Serving Skagit, Island, San Juan, and Snohomish Counties
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Palliative Pearl:

Revisiting Advanced Care Planning

February 2020 – Use the 6 D’s to trigger follow-up conversations with a surrogate decision-maker and to update POLST and living will.

Review goals and documents

Decade: every ten years (some advocate for annual review).

Diagnosis: when you develop a new serious illness.

Divorce: assure the right person is advocating for you.

Death: when someone significant in your circle of support dies.

Decline when you have changes in condition or illness progression.

Distance:  when you or your decision-makers move to a new area or have a new care provider.

For more information contact Dr. Leslie Estep or Dr. Anita Meyer at Hospice of the Northwest, 360-814-5550, or  or

About Hospice of the Northwest

Hospice of the Northwest is a skilled, caring and compassionate team of nursing, medical, social and spiritual professionals, volunteers and generous donors. Together, we provide comprehensive care and comfort for patients facing serious illness and the loved ones who care for them. We’ve been serving the residents of Skagit, Island, San Juan and Snohomish Counties since 1989.

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