The anticipated death of a loved one is a difficult time. Here are some practical steps to help prepare everyone for what lies ahead.
You can order that no CPR be provided
Some people approaching the natural end of their lives or suffering from a life-limiting illness decide to not have cardiopulmonary resuscitation (CPR) or other emergency medical procedures provided if their heart or lungs stop.
This decision can be recorded in a “No CPR Form”. This form is a medical order that says the person has had a conversation with a healthcare professional about CPR. It tells people such as first responders, paramedics and care providers not to start CPR on behalf of the person whether they are at home, in the community or in a care facility.
For the No CPR Form to be valid, it must be signed by a consenting adult (either the person approaching end of life or their substitute decision maker), and their doctor or nurse practitioner.
You can make an organ and tissue donation
Organ donations can help save the lives of others. A person approaching end of life, if they haven’t already done so, can register as a donor with the BC Organ Donor Registry administered by BC Transplant.
You can choose what organs and tissues to offer for donation. Or you can choose to donate any organs that are needed. You can also choose to donate for transplant, for research, or for educational purposes.
Step 1. Complete the No CPR Form (if desired)
If the decision has been made to not have CPR or other emergency medical procedures provided, complete the No CPR Form.
The form is available online or from a healthcare professional’s office. It must be signed by a consenting adult (either the person approaching end of life or their substitute decision maker), and their doctor or nurse practitioner.
Put the signed No CPR Form on the fridge at home so it can be easily seen. When away from home, carry the form so it’s available should it be needed.
With a signed No CPR Form, you can get a free MedicAlert® bracelet with “No CPR” engraved on it. To obtain a free bracelet, call 1-800-668-1507 or visit the MedicAlert® website.
Step 2. Decide on organ and tissue donation
Decide whether to register as a donor with the BC Organ Donor Registry administered by BC Transplant.
You don’t have to be perfectly healthy to donate an organ. It’s the health of a certain organ that matters. Talk with your doctor or contact BC Transplant if you have questions.
Step 3. Make arrangements with a funeral home
Making arrangements in advance with a funeral home helps loved ones deal with the body and arrange the funeral after death. For information on funeral homes in your area, contact the BC Funeral Association at www.bcfunerals.com or 1-800-665-3899.
Step 4. Complete the notice of expected home death form
Once a funeral home is selected, a form called "Notification of Expected Death in the Home" can be completed. This form authorizes the funeral home to remove the body from the home without “pronouncement of death” by a healthcare professional.
Without the form, a healthcare professional must pronounce death before a funeral home will transport the body. Pronouncing death means giving an opinion that life has ceased based on a physical assessment of the person.
The notification form is completed by the doctor of the person approaching end of life and sent to the funeral home before the death.
Step 5. Prepare a written plan
If the person approaching end of life makes a short written plan, it helps family, friends and others respect their wishes and know what to do at the time of death.
The written plan should include:
- Medical contacts: How the family doctor or nurse practitioner can be reached, and who to contact if they are unavailable or cannot be reached.
- Pronouncing death: Who will pronounce death, if pronouncement is planned.
- Emotional support: Who should be called for emotional support.
- Funeral home: Which funeral home will be called to transport the body.
The BC Bereavement Helpline is a non-profit society that helps people in BC cope with grief.
The BC Funeral Association is a non-profit, membership organization that provides information about funeral services in BC.
BC Transplant is a provincial health agency that oversees all aspects of organ donation and transplantation in BC, including the BC Organ Donor Registry.