Palliative Medicine & End-of-Life Care in Nursing Homes

CARE Recommendations, revised April 2015CARE Recommendations:
Compassion and Respect Toward the End of Life
[PDF]
Steps and tools to redefine healing and hope in nursing homes.
Revised April 2015

Death may be a natural part of life, but talking about it in our culture isn’t—and this is clearly true for those of us who work in nursing homes. Although nursing home residents do die, few nursing homes have established customs and practices to provide guidance in caring for residents and talking with families about the final phase of a resident’s life.

Download CARE Recommendations and learn how to:

  • Facilitate conversations with residents and family members to clarify goals of care in light of the individual resident’s specific preferences.
  • Provide care that addresses residents’ physical needs, while also honoring their emotional, psycho-social, and spiritual needs.
  • Establish processes and rituals that acknowledge the sacredness of the human spirit in residents, staff and family members.
  • Create a culture in which resident’s individual needs and preferences are known and honored.

View the CARE Toolkit.

Download the original CARE Recommendations, published in February 2010 [PDF].


Other resources…

ECHO Nursing Home Recommendations [PDF]
Recommendations for Improving End-of-Life Care for Persons Residing in California Skilled Nursing and Intermediate Care Facilities
January 2000

The purpose of these recommendations is to facilitate institutional processes, enhance provider competence and strengthen organizational relationships to improve two broad domains of end-of-life care:

  • Advance care planning: The process of identifying the resident’s personal perspectives and values, which – in conjunction with the resident’s current and anticipated medical status – provide the basis for making end-of-life medical decisions.
  • Palliative care services: Services that provide physical, emotional, psychological, social and spiritual comfort and that together compose appropriate care of the dying person.

Promising Practices Initiative – Improving End-of-Life Care: CA Nursing Home Projects Target Communication, Patient Preferences


Learn more about how CCCC promotes quality, compassionate care for California’s nursing home residents.