1) Been experiencing persistent or severe pain that affects daily life?
2) Had an increase in hospital visits or emergency room trips recently?
3) Shown a diminished interest in eating or drinking, or are unable to do so?
4) Expressed feelings of hopelessness or distress regarding current health condition?
5) Experienced a noticeable decline in physical activity or an increase in bedridden days?
6) Had difficulty engaging in meaningful conversations or appeared increasingly confused?
7) Been given a prognosis of six months or less by a healthcare provider?
8) Faced challenges managing multiple medical treatments and interventions?
9) Felt that current treatments are more focused on prolonging life rather than ensuring comfort?
10) Expressed a desire for comfort-focused care over aggressive treatment?