Who are the important people in your life?

If something serious happens, who should know what is happening?^a

When I have medical updates to share with you, who would you like to have here with you?

• - How would you like us to involve them in your care?

Who would be the best person to help the doctors make decisions if you are too sick to participate?^a

• - Have you and that person ever spoken about what would be most important to you if you were very sick?

Is religion/spirituality important to you?

Are you involved with a religious/spiritual community?

Serious illness can be hard on a person physically. I wonder how it's been for you spiritually as well.^a

How may your faith affect how you make decisions about your health?

If discussing wanting a miracle:

• - What does a miracle mean to you?

• - I would welcome a miracle. What kinds of miracles are you thinking about?^a

If patient/family says “It's in God's hands”

• - What does that mean to you?

If patient/family says: “God will tell us”: Tell me about your relationship withGod.^a

Are you at peace?^a

Have you ever experienced the loss of a loved one?

• - What do you think about the EOL care they received?

Have you been with family or friends when EOL decisions were made?^a

• - What went well, and what could have been better?^a

Every so often, someone suddenly gets very sick, and I can't talk to them. Have you ever been in this situation before?

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  Have you ever been very sick, needing to go to the ICU to receive life support or a (breathing tube or CPR)?

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  What was that like for you?

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  What went well, and what could have been better?

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  If you were in a similar situation in the future, would you do anything differently?

Do you have any experience with PC? Hospice care?