14/25 6/18/03 11:13 PM 2001-02-03-3a-ashling-medication-planned-outcome-hospice-sw

Death of Elvina Roloff


February 3, 2001.
Hospice Southwest, Southwest Washington Medical Center,
Planned Outcome #1: Self Determined Life Closure, page 3 of 5
MSW: Krystal Ashling
Patient Name: Elvina Roloff.

Informed Consent obtained from: Marie -- Dtr / POA.

Hospice philosophy / services / limitations discussed with
Pt's dtr, grandson & his wife.

Issues / Concerns: Pt newly diagnosed, some confusion.

Pt is DNR (Do Not Resuscitate).
(Information apparently provided by Marie Cheatham.)