End-of-Life Care Plan and Family Conversation Record
What matters to the person, what they want and do not want, who speaks for them, and the comfort plan — written while it can still be a conversation
What it is
An advance care and end-of-life plan: the person's priorities, preferred place of care, treatments wanted and not wanted (hospital transfer, resuscitation, antibiotics, feeding tubes), spiritual and cultural wishes, who decides if they cannot, the comfort-care plan for the last days, and the conversation record.
Where to use it
Offered to every resident on admission and reviewed yearly or on any change; in the record; copy to the family doctor. Evidence for: LTC Standard 8 — end-of-life care; Standard 1 — rights and choice. Evidence for: LTC Standard 8 — end-of-life care; Standard 1 — rights and choice. Evidence for: LTC Standard 8 — end-of-life care; Standard 1 — rights and choice. Evidence for: LTC Standard 8 — end-of-life care; Standard 1 — rights and choice.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Resident Rights Charter — Poster and Signed Copy
Restraint-Free Care — Policy and Last-Resort Authorisation Form
Dementia-Friendly Environment — Checklist
Nutrition and Hydration — Weekly Monitoring Chart
Abuse and Neglect — Recognition Card and Safeguarding Report
Print to share.
