🖨️How to Use This Checklist
• First: Download the PDF using the "Download PDF Checklist" button above
• Print the downloaded PDF for best formatting and page breaks
• Check off questions as you ask them or get answers
• Use the notes section to record important responses
• Bring this printed checklist to meetings with providers
• Keep completed checklists for future reference
🎯Understanding the Diagnosis
3 questions to cover
1. What type and stage of cancer has been diagnosed?
Why this matters: Knowing the specific type and stage of cancer is critical to evaluating treatment options and prognosis.
2. How aggressive or advanced is the cancer?
Why this matters: The aggressiveness and stage of the cancer will impact the treatment approach and expected outcomes.
3. What are the potential causes or risk factors for this type of cancer?
Why this matters: Understanding the underlying causes or risk factors can help determine the best prevention and management strategies.
Additional Notes for Understanding the Diagnosis:
💡Evaluating Treatment Options
4 questions to cover
1. What are the standard treatment options for this type and stage of cancer?
Why this matters: Knowing the typical treatment approaches will help evaluate the appropriateness and effectiveness for your loved one.
2. What are the potential benefits and risks of each treatment option?
Why this matters: Carefully weighing the potential benefits against the risks and side effects is crucial for making an informed decision.
3. How do the treatment options differ in terms of expected outcomes, recovery time, and quality of life impact?
Why this matters: Comparing the projected outcomes and lifestyle impacts of various treatments can help seniors and their families choose the best option.
4. Are there any clinical trials or experimental treatments that could be considered?
Why this matters: Exploring innovative treatment approaches may provide additional options, especially for advanced or resistant cancers.
Additional Notes for Evaluating Treatment Options:
🔍Considering the Senior's Needs
3 questions to cover
1. How will the senior's age, overall health, and other medical conditions affect the treatment options and outcomes?
Why this matters: Accounting for the senior's unique health profile is essential to ensuring the treatment plan is feasible and appropriate.
2. What are the senior's personal goals, values, and preferences regarding their care?
Why this matters: Aligning the treatment plan with the senior's own wishes and priorities is key to providing care that respects their autonomy and quality of life.
3. How will the senior's living situation, family support, and financial resources impact the feasibility of different treatment options?
Why this matters: Practical considerations like the senior's living situation, caregiver support, and ability to afford treatment can significantly influence the best course of action.
Additional Notes for Considering the Senior's Needs:
⭐Coordinating and Monitoring Care
4 questions to cover
1. Who will be the primary point of contact and coordinator for the senior's care team?
Why this matters: Establishing clear communication channels and a designated care coordinator helps ensure the senior's needs are met throughout the treatment process.
2. What is the expected timeline and schedule for the senior's treatment plan?
Why this matters: Understanding the anticipated duration and frequency of treatments allows the senior and their family to plan accordingly.
3. How will the senior's progress and side effects be monitored, and how frequently will they be evaluated?
Why this matters: Proactive monitoring of the senior's response to treatment and any adverse effects is crucial for adjusting the plan as needed.
4. What support services and resources are available to assist the senior and their caregivers throughout the treatment process?
Why this matters: Identifying and accessing relevant support services can help the senior and their loved ones cope with the physical, emotional, and practical challenges of cancer treatment.
Additional Notes for Coordinating and Monitoring Care:
📋Advance Care Planning
3 questions to cover
1. Has the senior completed an advance directive or living will to specify their end-of-life wishes?
Why this matters: Ensuring the senior's end-of-life preferences are documented and respected is crucial, especially in the context of serious illness.
2. Have discussions been had about the senior's goals of care, including their willingness to undergo intensive treatments?
Why this matters: Open discussions about the senior's values and preferences regarding their care can help guide treatment decisions and avoid unwanted interventions.
3. What palliative care or hospice options are available to support the senior's comfort and quality of life, if needed?
Why this matters: Incorporating palliative and hospice care into the treatment plan can provide valuable support for the senior and their family, especially as the cancer progresses.
Additional Notes for Advance Care Planning:
📊 Summary & Next Steps
Key Concerns Identified:
Follow-up Actions:
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