resident (or proxy, if resident incapable) |
age, sex, marital state, former profession, nationality, date of moving in, religious denomination and belief |
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any advance care plan (AD); if given: place where it is thought to be kept; if not given: personal interest in ACP |
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close contacts (relation and number); number of regular visitors; visits per month |
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caregiver |
Barthel-Index; degree of dementia (GDS); resuscitation status |
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number of regular visitors; visits per month |
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file |
degree of dependency on nursing care; morbidity; presence of permanent feeding tube |
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advance care plan (AD); if given: place where it is kept, and retrieval of a copy for further analysis |
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designated health care proxy (custodian or durable power of attorney) |