Barnes-Jewish Extended Care

Save

  • Interior

    A joyful gathering around the piano, where friends share music and laughter.
  • Decor

    A lively gathering of senior citizens participating in a fun activity at a community center, with staff engaging and colorful decorations enhancing the festive atmosphere.
  • Building

    A modern hotel with a welcoming entrance surrounded by a parking lot and a clear blue sky.
  • Bedroom

    A cozy bedroom featuring a bed with blue bedding, a green chair, a bedside lamp, and decorative elements.
  • Trees

    A serene outdoor pathway in a park, surrounded by trees and greenery.
  • Dining

    A well-lit dining area featuring elegantly set tables and a cozy ambiance.
  • Landscaping

    A vibrant display of red tulips in bloom in front of a modern building, set against a clear blue sky.
  • Outdoor

    A caregiver engages with elderly residents in wheelchairs during an outdoor activity session.
  • Natural Light

    A spacious conference room featuring a large wooden table surrounded by chairs, illuminated by natural light from the windows.
  • Exercise Equipment

    A well-equipped physical therapy clinic featuring various exercise machines and treatment areas.

Barnes-Jewish Extended Care

401 Corporate Park Drive, Saint Louis, MO 63105

For more information about senior living options: (844) 490-3973

2.6 from 14 reviews
5 stars
4
4 stars
2
3 stars
0
2 stars
0
1 stars
8

Skilled Nursing Facility

Pricing

At Barnes-Jewish Extended Care, the monthly costs for accommodations reflect a premium service environment in comparison to both St. Louis city and the broader state of Missouri. The semi-private room is priced at $5,460, which notably surpasses the city average of $3,994 and the state average of $3,772. Similarly, for those seeking private rooms, the cost stands at $6,480 - again higher than the city's typical charge of $5,727 and significantly above Missouri's average of $4,483. These figures highlight Barnes-Jewish Extended Care's commitment to providing exceptional care and amenities that may justify the elevated pricing within this regional context.

Floor plansBarnes-Jewish Extended CareSt. Louis cityMissouri
Semi-Private$5,460$3,994$3,772
Private$6,480$5,727$4,483

Overall Review

Pros

  • pro The nursing staff developed a strong rapport with patients, showing excellent care despite being short-staffed.
  • pro Many staff members were kind, friendly, and attentive, creating a supportive environment for recovery.
  • pro The therapy provided was effective, helping patients make significant progress in their rehabilitation.
  • pro Facilities offered nice accommodations, with comfortable rooms that contributed to a positive experience.
  • pro Communication with professional staff was good, ensuring families felt informed about their loved ones' care.

Cons

  • pro The staff was rude, unprofessional, and not attentive to the patients.
  • pro Many caregivers were incompetent and showed a lack of empathy or interest in patient needs.
  • pro The facility had issues with medication delivery, often leading to wrong dosages or missed medications entirely.
  • pro Patients frequently experienced neglect, missing personal items and oversight of infections.
  • pro Despite BJC's affiliation, the overall care provided was disappointing and not up to standard.
  • pro Family members had to manage care themselves due to inadequate attention from the in-house staff.
  • pro The food served at the facility was poorly prepared and nutritionally imbalanced.

Review

The healthcare landscape is often fraught with complex choices, particularly when it comes to selecting a facility for the rehabilitation and extended care of loved ones. A series of recent reviews have shed light on the experiences of patients and their families at BJC Extended Care, revealing a mixture of positive interactions but also concerning deficiencies that may affect the well-being of residents.

At the forefront of the reviews are commendations for the nursing staff, who many described as excellent and capable of establishing meaningful connections with patients. Despite being short-staffed—something that reviewers emphasized was beyond the control of individual staff members—the nursing teams effectively developed rapport with patients like one reviewer’s mother, who was recovering from a stroke. This aspect is crucial in healthcare settings where emotional support and trust can significantly aid recovery. However, this positive sentiment was often overshadowed by systemic issues related to care delivery and management.

One glaring issue raised among several reviews was the inconsistency in physical therapy services provided to residents seeking rehabilitation after serious health events. A mother recovering from a stroke received only sporadic therapy sessions which hindered her progress; this lack of regular treatment contributed to further decline in her mobility. Many expected intensive rehabilitation in such settings but were disappointed when reality fell far short. The implication that these facilities market themselves as rehab centers without delivering adequate services calls into question their operational integrity and commitment to patient outcomes.

Another recurring theme among reviews involved complaints about unprofessional behavior exhibited by certain staff members, lending an air of frustration to patients' experiences. Reports highlighted rude, defensive attitudes among some caregivers which not only added insult to injury but also made it difficult for individuals seeking help during vulnerable moments. Concerns about timeliness regarding medication administration became evident as well; instances where medications were given late or incorrect dosages were pointed out, drawing attention to lapses in basic patient care within what should be a nurturing environment.

Capable therapists appeared as a beacon amid otherwise troubling observations, with numerous reviewers praising effective rehabilitation strategies deployed by occupational and physical therapists that yielded positive results for some patients’ recoveries. Yet even within a framework of effective therapeutic practices lay discontent concerning overall nursing care; many families found themselves compelled to supplement institutional care with additional caregivers due to perceived neglect or insufficient attention from the staff present in-house. This illustrates an alarming gap between specialized therapy success and routine daily medical needs.

The financial aspect also emerged as a concern, particularly given the steep costs associated with services at BJC Extended Care—reported at $610 per night—which left some families questioning where those funds were directed amidst chronic shortages reported by both staff and residents alike (from basic medications to food supplies). It raises ethical inquiries about resource allocation in institutions affiliated with reputable health systems like BJC while revealing how essential services remained inadequately supported.

In conclusion, while there are compelling stories detailing positive interactions and effective rehabilitative therapies within BJC Extended Care facilities, significant disparities exist between expectations set upon entry into care versus actual lived experiences therein. Reviews commonly cite systemic failures alongside isolated successes exemplifying this poignant duality—an urgent call for improvement resonating through shared frustrations over inconsistent quality control experienced by many families navigating challenging health journeys together amidst dwindling resources and complex logistics. For prospective patients or families contemplating admission into such facilities, thorough research coupled with candid conversations may prove invaluable steps toward aligning expectations with realities all too commonly narrated through personal accounts like these.

Features

Housing

  • 120 resident community capacity 120 resident community capacity

Types of Care

  • Skilled Nursing Facility Skilled Nursing FacilitySkilled Nursing Facilities are crucial for seniors as they provide round-the-clock medical care, rehabilitation services, and assistance with daily activities. These facilities ensure that seniors receive the specialized care they need to maintain their health and well-being as they age.

Amenities

  • Air-conditioning Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
  • Beauty salon Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
  • Cable or satellite TV Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
  • Computer center Computer centerA computer center is essential for seniors as it provides access to technology, communication tools, and resources that can enhance their daily lives. It allows them to stay connected with loved ones, engage in online activities, and learn new skills, ultimately promoting socialization and mental stimulation.
  • Dining room Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
  • Fitness room Fitness roomHaving a fitness room in a senior living community is essential for seniors to stay active, maintain their physical health, and improve their overall well-being. Regular exercise can help prevent falls, reduce the risk of chronic diseases, and promote mental sharpness. It also provides social opportunities for residents to connect with others and enjoy a sense of community.
  • Fully furnished Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
  • Gaming room Gaming roomGaming rooms are important for seniors as they provide a fun and engaging environment for socializing, cognitive stimulation, and physical activity. Games can improve memory, problem-solving skills, and overall mental well-being while fostering friendships and reducing feelings of isolation.
  • Garden GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
  • Housekeeping services Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
  • Kitchenette KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
  • Move-in coordination Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
  • Outdoor space Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
  • Private PrivatePrivacy is important for seniors as it allows them to maintain their independence, dignity, and sense of control over their own lives. It also gives them the space and freedom to relax, reflect, and engage in activities that bring them joy and fulfillment. Creating private spaces within senior living facilities is crucial for promoting overall well-being and quality of life.
  • Private bathrooms Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely.
  • Respite or short term stays offered Respite or short term stays offeredRespite or short term stays provide seniors with a temporary solution when their regular caregiver is unavailable, offering them the opportunity to receive additional care and support during times of need, while also giving caregivers a chance to rest and recharge.
  • Restaurant-style dining Restaurant-style diningRestaurant-style dining is important for seniors because it allows them to enjoy delicious, nutritious meals in a social and upscale setting. This enhances their dining experience, promotes healthy eating habits, and fosters socialization with fellow residents, ultimately contributing to their overall well-being and quality of life.
  • Small library Small librarySmall libraries are important for seniors as they provide access to a variety of reading materials, including books, newspapers, and magazines. This can help stimulate their minds, keep them engaged, and provide a sense of community through book clubs and other social activities. Additionally, reading has been shown to improve cognitive function and overall mental well-being in older adults.
  • Telephone TelephoneTelephones are important for seniors as they provide a lifeline for communication with loved ones, emergency services, and healthcare providers. They offer a sense of security and independence, enabling seniors to stay connected and access assistance when needed.
  • Wellness center Wellness centerWellness centers are important for seniors because they offer a variety of programs and services that promote physical, mental, and emotional well-being. These centers provide opportunities for exercise, socialization, education, and relaxation, helping seniors maintain their overall health and quality of life.
  • Wheelchair accessible showers Wheelchair accessible showersWheelchair accessible showers are crucial for seniors as they provide a safe and independent bathing option for those with mobility challenges. These showers help prevent falls and allow seniors to maintain their dignity and autonomy while ensuring they can bathe comfortably.
  • Wi-Fi/high-speed internet available Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.

Transportation

  • Lambert-St Louis International (7 miles away) Lambert-St Louis International (7 miles away)
  • Community operated transportation Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance.
  • Transportation arrangement Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life.

Care Services

  • 24-hour call system 24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities.
  • 24-hour supervision 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security.
  • Activities of daily living assistance Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
  • Assistance with bathing Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
  • Assistance with dressing Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
  • Assistance with transfers Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • High acuity care High acuity careHigh acuity care is important for seniors because it provides specialized medical attention and support for individuals with complex medical needs. This level of care ensures that seniors receive the appropriate treatment and assistance to maintain their health and quality of life as they age.
  • Incontinence care Incontinence careIncontinence care is essential for seniors to maintain their dignity, hygiene, and overall quality of life. By addressing incontinence issues promptly and effectively, seniors can enjoy a sense of independence and comfort in their daily activities.
  • Meal preparation and service Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
  • Medication management Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Dining

  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Activities

  • Community-sponsored activities Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults.
  • Concierge services Concierge servicesConcierge services are essential for seniors as they provide assistance with daily tasks and errands, enhance their quality of life by offering convenience and personalized care, and promote a sense of safety and security.
  • Fitness programs Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
  • Planned day trips Planned day tripsPlanned day trips are important for seniors because they offer opportunities for socialization, mental stimulation, and physical activity. They provide a change of scenery and help seniors stay engaged and connected to their community, promoting overall well-being and quality of life.
  • Resident-run activities Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers.
  • Scheduled daily activities Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.

Description

Barnes-Jewish Extended Care in Saint Louis, MO is a premier assisted living community that offers a wide range of amenities and care services to meet the needs of its residents.

The community boasts a variety of amenities to enhance the quality of life for its residents. These include a beauty salon where residents can get pampered and feel their best, access to cable or satellite TV for entertainment, community-operated transportation for convenience, a computer center for staying connected and engaged, a dining room offering restaurant-style meals, and a fitness room for maintaining physical health. The facility is fully furnished, ensuring that residents have everything they need for comfortable living. There is also a gaming room available for leisure activities, as well as outdoor spaces and gardens to enjoy nature.

Residents at Barnes-Jewish Extended Care are provided with housekeeping services to ensure cleanliness and orderliness in their living spaces. Each resident has private accommodations with their own bathrooms for privacy and convenience. Additionally, move-in coordination services are offered to make the transition into the community seamless.

In terms of care services, Barnes-Jewish Extended Care provides 24-hour supervision to ensure the safety and well-being of its residents. Trained staff members assist residents with activities of daily living such as bathing, dressing, and transfers. Special attention is given to individuals with diabetes through specialized diets. Incontinence care is also available when needed. Medication management is provided to ensure that medications are taken on time and in the correct dosage. Meal preparation and service are offered to cater to individual dietary needs.

Residents at Barnes-Jewish Extended Care can also take advantage of various programs and activities designed to keep them engaged and active. Concierge services are available to assist with any requests or inquiries. Fitness programs are organized to promote physical wellness among residents. Planned day trips allow residents to explore nearby attractions. Resident-run activities encourage socialization within the community while scheduled daily activities provide structure and stimulation.

The community's convenient location offers easy access to various amenities and services nearby. There are numerous cafes, parks, pharmacies, restaurants, places of worship, theaters, and hospitals in close proximity to the community. Transportation arrangements can be made for residents who need assistance traveling to appointments or outings.

Overall, Barnes-Jewish Extended Care provides a comfortable and supportive environment where seniors can receive high-quality care and enjoy a fulfilling lifestyle.

Videos

Nearby Places of Interest

This part of Saint Louis, Missouri offers a variety of amenities and services that may be appealing for seniors looking to relocate. With several parks nearby, such as Shaw Park and Francis Park, residents can enjoy outdoor activities and relaxation in a peaceful setting. There are also multiple pharmacies within close proximity, including CVS Pharmacy and Walgreens, making it convenient for seniors to access their medications. In terms of dining options, there is a selection of restaurants like The Capital Grille and MOD Pizza for those who prefer dining out. Additionally, there are reputable healthcare facilities in the area, such as Barnes-Jewish Hospital and Metropolitan St Louis Psychiatric Center, providing quality medical care for seniors. Overall, this neighborhood offers a well-rounded lifestyle with easy access to transportation options like the Metrolink North Hanley Station and car rental services for added convenience.

Parks

  • Shaw Park (0.2 miles)
  • Tilles Park Neighborhood (2.1 miles)
  • Blackburn Park (4.5 miles)
  • Wohl Recreation Center / Sherman Park (4.7 miles)
  • Francis Park (4.8 miles)
  • Bar K (4.9 miles)
  • Willmore Park (5 miles)

Pharmacies

  • CVS Pharmacy (0.5 miles)
  • Walgreens (1.2 miles)
  • Dierbergs (1.3 miles)
  • Walgreens (1.7 miles)
  • Walgreens (2 miles)
  • Walgreens (2 miles)
  • Schnucks (2.6 miles)

Restaurants

  • The Capital Grille (0.6 miles)
  • MOD Pizza (0.7 miles)
  • Chick-Fil-A (1.2 miles)
  • Chipotle Mexican Grill (1.4 miles)
  • St Louis Bread Co. (1.5 miles)
  • White Castle (2 miles)
  • Arby's (2.3 miles)

Physicians

  • University Club Medical (1.2 miles)
  • Barnes-Jewish Hospital (4.5 miles)
  • Southwest Medical Center (4.6 miles)

Theaters

  • AMC Esquire 7 (1.7 miles)

Cafes

  • Starbucks (2.2 miles)
  • Blueprint Coff (2.5 miles)
  • Starbucks (2.8 miles)
  • Panera Bread (4.2 miles)
  • Starbucks (5.2 miles)

Transportation

  • Zooline Railroad The Wild (3.1 miles)
  • Metrolink North Hanley Station (5.3 miles)
  • Enterprise Rent-A-Car (5.7 miles)
  • National Car Rental (6.1 miles)
  • Hertz Rent A Car (6.3 miles)
  • Budget Rent A Car (6.3 miles)
  • Terminal 2 Parking (6.3 miles)

Places of Worship

  • Old Orchard Church (3.4 miles)
  • St Ambrose Church (4.5 miles)
  • St Ann Catholic School (4.8 miles)
  • Christ the King Church (4.9 miles)
  • St Raphael the Archangel Church (5.3 miles)
  • St Johns Lutheran Church (5.8 miles)

Hospitals

  • Metropolitan St Louis Psychiatric Center (3.8 miles)
  • St Louis Children's Hospital (4.4 miles)
  • The Rehabilitation Institute of St Louis (4.7 miles)
  • St John's Mercy Surgery Center (5.4 miles)
  • SSM Cardinal Glennon Children's Medical Center (6 miles)
  • VA Medical Center Spinal Cord Injury Program (6.2 miles)

Frequently Asked Questions

How much does it cost to live at Barnes-Jewish Extended Care in Saint Louis, MO?
Where is Barnes-Jewish Extended Care?
What photos are available for Barnes-Jewish Extended Care in Saint Louis, Missouri?

Nearby Communities

Related Resources

  • anticipatory griefRecognizing the Journey: Understanding and Navigating Anticipatory Grief

    Anticipatory grief is an emotional response to the impending loss of a loved one, characterized by complex emotions such as sadness and anger, and involves navigating stages similar to those identified by Kübler-Ross. Coping strategies are vital for managing this process, emphasizing compassionate communication, self-care, and support groups while recognizing the cultural influences on grieving.

  • adult day careEncouraging Participation in Adult Day Care: A Guide to Supporting a Hesitant Parent

    Adult day care programs offer essential support and activities for older adults, yet many hesitate to participate due to concerns about independence and stigma. To alleviate these apprehensions, families should facilitate open discussions, explore financial resources, suggest trial visits, and collaborate with healthcare providers to highlight the benefits of such services for both the participants and their caregivers.

  • living will definitionComprehensive Exploration of Living Wills and Other Advance Directives

    Living wills and advance directives are crucial legal documents that outline an individual's healthcare preferences when they cannot make decisions themselves, enhancing patient autonomy and alleviating family stress during medical crises. The article emphasizes the need for these documents to be personalized, legally valid, and regularly updated, while also encouraging communication about end-of-life wishes among family members and healthcare providers.