A Community of Exceptional Nurses
Massachusetts General Hospital, Medical ICU Project: Planning in Advance for Your
Three-fold brochure describing the process of choosing a health care agent and filling
out a Health Care Proxy form to be distributed to the general public.
Clinical Care Tools - Advance Care Planning
Massachusetts General Hospital
Palliative Care Services
55 Fruit Street
Boston MA 02114
J. Andrew Billings, M.D.
How the grantee used this instrument:
The brochure leads the reader through the process of advance care planning, including
thinking about and writing down choices, filling out the Health Care Proxy form,
and choosing a health care agent.
advance care plan, advance directives, decision-making, care plan, care planning,
quality of life, emotional well-being, psychological well-being, preferences, values,
caregiver information, caregiver training, patient information
To use this tool:
This tool is copyrighted. Please contact Massachusetts General Hospital for permission
to use this tool.
Developed specifically for this project by the project team.
To view this tool:
Brochure Preparing to be a Healthcare Agent -2 page PDF
(Viewing PDF files requires downloading and installation of the free
Adobe Acrobat Reader.)
Posted: July 2006
Return to Massachusetts General Hospital and
Harvard Medical School
Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation
dedicated to long-term changes in health care institutions to substantially improve
care for dying people and their families.
Learn more about what we have to offer based on your role in the industry.