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Transcript

A game that gives the space to talk about something uncomfortable... DEATH and Our wishes at end of life

Instructions

Rollthe dice!

Life and Death

Easy:

(2) Easy: How do you feel about death?

(9) Easy: Do you know what palliative and hospice care is? What are some differences between them?

(24) Medium: If you were in hospice, but a new potential treatment came out, would you want to try it knowing it is not a guaranteed cure?

(17) Easy: What are the most important aspects of quality of life you’d like to maintain? TO ability to talk, the ability to walk, maintaining cognitive ability, etc.

(30) Easy: What factors do you think influence patients to continue treatments versus choosing comfort measures?

(39) Medium: If I were to die today, do you feel like you’ve said everything to your loved ones?

(27): You have just received a new serious diagnosis. Choose from the following: A) Stage 4 Colorectal cancer B) Alzheimer's Disease C) Amyotrophic Lateral Sclerosis If second time around, move down the snake and then answer: How do you feel about the potential physical or emotional burden that your family may feel while caring for you?

(35) Medium: Would you rather die in the hospital or at your home? Why?

(21) Medium: Does death look different around the world?

(47) Easy: Are there any medications you want to take or avoid?

(6) Easy: Do I want to partake in planning my own funeral?

(52) Hard: If you were in a coma, how long would you want to be on life support before you’d like your family to take you off? (Take into account the increased cost and emotional burden on family then longer you are on life support)

(50) Hard: Do you want any special circumstances after death?

(43): You just had an unexplained hypertensive crisis and have to visit the emergency room. If second time around, then move down the snake and answer: Which life extending treatments am I willing to receive and which would I want to omit if in a situation where I cannot communicate? Options: (1) Cardiopulmonary Resuscitation (2) Ventilation (3) Transfer to Hospital

(3) Easy: Do you know the 5 stages of grief? Write them down and then have partner check for right answer.

(4) Easy: What would my last meal request be?

(15) Easy: Would you want to take a lot of medications at the end of life or choose comfort only medications?

(7) Easy: Are there any apologies you need to make if you knew you were going to die tomorrow?

(8) Easy: Do your family and friends know that you love and appreciate them?

(10) Medium: Have I created or updated my advanced directives? Do I know what my advance directive options are? ** Living will **Health Care Proxy ** MOLST Form

(11) Medium Would you want to know how and / or when you die?

(12) Hard: If you were diagnosed with a terminal disease, would you like the option for physician assisted suicide?

  • Note: You would have to make the decision before you lose the ability to swallow.

(13) Hard: How would you know if someone’s death was a good death? (or what makes a good death good?)

(14) Easy: How would you choose to be remembered? Is there anything you do NOT want to be remember by?

(5) Medium: Is there a "right" age to die?

(18) Medium: At what age or illness conditions do you think patients should change their status from full code (do whatever necessary to save a life) to a status of do not resuscitate?

(16) Easy: Am I willing to donate my organs after death?

(20) Hard: If you were diagnosed with a terminal disease tomorrow, do you feel like you’d be ready to die?

(19): You felt dizzy and had a fall resulting in a hip fracture. If second time reaching this square, move down the snake and answer: How do I want to manage pain or suffering if it becomes a part of my end of life options?

(22) Medium: Is there a difference between dying at age 10 vs age 80?

(23) Easy: What would you like to happen to your belongings after death?

(25) Easy: Would you rather know less about your health or know every detail?

(26) Easy: Do you feel comfortable talking with family members about your end of life wishes? Why or why not?

(28) Medium: Do you feel like you left your family in a good position to arrange your affairs if you died tomorrow?

(29) Medium: How would you like to be buried? Cremation, buried, turned into a tree or dirt mulch?

(31) Hard: How do you want to be remembered by your family? What impacts do you feel you’ve made on the world?

(32) Easy: Do you want to be solely in charge of your own medical decisions while you have the capacity or would you take into account your family’s wishes?

(33): You were involved in a multiple vehicle collision with chest pain and minor scrapes. If second time: What period of time do I feel like were the "golden years" of my life? Which period of time do I wish I could forget?

(34) Hard: What would I say to a family member or friend who is dying?

(36) Medium: Do you want your final days spent surrounded by family or would you like a moment to yourself?

(37) Hard: What financial burdens would you be leaving behind and do you feel like your family is prepared to take on the burden?

(38) Easy: What kind of emotional or spiritual support would you like to receive at the end of life?

(40) Medium: What are my preferences when it comes to the following:

  • Intubation and Ventilation
  • Non-invasive Ventilation (like CPAP)
  • Dialysis
  • Artificial Nutrition
  • Artificial Hydration

(41) Hard: What do you think happens after people die? What do you wish would happen?

(42) Hard: How do you want your end of life journey to align with your cultural or religious beliefs?

(44) Medium: Where would you like to travel before the disease limits you? What would you do there?

(45) Hard: Have you made proper arrangements for any dependents or pets in your care? How will they be taken care of?

(46) Medium: Is there something you wish you could change about the dying process?

(48): One of your organs are failing, you need a transplant. If second time around, then move down the snake and answer: How do I want to spend the time I have left right now? How would I have liked to spend the time if I had any choice?

(49) Hard: How would you explain to children about death?

(51) Medium: What is something you would like to learn about someone before they die?

(53) Hard: Is dying bad?

(54): Your health is deteriorating and you are losing control of your motor function at a fast rate. If second time, then go down the snake and answer: What are your wishes for your children and grandchildren?

INSTRUCTIONSEach player starts with a token on the starting square (usually the "1" grid square in the bottom left corner, or simply, off the board next to the "1" grid square). Players take turns rolling a single die to move their token by the number of squares indicated by the die roll.Tokens follow a fixed route marked on the gameboard which usually follows a boustrophedon (ox-plow) track from the bottom to the top of the playing area, passing once through every square. If, on completion of a move, a player's token lands on the lower-numbered end of a "ladder", the player moves the token up to the ladder's higher-numbered square.If the player lands on the higher-numbered square of a "snake" (or chute), the token must be moved down to the snake's lower-numbered square. If a 6 is rolled the player, after moving, immediately rolls again for another turn; otherwise play passes to the next player in turn. The player who is first to bring their token to the last square of the track is the winner.

If the player's token lands on the lower-numbered end of a "ladder", the player moves the token up to the ladder's higher-numbered square

LADDERS

If the player lands on the higher-numbered square of a "snake", the token must be moved down to the snake's lower-numbered square and answer the questions.

SNAKES

Congratulations!

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