šØļøHow to Use This Checklist
ā¢ First: Download the PDF using the "Download PDF Checklist" button above
ā¢ Print the downloaded PDF for best formatting and page breaks
ā¢ Check off questions as you ask them or get answers
ā¢ Use the notes section to record important responses
ā¢ Bring this printed checklist to meetings with providers
ā¢ Keep completed checklists for future reference
šÆEmergency Contact & Medical Information
3 questions to cover
1. Do you have a comprehensive emergency contact list?
Why this matters: Having an up-to-date emergency contact list with names, phone numbers, and relationship to your senior is crucial for quickly notifying loved ones in a crisis.
2. Where are your important medical documents stored?
Why this matters: Ensure your senior's essential medical records, insurance information, and advance directives are easily accessible in an emergency.
3. Do you have a detailed medical history on hand?
Why this matters: A comprehensive medical history, including current medications, conditions, and allergies, can help emergency responders provide the best possible care.
Additional Notes for Emergency Contact & Medical Information:
š”Emergency Preparedness
3 questions to cover
1. What emergency supplies do you have ready?
Why this matters: Stocking up on essential emergency items like medications, first aid kits, flashlights, and emergency contact information can make a big difference in a crisis.
2. Do you have an emergency evacuation plan?
Why this matters: Discussing and practicing an evacuation plan, including designated meeting spots and transportation options, can ensure your senior is prepared to quickly and safely leave their home.
3. How will you receive emergency alerts and notifications?
Why this matters: Registering for local emergency notification systems and ensuring your senior has access to weather radios or other alert methods can provide vital information during a crisis. <!-- **š Emergency Communication Recommendation:** ā¢ **Large Button Emergency Phone for Seniors** - Amplified landline with big buttons, loud ringer, and programmable emergency speed dial numbers. [ā¤ View on Amazon](https://www.amazon.com/dp/B0779DQZPP?tag=eldercarequestions-20&linkCode=ogi&th=1&psc=1) -->
Additional Notes for Emergency Preparedness:
šEmergency Care Preferences
3 questions to cover
1. What are your wishes for emergency medical care?
Why this matters: Understanding your senior's preferences for treatments, resuscitation, and end-of-life care can guide healthcare providers in honoring their wishes during a medical emergency.
2. Do you have an advance directive or living will?
Why this matters: Advance directives and living wills legally document your senior's medical treatment preferences, ensuring their wishes are followed if they become incapacitated.
3. Who will make medical decisions if you can't?
Why this matters: Designating a durable power of attorney for healthcare can empower a trusted loved one to make critical medical decisions on your senior's behalf if they are unable to do so.
Additional Notes for Emergency Care Preferences:
āEmergency Care Coordination
3 questions to cover
1. Do you have a primary care provider and specialists?
Why this matters: Ensuring your senior has established relationships with healthcare providers who are familiar with their medical history and needs can facilitate seamless emergency care.
2. How will emergency responders access your home?
Why this matters: Providing clear instructions for emergency personnel to access your senior's home, such as a spare key or alarm code, can prevent delays in critical care.
3. Who will help coordinate your emergency care?
Why this matters: Identifying a trusted family member or caregiver to serve as the point of contact and advocate for your senior during a medical emergency can help ensure their needs are met.
Additional Notes for Emergency Care Coordination:
šFinancial and Legal Considerations
3 questions to cover
1. Do you have adequate health insurance coverage?
Why this matters: Reviewing your senior's health insurance policy and understanding their coverage, deductibles, and out-of-pocket maximums can help avoid unexpected medical bills during an emergency.
2. How will you pay for emergency medical expenses?
Why this matters: Discussing your senior's financial resources and exploring options like emergency funds or insurance riders can help them be prepared to cover the costs of unexpected medical care.
3. Have you reviewed your legal documents?
Why this matters: Ensuring your senior's legal documents, such as a will, power of attorney, and healthcare proxy, are up-to-date can provide critical guidance and protections in a medical crisis.
Additional Notes for Financial and Legal Considerations:
š Summary & Next Steps
Key Concerns Identified:
Follow-up Actions:
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