Irish Hospice Foundation Care & Inform
Having a conversation
Start the conversation by finding out the level of understanding of the personʼs illness and prognosis. This helps to establish a common ground. If the person doesnʼt seem to know their prognosis or illness, it may be worth asking them: “What is your understanding of where you are with your health?” You can always give the person the option not to discuss these topics or to defer the discussion to another time by saying: “I am very happy to talk to you about any concerns or questions you have about this now or later. Is there anything you would like to ask me about now?” Don't make assumptions about the personʼs information needs. Clarify what they want to know and the level of detail theyʼd like before giving new information: “Often people with conditions like yours have a lot of questions that are sometimes frightening. Sometimes people aren’t certain if they want to know the answer. If there’s anything you’d like to know, feel free to ask me and I’ll answer as best I can.” Explore the personʼs concerns, expectations and fears about the future: “What is your biggest concern at the moment?” “What are your worries for the future?”
Encourage the person to ask questions and express their wishes:
“Is there anything else you’d like to discuss?” “Have you ever thought about where you would like to be cared for in the future?” “What are your hopes and priorities?” “What are you willing to sacrifice or not sacrifice?” “What does a good day look like?”
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