1. Key Words at Key Times Molly Graziano, MA

2. Objectives

Meet the request of hospital staff in our DSA

Introduce:

• End of life language

• Information Nowjob aid

3. Preparing the Family

Despite our best efforts, its appears that Jacks condition has changed. The physician will evaluate him and update you

Jacks neurological condition has changed. The physician will now need to determine if there is any sign of life inside his brain

4. Preliminary Mention

Statement

Not a question or a decision

Someone will be here later to share information with you about organ and tissue donation.

One of the end of life discussions you will have later concerns organ and tissue donation.

5. Reactions: Preliminary Mention

I understand this is a lot to take in when you have only just heard about your loved ones condition. But I want to encourage you to hear all the information just as you did when making decisions for his/her medical care.

I understand that this can be upsetting at first, but like any important family decision it is vital to have all the best information.

6. Family Brings up Donation

My commitment is to care for Jack.I will contact someone who specializes in donation and ask them to speak with you

7. The brain death diagnosis

Sadly, this means that Jack has died. His death certificate will show that he died at 2:00 today.

8. Slowing down the process

I am sure this is a difficult decision for you. Let me start the process. Why dont you spend some time with Jack. Members of our end of life team may be in to speak with you

9. Introducing Lifebanc staff

Mrs. Smith, I would like you to meet Jen. She is a member of our end of life support team who specializes in working with families at times like this. She is here to help you

10. Thank You Thank You! Molly Graziano, MA