Templates
Healthcare
Serious Illness Communication Checklist
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Serious Illness Communication Checklist

1
Identify the person suffering from a serious illness
2
Establish the severity of the illness
3
Understand the medical history of the person
4
Gather information about the person's support system
5
Learn about the person's life values and goals
6
Identify medical and personal challenges expected
7
Devise a communication plan for the illness
8
Approval: Doctor on the communication plan
9
Implement the communication plan
10
Monitor reactions and responsiveness of the person
11
Offer continual emotional support
12
Discuss feasibility of treatment options
13
Discuss potential impact on quality of life
14
Provide education about the illness
15
Approval: Psychologist on the emotional support
16
Review and adjust the communication plan as needed
17
Keep all relevant parties informed on any changes
18
Monitor changes and progress in health condition
19
Provide palliative care when necessary
20
Provide grief support for loved ones if needed