Patient characteristics | Social circumstances or issues related to anticipatory bereavement |
Limited options for treatment | Limited access to care |
Physical symptoms, such as pain, dyspnea, or cough, that are refractory to conventional management | Familial factors, including:
|
High symptom burden or distress score | Financial limitations |
Inability to engage in advance care planning and care plan | Unresolved grief or multiple prior losses |
Uncertainty as to prognosis or disease trajectory | Spiritual or existential crisis |
Cognitive impairment | Need for coordination of care at multiple sites |
Severe or multiple comorbid conditions | |
Communication barriers related to language, literacy, or physical issues | |
Request for hastened death | |
Homebound |
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