Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
ADRT - Template
Advance Directive to Refuse Treatment - Template
Purpose : Template for the recording of Advance Decision to Refuse Treatment
Admin time : x min, variable
User Friendly : High
Administered by : Health care provider or self administered
Content : Record of various decisions detailing situations where the individual wants to refuse medical treatment if unable to make or communicate the decision in the future.
Extensive explanatory notes as to when an Advance Decision would be used and information to help complete the form.
Author : Original : Compassion in Dying - supporting your Choices, v2.1, 2021
Revised for international use : CGA Toolkit Plus, 2021
Copyright : Free to use with author references
ADRT int'l
This tool is use in Advance Care Planning
Back To : Advance Care Planning
Advance Care Planning is one of 8 domains of the
Comprehensive Geriatric Assessment (CGA)
Back To : Comprehensive Geriatric Assessment