Promoting Excellence : Center for Advanced Illness Coordinated Care: Pocket Guide

Center for Advanced Illness Coordinated Care: Pocket Guide

A 3x5 laminated card listing suggested dialogue between practitioners and patients with advanced illness. It corresponds to the 26 steps listed in the book Peaceful Dying by Daniel R. Tobin, M.D.

Clinical Care Tools - Advance Care Planning

Center for Advanced Illness Coordinated Care
113 Holland Ave
Albany NY 12208

Daniel R. Tobin, M.D.
[email protected]

How the grantee used this instrument:
This pocket guide was used by nurses, social workers, and advanced illness care coordinators as an easy reference to guide conversations with patients in facilities enrolled in the AICC Program.

program description, care plan review, patient experience, patient satisfaction, needs assessment, patient interview, emotional well-being, spiritual care, spiritual well-being, psychosocial assessment, psychological well-being, social work, quality of life, communication

To use this tool:
You may print and copy this tool for your own use from this site. Please credit the source.

For more information please see:

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
pdf PDF 19 MB / 2 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted September 2004

# AICCP01, type:advanced_care_planning

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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