care designations?
The purpose of goals of care designations is to ensure that individuals receive medical treatment that aligns with their wishes and values, particularly in situations where they may not be able to communicate those wishes themselves.
What information must be reported on goals of care designations?
Goals of care designations typically include information about the individual's preferences for resuscitation, life-sustaining treatments, and palliative care.
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