CAREGIVER GOAL ACTIVITY SUMMARY
Goal Activity Sessions:
Goal Statements |
Strongly
Disagree |
Neutral |
Strongly
Agree |
||
---|---|---|---|---|---|
Relevant to Anti-cancer Treatment Decisions | |||||
1. I want my loved one to do all they can to feel well even if it means stopping the treatments for their cancer. | |||||
2. I want my loved one to receive treatment for their cancer as long as they believe treatment will help them feel better. | |||||
3. I want my loved one to receive treatment for their cancer as long as their doctor believes treatment will help them feel better. | |||||
4. I want my loved to receive any treatment that might cure their cancer. | |||||
5. I want my loved one to receive any treatment that might help them live longer. | |||||
6. I want my loved one to receive treatment for their cancer as long as they believe treatment will help them live longer. | |||||
7. I want my loved one to receive treatment for their cancer as long as their doctor believes treatment will help them live longer. | |||||
8. I want my loved one to feel as well as possible even if it means stopping treatment for their cancer and they may not live as long. | |||||
9. I want my loved one to spend as much time as possible with their family and friends even if it means stopping treatment for their cancer. | |||||
Strongly
Disagree |
Neutral |
Strongly
Agree |
|||
Relevant to EOL Treatment and Care Decisions | |||||
10. I do not want my loved one to die connected to life-supporting machines. | |||||
11. I do not want my loved one to die connected to life-supporting machines unless there is a realistic chance of recovery. | |||||
12. I do not want my loved one to die to connected to life-supporting machines even if this means they will die sooner. | |||||
13. I want my loved one to die at home with their family and friends. | |||||
Strongly
Disagree |
Neutral |
Strongly
Agree |
|||
Relevant to Communication Preferences | |||||
14. I want my loved one's cancer doctor to talk about what will happen when they stop cancer treatments. | |||||
15. I want my loved one's cancer doctor to tell them how long they might live with and without cancer treatments even if it is not what they are hoping for. | |||||
16. I want my loved one to be told when their cancer doctor believes cancer treatments are more harmful than helpful. | |||||
17. I want my loved one to be told when their cancer doctor believes life support offers no meaningful chance of recovery. | |||||
18. I want my loved one to be told when their cancer doctor believes they are dying. | |||||
Strongly
Disagree |
Neutral |
Strongly
Agree |
|||
Relevant to Being Known (Values) | |||||
19. I want my loved one to do all they can do to feel well. | |||||
20. If I had to choose between my loved one living longer but feeling worse and living a shorter time but feeling better, I’d choose feeling better. | |||||
21. I want my loved one to focus on living in the present and not worry about the future. | |||||
22. I want my loved one to maintain their daily routine and responsibilities for as long as possible. | |||||
23. I do not want my loved one's cancer treatment to cause practical or financial hardship for their family or friends. | |||||
24. I want my family and friends to know my loved one's wishes so they can help them receive the care they want as their life is ending. | |||||
25. I want my loved one's family and friends to feel prepared for when they are gone. | |||||
26. My religious or spiritual beliefs are important to my decisions about cancer treatment and end of life care. | |||||
27. I want my loved one to be prepared for a time when their quality of life is too poor to continue treatment. |