What specific recommendations does the guideline make for initiating discussions about end-of-life issues?
The key is to acknowledge the person’s situation and empathize. Listen to them and try to learn where they are as far as their understanding of their illness and their prognosis. Listening can uncover many opportunities where you can intervene to alleviate suffering. What if the family or the patient doesn’t want to talk about the possibility of death? The key is to meet the patient where they are at emotionally, psychologically, and spiritually. However, it is the provider’s responsibility to give an accurate picture of what is happening and discuss a model of care that is best-suited to meet that patient’s needs and goals, part of which is to alleviate physical symptoms. Hopefully, the expanded section on how to conduct effective care conferences will give the provider the tools and resources he or she needs to be more forthright and comfortable with this often unpleasant task. If a family comes back and says, “My father died last week, and we never even discussed that as a possibili
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