This Section encourages you to consider death as a physical event that typically lasts minutes, hours or days. Often, it is hours or days and can be predicted by healthcare and/or hospice providers. In these instances, documenting your wishes will make physical death a calmer experience for you and your loved ones.
My Intentions For Death Form
Excerpted questions with sample responses (actual forms do not include responses).
|
Item/Issue/Possibility |
Questions |
Answers |
Notes |
|
People present |
When death is imminent, who would you like in the room with you? |
My children |
|
|
|
When death is imminent, who would you like in the house or hospice/hospital waiting room? |
My siblings and their spouses, the rabbi, Milly and Jim (my best friends) |
Consider who you might want to have nearby for support, but you do not want in the room with you. |