Section 1 |
Written legal documents |
Living will |
Durable power of attorney |
Organ donations |
Wishes concerning specific medical procedures |
Organ donation |
Kidney dialysis |
Cardiopulmonary resuscitation |
Respirators |
Artificial nutrition |
Artificial hydration |
General comments |
Section 2 |
Overall attitude toward health |
Perception of the role of clinician and other health caregivers |
Thoughts about independence and control |
Personal relationships |
Overall attitude toward life |
Attitude toward illness, dying and death |
Religious background and beliefs |
Living environment |
Attitude concerning finances |
Wishes concerning funeral |