SINGLE MEASURE

End of life - what activities

Question(s)	I’d like to ask you about any care and help you may have given this person [end of life care]. First I’m going to ask about personal care like the things listed at the top of on this card. Then I’m going to ask about other general help, like the things listed at the bottom of the card. SHOW CARD XX Personal care examples: Help with washing Help with dressing Help with going to the toilet Help with eating Other help with physical needs General help examples: Keeping company / visiting Running errands Doing laundry Shopping Giving lifts Helping with money or legal issues Taking to appointments or out for recreation Did you provide personal care to this person, like those listed at the top of this card?
Response scale	1 Yes 2 No
Participant age	16 - 120
Starts	January 2017
Ends	January 2018
Provision OR Receipt OR Need?	Provision;
Informant:	Participant
Multiple rater?	No
Reporting Term	Current
Standard instrument?	No
Measure ID	HSE-1001