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Goals of Care Conversations
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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Quick takeaways
- The REMAP framework facilitates effective goals of care conversations by guiding healthcare providers through structured steps to align treatment with patient values.
- Achieving a balance between patient autonomy and supportive recommendations is crucial during serious illness discussions to foster trust and shared decision-making.
Deep dives
Understanding Goals of Care Conversations
Goals of care conversations focus on aligning treatment plans with patients' values and preferences, particularly for those with serious illnesses. These discussions typically occur at various stages of a patient's illness, allowing healthcare providers to explore what matters most to patients, whether it's quality of life or specific treatment goals. Such conversations are crucial during urgent scenarios, like deciding on intubation, as they guide healthcare decisions based on the patient's wishes. This process is a part of advanced care planning, which includes documenting preferences through forms like MOLST or advanced directives.
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