Complete Shadow Health End of Life Assessment for Regina Walker. Comprehensive palliative care evaluation including advance directives documentation (DNR/DNI, POLST), goals of care discussion, pain and symptom management, family communication and education, psychosocial and spiritual support, and hospice referral planning.
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Regina Walker is a patient with a terminal diagnosis presenting for a comprehensive end-of-life assessment. She is alert, oriented and able to articulate her wishes clearly. She expresses that her primary goal is comfort and quality of life rather than life-prolonging interventions. Her family is actively involved in care planning.
The End of Life Assessment covers advance directive documentation (DNR/DNI confirmed, POLST completed, healthcare proxy identified), goals of care discussion, pain assessment and comfort measure optimisation, family education on what to expect, and psychosocial and spiritual care screening.
DNR/DNI confirmed · POLST completed · Hospice referral placed. Symptom burden assessed and managed. Family counselled on signs of imminent death and medication administration.