| DIALOG/PROGRESS NOTE TEXT |
The patient's goals of care may include some that appear to conflict. Do
Naming an unreachable goal after being fully informed of
condition/prognosis may be an indication that the patient is having
difficulty adjusting, and should be responded to with empathy ("I wish
your X could be cured, too."). Note the goal and any related statements
in "Goals in the patient's own words, or as stated by the surrogate:"
section.
not attempt to get the patient (or surrogate) to rank goals as they name
them. At this point in the conversation, you just want to understand
which goals of care the patient would like to achieve. Next, decision
will be made about which life-sustaining treatments the patient would be
willing to accept given the risks and odds of success of those
procedures, information the patient needs to make informed decisions in
the face of conflicting goals.
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