Promoting Excellence : Family Members End-of-Life Care Survey

University of New Mexico: Family Members End-of-Life Care Survey

Description: This tool provides a set of questions for focus groups of families and caregivers to identify concerns, issues, needs, and community actions/activities related to care when cure is no longer possible, and to identify local strengths and barriers to improving care in the community at end-of-life.

Evaluation Tool - Community Assessment

University of New Mexico
Health Science Complex
Palliative Care Office
MSC 11 6020
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-4868
Fax: (505) 272-8572

Walter Forman MD
[email protected]

How the grantee used this instrument: Four focus groups of one and a half-hours each were held with family members and family caregivers of deceased individuals who used or were eligible for hospice in each community. Individuals in this group are selected equally from individual families whose deceased relative used hospice services and those who did not in 1997 and 1998.

Keywords: community survey, after death interview, caregiver survey

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

Designed by the project staff for this project.

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 15 KB / 2 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted August 2004

University of New Mexico overview page

# UNM4, type:community_assessment

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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