Somatic domain |    Social en financial domain | ||
---|---|---|---|
Policy |    Policy | ||
Actual problems: |  |    Actual problems: |  |
Expected problems: Scenario of dying: | Â | Expected problems: | Â |
Care provision and activity of daily living |    Sense of meaning and psychological domain | ||
Policy |    Policy | ||
Actual problems: |  |    Actual problems: |  |
Expected problems: |  |    Expected problems: |  |
Possible future problems Pain, Dyspnoe, Ileus, Delirium, Fear, Depression, Coma, Liver/renal failure Strain of informal caregiver, Special technical care | |||
Disease specific interest CHF: anaemia switch of the defibrillator weight COPD: medicinal/non-medicinal possibilities against dyspnoea |