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Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly

Advance Statement

Purpose : Template for the recording of Advance Care Planning decisions.


Admin time :  x min.  Variable

User Friendly :  High

Administered by : Self administered, or with the assistance of a caregiver.


Content : Record of Advance care Planning decisions pertaining to Power of Attorney, Will, and End of Life decisions


Author :  ManageMe New Zealand,

Copyright : none attached to form 2010   access

Advance Statement

This tool is used in Advance Care Planning

Back To : Advance Care Planning

Advance Care Planning, CGA based Proactive Primary Care of the Elderly
doctor and patient

Advance Care Planning is one of 8 domains of the

Comprehensive Geriatric Assessment (CGA)

Back To : Comprehensive Geriatric Assessment

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