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. 2011 Jan 24;11:14. doi: 10.1186/1472-6963-11-14

Table 1.

Baseline Data

Data Source Items
resident (or proxy, if resident incapable) age, sex, marital state, former profession, nationality, date of moving in, religious denomination and belief

any advance care plan (AD); if given: place where it is thought to be kept; if not given: personal interest in ACP

close contacts (relation and number); number of regular visitors; visits per month

caregiver Barthel-Index; degree of dementia (GDS); resuscitation status

number of regular visitors; visits per month

file degree of dependency on nursing care; morbidity; presence of permanent feeding tube

advance care plan (AD); if given: place where it is kept, and retrieval of a copy for further analysis

designated health care proxy (custodian or durable power of attorney)