Establishing Goals of Care

Alex Choi; Tara Sanft

doi:10.1016/j.mcna.2022.01.007

Establishing Goals of Care

Med Clin North Am. 2022 Jul;106(4):653-662. doi: 10.1016/j.mcna.2022.01.007. Epub 2022 May 28.

Authors

Alex Choi¹, Tara Sanft²

Affiliations

¹ Yale Palliative Care Program, Yale New Haven Hospital, New Haven, CT, USA. Electronic address: alex.choi@yale.edu.
² Survivorship Clinic, Yale New Haven Hospital, New Haven, CT, USA.

PMID: 35725231
DOI: 10.1016/j.mcna.2022.01.007

Abstract

Establishing goals of care (GOC) is a crucial component of a patient's treatment plan. The need for better physician-patient communication in this area has been recognized for decades, yet several gaps remain. Challenges exist for both physician and patient. Physicians should pursue a patient-led approach, exercise cultural competency, and use various communication techniques to guide patients when establishing GOC.

Keywords: Advanced care planning; Communication; Cultural competency; Family meeting; Goals of care.

Publication types

Review

MeSH terms

Communication
Humans
Palliative Care
Patient Care Planning*
Physician-Patient Relations
Physicians*