Have you been diagnosed with Multiple complex medical conditions?

Has there been Increased vists to emergency room or frequent hospitalizations?

Has a decision has been made to focus on palliative/comfort measures rather than curative/aggressive treatment?

Have you had skin breakdowns resulting in wounds?

Have you had frequent falls?

Have you had recurrent infections?

Have you experienced an altered mental state?

Have you had unintentional weight loss?

Experienced increased difficulty managing pain, nausea, breathing distress or other decline?

Had compromised Activities of Daily Living(ADL) such as eating, bathing, dressing, toileting, transferring/walking, and continence?