1. | Why do you live here? How do you feel about living here? |
2. | How many chronic diseases do you have? Can you tell me more about your present health condition? |
3. | What is your opinion about the treatment you are presently receiving for these diseases? |
4. | Are you satisfied with the treatment or management provided by your doctors? Why? |
5. | What is your opinion about your past, present, and future life? |
6. | What is your opinion about death? |
7 | What is entailed in a good death? |
8. | What is your opinion about hospice care? |
9. | If your condition becomes severe, what type of care or treatment would you choose? |
10. | If your condition becomes severe, will you make decisions about end-of-life treatment by yourself? Why? |
11. | What are your opinions and your family members’ opinions about treatment related to end-of-life care? Have you discussed these issues? |
12. | In what type of situation would you like to discuss issues related to end-of-life treatment or care with your family? |
13. | If you told your family members that you wanted to sign your consent to your own do-not-resuscitate directives, what would be their reaction? Would they respect your decision? |