Promoting Excellence : After-Death Protocol and Assessment Tools

Department of Veteran's Affairs, West Los Angeles Medical Center - Pathways of Caring Program: After-Death Protocol and Assessment Tools

Includes the after-death family follow-up protocol, the revised post-death survey for family members, and the post-death grief scale questionnaire.

Evaluation Tools - Clinical Quality

Veterans Affairs - The Greater Los Angeles Healthcare System
Veterans Integrated Palliative (VIP) Program
11301 Wilshire Boulevard, 111-G
Los Angeles, CA 90073
Phone: (310) 268 - 3500
Fax: (310) 268 - 4272

M. Jillisa Steckart, Psy.D.
[email protected]

How the grantee used this instrument:
The protocol sheet lists actions to be taken and timeline to follow by Pathways of Care team after the death of a patient. The grief scale questionnaire and post death survey were administered by the Care team.

after death interview, care plan review, caregiver burden, post death interview, caregiver experience, caregiver survey, caregiver perception of care

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

Developed specifically for this project by the project team.

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 1.23 MB / 6 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted October 2004

Department of Veteran's Affairs, West Los Angeles Medical Center overview page

# VA-WLA10, type:clinical_quality

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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