| Patient characteristics | Social circumstances or issues related to anticipatory bereavement |
| Limited options for treatment | Limited access to care |
| Physical symptoms, such as pain, dyspnea, or cough, that are refractory to conventional management | Familial factors, including: - Limitations of the family/caregiver
- Inadequate family support
- Family discord
- History of intensely dependent relationship(s)
- Parental concerns regarding care of dependents
|
| High symptom burden or distress score | Financial limitations |
| Inability to engage in advance care planning and care plan | Unresolved grief or multiple prior losses |
| Uncertainty as to prognosis or disease trajectory | Spiritual or existential crisis |
| Cognitive impairment | Need for coordination of care at multiple sites |
| Severe or multiple comorbid conditions | |
| Communication barriers related to language, literacy, or physical issues | |
| Request for hastened death | |
| Homebound | |
