Self-Evaluation Quiz

Hospice can be a scary topic to discuss under any circumstances. With this point in mind, we developed a tool that can assist in decreasing the stress of having that crucial conversation. In quiet and comfortable surroundings, why not take the opportunity to discover whether or not, the topic should be broached with your physician and/or family? Take the following self-evaluation quiz and discover possible next steps based on your answers.

Have you or your loved one…

Noticed any shortness of breath, even while resting?
Experienced weight loss so that clothes are noticeably looser?
Been hospitalized or visited the emergency room several times in the past six months?
Started spending most of the day in a chair or bed?
Been making more frequent phone calls to your physicians?
Been told by a doctor that life expectancy is limited?
Started feeling weaker or more tired?
Started needing help from others with TWO or MORE of the following?

  • Bathing

  • Getting out of bed

  • Eating

  • Dressing

  • Walking

Started taking medication to lessen physical pain?
Fallen several times over the past six months?


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