Establishing Goals of Care at Any Stage of Illness: The PERSON Mnemonic

2014 ◽  
Vol 17 (10) ◽  
pp. 1087-1087 ◽  
Author(s):  
Kyle P. Edmonds ◽  
Toluwalase A. Ajayi ◽  
Julia Cain ◽  
Heidi N. Yeung ◽  
Kathryn Thornberry
Keyword(s):  
Goals Of Care

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

Goals of care program: Psychosocial opportunities in the ICU

2010 ◽  
Author(s):  
Matthew Loscalzo ◽  
David Horak ◽  
Marie Malicki ◽  
Tana Burns ◽  
Ben Laroya ◽  
...  
Keyword(s):  
Care Program ◽  
Goals Of Care

scholarly journals “TIMEOUT” Before PEG Placement: A Policy Approach to Align Shared Decision-Making and Goals of Care Through Palliative Intervention (F425C)

2021 ◽  
Vol 61 (3) ◽  
pp. 653-654
Author(s):  
Brigit C. Palathra ◽  
Hoda Abdelaziz ◽  
Elizabeth Lee ◽  
Cynthia X. Pan ◽  
Calvin Hwang ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Goals Of Care

Advance care planning for patients with COVID-19: a communication guide

2021 ◽  
pp. 1-6
Author(s):  
Natasha Palipane ◽  
Abi Ponnampalampillai ◽  
Srirupa Gupta
Keyword(s):  
Advance Care Planning ◽  
Symptom Control ◽  
Patient Choice ◽  
High Morbidity ◽  
Care Planning ◽  
Goals Of Care ◽  
Disease Trajectory ◽  
Improve Symptom ◽  
Inappropriate Admissions ◽  
Advance Care

In view of the high morbidity and mortality associated with COVID-19, early and honest conversations with patients about goals of care are vital. Advance care planning in its traditional manner may be difficult to achieve given the unpredictability of the disease trajectory. Despite this, it is crucial that patients' care wishes are explored as this will help prevent inappropriate admissions to hospital and to critical care, improve symptom control and advocate for patient choice. This article provides practical tips on how to translate decisions around treatment escalation plans into conversations, both face-to-face and over the phone, in a sensitive and compassionate manner. Care planning conversations for patients with COVID-19 should be individualised and actively involve the patient. Focusing on goals of care rather than ceilings of treatment can help to alleviate anxiety around these conversations and will remind patients that their care will never cease. Using a framework such as the ‘SPIKES’ mnemonic can help to structure this conversation. Verbally conveying empathy will be key, particularly when wearing personal protective equipment or speaking to relatives over the phone. It is also important to make time to recognise your own emotions during and/or after these conversations.

Creating a Climate for Healing: A Visual Model for Goals of Care Discussions

2013 ◽  
Vol 16 (7) ◽  
pp. 718-718 ◽  
Author(s):  
Tammy Newman Bhang ◽  
Juan C. Iregui
Keyword(s):  
Goals Of Care ◽  
Visual Model

scholarly journals A National Pilot of Goals of Care Conversations for Seriously Ill Veterans: Patient and Site Variation and Associations with Bereaved Family Survey Outcomes (TH323D)

2020 ◽  
Vol 59 (2) ◽  
pp. 422
Author(s):  
Marie Haverfield ◽  
Ariadna Garcia ◽  
Joseph Rigdon ◽  
Karleen Giannitrapani ◽  
Anne Walling ◽  
...  
Keyword(s):  
Goals Of Care ◽  
Site Variation ◽  
Bereaved Family ◽  
Seriously Ill

Prognosis, Treatment Benefit and Goals of Care: What do Oncologists Discuss with Patients who have Incurable Cancer?

2016 ◽  
Vol 28 (3) ◽  
pp. 209-214 ◽  
Author(s):  
W. Raskin ◽  
I. Harle ◽  
W.M. Hopman ◽  
C.M. Booth
Keyword(s):  
Incurable Cancer ◽  
Treatment Benefit ◽  
Goals Of Care

scholarly journals Just ask: discussing goals of care with patients in hospital with serious illness

2013 ◽  
Vol 186 (6) ◽  
pp. 425-432 ◽  
Author(s):  
J. J. You ◽  
R. A. Fowler ◽  
D. K. Heyland ◽  
Keyword(s):  
Goals Of Care ◽  
Serious Illness
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