FAMILY MEETING TO NEGOTIATE GOALS OF CARE
6-Steps to Negotiate Goals for Care 1. Getting Started Inquiry / Discovery
Thinking ? Feeling ? Worried about ? Afraid of ? Hoping for ? Expecting ? …Tell me more…
ASK
2. What do the patient / family know ? What are their goals for life & care ? 3. Does the patient want to make decisions ? Sharing 4. Offer 2 – 3 treatment options 5. Respond to emotions / feelings 6. Plan for care, follow-up / revise regularly
TELL ASK
Adapted from Robert Buckman
50 NB: These Reference Cards do not replace careful clinical judgment specific to each patient / family situation. PCIC: Palliative Care Interdisciplinary Curriculum is a collaborative effort of OhioHealth, The Ohio State University Wexner Medical Center, and Nationwide Children’s Hospital in Columbus, Ohio, USA, and other contributors. Permission to reproduce any or all of these PCIC Reference Cards is granted for non-commercial educational purposes only, provided that the attribution statement and copyright are displayed. To reproduce for all other purposes, contact Frank D. Ferris at info@pallmed.us. Copyright © Frank D Ferris 2013-2024. All rights reserved. V14.1, 2024 Adapted from S.P.I.K.E.S. Baile WE, Buckman R, Lenzi R et al. Oncologist 2000. PMID 10964998. And from www.VitalTalk.com. Used with permission.
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