Abstract
In the setting of serious illness, personal goals and values must guide complex treatment decisions. Without an understanding of these goals, development of a person-centered treatment plan is not possible. Yet eliciting and clarifying these goals require significant skill on the part of the clinician. In this chapter, we use a patient case to illustrate the steps and skills needed to elicit goals of care and provide examples of helpful language. In addition, we offer guidance for several common challenges: using a medical interpreter, working with a surrogate decision-maker, and exploring the role of religion and spirituality.
| Original language | English |
|---|---|
| Title of host publication | Hospital-Based Palliative Medicine |
| Subtitle of host publication | A Practical, Evidence-Based Approach |
| Publisher | Wiley-Blackwell |
| Pages | 121-132 |
| Number of pages | 12 |
| ISBN (Electronic) | 9781118772607 |
| ISBN (Print) | 9781118772577 |
| DOIs | |
| State | Published - 24 Jul 2015 |
Keywords
- Communication
- Goals of care
- Medical interpreter
- Palliative care
- Religion/spirituality
- Surrogate decision-maker
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