Run the List Goals of Care Conversations
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Sep 15, 2021 Dr. Andy Lawton, a palliative care physician at Brigham and Women's Hospital, shares his insights on effective goals of care conversations. He introduces the REMAP framework, emphasizing how to navigate prognosis discussions and respond to emotions. Dr. Lawton reflects on balancing paternalism with patient autonomy during serious illness dialogues. The conversation highlights the importance of understanding patient values and the challenges families face in critical care, offering strategies for empathetic communication and decision-making.
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Use REMAP Framework
- Use the REMAP framework for goals of care conversations to improve effectiveness.
- It includes reframing, responding to emotion, mapping values, aligning, and making a plan.
Respond Empathically to Emotion
- Expect emotional responses after delivering serious health information and respond with empathy.
- Addressing emotion helps patients think clearly and move the conversation forward.
Map Patient Values Early
- Before discussing treatment options, explore what matters most to the patient by mapping their values.
- Use open questions to understand their hopes and worries for guiding care plans.