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. 2009 Jul 2;49(6):803–815. doi: 10.1093/geront/gnp092
Selected EOL Organizational Policies and Practices Percent “YES”
Administrative policy
    Is there currently a written statement of the facility's principles or policy regarding care of residents at the end-of-life? 73.2%
    If so, does it address:
    Withholding and withdrawing life-sustaining measures such as artificial nutrition? 80.7%
Clinical policies and practices
    Are there palliative care policies for managing distressing symptoms such as dyspnea, nausea? 66.7%
    Are there policies for arranging for palliative care or hospice when appropriate? 81.5%
Quality monitoring
    Have quality assurance mechanisms been established for monitoring delivery of palliative care, such as pain control, management of distressing symptoms (e.g. shortness of breath, anxiety)? 69.9%
    When residents are transferred to acute care, is there a routine quality review to assess the appropriateness of transfer? 50.2%
Education
    Does on-going in-service education for nursing staff (CNA/LPN/RN) include the symptoms and stages of death and dying? 68.4%
    Are there educational materials available for residents/families on decision making and care for those near the end-of-life? 74.5%