Person Centred End Of Life Care Plan Template - INSTANT DOWNLOAD

The form is designed to help healthcare providers coordinate care and support for patients nearing the end of life.

An End of Life Care Plan is a deeply person‑centred, compassionate document that sets out how an individual wishes to be supported during the final phase of life, ensuring comfort, dignity, choice, and coordinated care across all professionals involved.

Purpose of an End of Life Care Plan

The plan ensures that:

• The person’s wishes, values, and priorities are clearly understood
• Care is delivered with dignity, sensitivity, and respect
• Symptoms are managed effectively and proactively
• Communication between professionals is seamless
• The person and those important to them feel supported, informed, and involved
• Decisions are made in line with Advance Care Planning, DNACPR, and legal frameworks
• The final phase of life is approached with comfort, peace, and compassion

Core Components of an End of Life Care Plan

• Personal values and wishes — what matters most, cultural or spiritual needs
• Advance Care Planning — preferred place of care, preferred place of death
• Legal and clinical documents — DNACPR, ReSPECT, LPA, ADRT
• Symptom management — pain, breathlessness, nausea, agitation
• Medication and anticipatory prescribing — comfort meds, PRN guidance
• Nutrition and hydration — preferences, risks, comfort‑focused decisions
• Emotional and psychological support — reassurance, presence, meaningful connection
• Spiritual or cultural needs — rituals, faith practices, beliefs
• Communication needs — how the person prefers information and reassurance
• Family and significant others — involvement, updates, support for carers
• Professional coordination — GP, district nurse, hospice, palliative team
• Comfort measures — environment, positioning, sensory comfort
• Signs of deterioration — what staff should monitor and escalate
• After‑death care — respectful procedures, family wishes

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