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PATIENT CHECKLIST

Before End-of-Life Discussions

During End-of-Life Discussions

  1. Start having discussions early in your prognosis. 

  2. Understand that it is okay to be emotional during these discussions. End-of-life discussions are sensitive matters, but that's why it's so important to have them.

  3. Ask your physician to plan a discussion if they have not done so already.

  4. Sometimes it is a good idea to discuss with family members first before having a discussion with the physician so you have an understanding of your family's thoughts and opinions.

  5. Be informed! Watch videos to understand the terminology used in these discussions, such as legal medical forms, palliative care, and hospice.

  6. Understand that it's difficult to make a decision. Decisions can always be changed, even if it is recorded on a legal medical form. Make sure to make new forms whenever necessary.

  7. Think about who you trust in your family or close friends that would understand what choices or wishes you would have. This person may be used as your surrogate decision-maker should you lose the capacity to make decisions for yourself.

  1. Actively participate and make sure that you are given explanations so you understand what is being said.

  2. Specify your surrogate decision-maker in the event that you lose decision-making capacity.

  3. Clarify the legal medical forms that you need to fill out in order to document your wishes. 

  4. Ask for information regarding palliative care, hospice care, and other options available to you.

  5. Ask your physician for their opinion, but make sure that their opinion is based upon information from a large sample, not just their history with patients or their personal experiences. For example, just because you physician has never had a patient decide to use palliative care or has opposing beliefs doesn't mean that he or she should advise against it for you. 

  6. Ask your family members and proxy/surrogate to participate in these discussions.

  7. Understand that ultimately, the decision is up to you, you understand your wishes better than your physician does, and you should make the best decision for yourself.

Take a deep breath. Take things slowly. Make time to clear your head.

© 2018 by Ruiting Jia.

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