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Modules:

  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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    Back to Module 3: Whole-Patient Assessment
    Nine Dimensions

    Step 9. Anticipatory Planning for Death

    Step 9. Anticipatory Planning for Death

    Current and Anticipated Losses

    • Patients and families members may grieve:
      • Over current loss of function
      • In anticipation of future loss
    • Figuring out what grief is normal and what is complex or exaggerated and in need of intervention is an important part of assessment
    • Planning ahead can be a very helpful coping mechanism for present and future losses
    • Patients can usually readily relate their hopes for:
      • Life closure
      • Gift giving
      • Leaving a legacy
    • In the case of a dying child:
      • Parents can think about plans for honoring their child’s memory
      • The child may participate, depending on age
    • Ask if the patient has, or would like to make, plans for:
      • Rites
      • Rituals
      • Funerals
      • Memorial services
      • Celebrations
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