Serious illness conversation guide pdf
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Serious Illness Conversaon Guide Hamilton Academy of

serious illness conversation guide pdf

Report prepared by MA Serious Care. Serious Illness Conversation Guide CLINICIAN STEPS CONVERSATION GUIDE Understanding What is your understanding now of where you are with your illness? Information Preferences How much information about what is likely to be ahead with your illness would you like from me? FOR EXAMPLE: Some patients like to know about time, others like to know what to expect, others like to know both, Using The Serious Illness Conversation Guide Anna C Beck, MD Associate Professor Director, Supportive Oncology & Survivorship Huntsman Cancer Institute . Objectives • Attitudes – Reflect on the impact of communication on patient care • Knowledge – Describe the benefits of serious illness conversations for patients, families, and clinicians – Identify the elements of the Serious.

JUST ASK A Conversation Guide for Goals of Care Discussions

Time-off Benefits Frequently Asked Questions. A personal guide This guide is designed to help you think about your future healthcare choices, to be used alongside the companion booklet, 'Getting started'. Download PDF (2.7MB), the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, ….

UK Conversation Guide Research 1. Overview The Serious Illness onversation Guide ( Zthe Guide) is an evidence-based clinical tool that enables clinicians to engage their seriously ill patients in conversations about their goals, values, and priorities. These conversations help clinicians to personalise and align care with what matters most to individual patients. They may also enhance a Background The Serious Illness Conversation Guide was developed through a systematic approach that included: • Expert input • Extensive review of evidence

“What are your most important goals if your health situation worsens?” “What are your biggest fears and worries about the future with your health?” “What gives you strength as you think about the future with your illness?” 1. Set up the conversation Introduce the idea and benefits Ask permission 2. Assess illness understanding and information preferences 3. Share prognosis

Understanding What is your understanding now of where you are with your illness? Information preferences How much information about what is likely to be 1. Set up the conversation Introduce the idea and benefits Ask permission 2. Assess illness understanding and information preferences 3. Share prognosis

No. Serious Illness in Family is intended to provide time-off for serious health conditions, not acute, common illnesses or recuperation following an injury. o Can a non-birthing parent utilize Serious Illness in Family for the time when the birth mother and/or An understanding of patients’ care goals in the context of a serious illness is an essential element of high-quality care, allowing clinicians to align the care provided with what is most important to the patient.

Next Steps. Serious Illness. DOCUMENT THE WISHES IN WRITING Refer to THN Advance Care Planning Toolkit if . needed. •Proactive: Advance Directive (NC Short Form, health conditions and three youth talking about living with a mental health condition and why it is important to talk about it. The film is a terrific way to jump start a conversation with teens

conversations at the right time, how to use a short, simple Serious Illness Conversation Guide, suggestions to help patients discuss preferences about their care with families, and a system for documenting personalized care goals and priorities. The Serious Illness Care Community of Practice is a private space for collaboration between interdisciplinary teams implementing the Serious Illness Care Program at their institutions.

About this video: In this video Dr. Justin Sanders models a bad conversation using the Serious Illness Conversation Guide. He talks more than half the time, seems to fear silence and fill empty space in the conversation, gives premature reassurance, provides facts in response to strong emotion, and focuses on medical procedures. Patients in hospital with serious illness and their family members have identified improvements in end-of-life communication and decision-making as high-priority targets for quality improvement;4, 5 however, hospital-based health care providers infrequently engage patients and families in such conversations.6 Accordingly, the focus of our review is to provide guidance for advance care planning

Public Health, we have developed a serious illness conversation guide for clinicians based on the evidence. It identifies critical questions for clinicians and families to discuss in order to Serious Illness Conversation Guide CLINICIAN STEPS CONVERSATION GUIDE Understanding What is your understanding now of where you are with your illness? Information Preferences How much information about what is likely to be ahead with your illness would you like from me? FOR EXAMPLE: Some patients like to know about time, others like to know what to expect, others like to know both

the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, … The Conversation Project is an initiative of the Institute for Healthcare Improvement, a not-for-profit organization that is a leader in health and health care improvement worldwide.

This conversation guide is not to be used as legal advice in any situation. You are empowered to make your own health care choices. Living life to the fullest can mean different things to different people, and it is important to think and talk about what it means to you. The stories on the next three pages can be used to help you think and talk about what life means to you in the event that 1/04/2014 · Although most patients with a serious illness and their family members are ready to engage in such conversations with their health care providers, 6 some may indicate by their responses that they are not ready (e.g., “I do not plan to get sick,” “I will wait until the time comes.”). It is important to be sensitive to this and to recognize that such conversations are a process rather

Serious Illness Conversation Guide bcrenalagency.ca

serious illness conversation guide pdf

Communication About Serious Illness Care Goals A Review. Next Steps. Serious Illness. DOCUMENT THE WISHES IN WRITING Refer to THN Advance Care Planning Toolkit if . needed. •Proactive: Advance Directive (NC Short Form,, Serious Illness Conversaon Guide CONVERSATION FLOW PATIENT-TESTED LANGUAGE SI-CG 2017-04-18 1. Set up the conversaon ۰ Introduce purpose ۰ Prepare for future decisions ۰ Ask permission “I’d like to talk about what is ahead with your illness and do some thinking in advance about what is important to you so that I can make sure we provide you with the care you want — is this ….

The Conversation Project Atul Gawande MD. “What are your most important goals if your health situation worsens?” “What are your biggest fears and worries about the future with your health?” “What gives you strength as you think about the future with your illness?”, Learn more about Aging with Dignity's driving principle to safeguard and affirm the human dignity of every person who faces the challenges of aging, serious illness, disability or loneliness..

Serious Illness Hospice of the Western Reserve

serious illness conversation guide pdf

cabhp.asu.edu. 1. Set up the conversation Introduce purpose Prepare for future decisions Ask permission 2. Assess understanding and preferences 3. Share prognosis Essential elements — Given that discussions about serious illness care goals are challenging, highly stressful, and emotionally difficult for clinicians, use of a conversation guide supports clinicians and assures completion of key components of the conversation. We prefer a stepwise approach using a "talking map" called REMAP. This is the approach used in.

serious illness conversation guide pdf


Serious Illness are Programme UK: Assessing the ‘face validity’ and acceptability of the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, Sanders J, Serious Illness Conversation Guide CLINICIAN STEPS CONVERSATION GUIDE Understanding What is your understanding now of where you are with your illness? Information Preferences How much information about what is likely to be ahead with your illness would you like from me? FOR EXAMPLE: Some patients like to know about time, others like to know what to expect, others like to know both

Are you Conversation Ready? & Goals of Care Conversation: “What Matters to You?” IHI Case Study #1 Clinician You are seeing Mrs. Mary King, a real estate broker who owns a small Siguientes Pasos (Next Steps) is a Spanish language guide to discussing and coping with serious illness and is a companion to Five Wishes.The guide includes information on completing Five Wishes, talking to family members about completing a living will and discussing with your doctor.

The Serious Illness Conversation Guide: The Role of the Oncology Nurse Celebrate Oncology Nursing Day! Lunch Provided April 4, 2017 1130 and 1215 New Resource for Health Care Professionals: A CME-accredited 2 part Serious Illness Conversation education package is now available that includes an online module (1 …

Patients in hospital with serious illness and their family members have identified improvements in end-of-life communication and decision-making as high-priority targets for quality improvement;4, 5 however, hospital-based health care providers infrequently engage patients and families in such conversations.6 Accordingly, the focus of our review is to provide guidance for advance care planning 1. Set up the conversaon Introduce the idea and benets Ask permission 2. Assess illness understanding and informaon preferences 3. Share prognosis

Physicians are trained to maintain health and fight illness, but typically receive little guidance on how to communicate with dying patients and their families. 1 – 3 Thus, in our death-averse society, 4 it is not surprising that many physicians find it difficult to engage in end-of-life discussions. Physicians are trained to maintain health and fight illness, but typically receive little guidance on how to communicate with dying patients and their families. 1 – 3 Thus, in our death-averse society, 4 it is not surprising that many physicians find it difficult to engage in end-of-life discussions.

Serious Illness are Programme UK: Assessing the ‘face validity’ and acceptability of the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, Sanders J, Serious Illness Conversation Guide CLINICIAN STEPS Set up Thinking in advance Is this okay? Hope for best, prepare for worst Benefit for patient/family

9.A Serious Illness Conversation Guide. 2013. Ariadne Labs: A Joint Center For Health Systems Innovations and Dana Farber Cancer Institute. 2013. Ariadne Labs: A Joint Center For Health Systems Innovations and Dana Farber Cancer Institute. 1. Set up the conversaon Introduce the idea and benets Ask permission 2. Assess illness understanding and informaon preferences 3. Share prognosis

No. Serious Illness in Family is intended to provide time-off for serious health conditions, not acute, common illnesses or recuperation following an injury. o Can a non-birthing parent utilize Serious Illness in Family for the time when the birth mother and/or Sun Critical Illness Insurance (Sun CII) offers financial help to pay the costs associated with life-altering illnesses. If the If the insured person suffers one of the covered critical illnesses and meets the survival period as described by your policy,

Serious Illness Conversation Guide PATIENT-TESTED LANGUAGE “I’d like to talk about what is ahead with your illness and do some thinking in advance An understanding of patients’ care goals in the context of a serious illness is an essential element of high-quality care, allowing clinicians to align the care provided with what is most important to the patient.

Depression is a real illness. Depression affects people in different ways. Depression is treatable. If you have depression, you are not alone. This booklet contains information on the signs and symptoms of depression, treatment and support options, and a listing of additional resources. It is intended for informational purposes only and should not be considered a guide for making medical Q:Did you prepare to have a conversation about your wishes for care with a doctor or other health care provider by using any books, forms, tools or other resources to help guide you? Base: Initiated conversation with health care provider

1. Set up the conversation Introduce purpose Prepare for future decisions Ask permission 2. Assess understanding and preferences 3. Share prognosis Public Health, we have developed a serious illness conversation guide for clinicians based on the evidence. It identifies critical questions for clinicians and families to discuss in order to

Just ask discussing goals of care with patients in CMAJ

serious illness conversation guide pdf

Time-off Benefits Frequently Asked Questions. Q:Did you prepare to have a conversation about your wishes for care with a doctor or other health care provider by using any books, forms, tools or other resources to help guide you? Base: Initiated conversation with health care provider, What is the patient willing to consent to as treatment if his/her condition were to seriously deteriorate? The Serious Illness Conversation Guide developed by Ariadne Labs provides a framework for physicians to engage in care planning with patients in a manner acceptable to the patient..

A Research Agenda for Communication Between Health Care

A Model for Meaningful Conversation in Serious Illness and. Learn more about Aging with Dignity's driving principle to safeguard and affirm the human dignity of every person who faces the challenges of aging, serious illness, disability or loneliness., Siguientes Pasos (Next Steps) is a Spanish language guide to discussing and coping with serious illness and is a companion to Five Wishes.The guide includes information on completing Five Wishes, talking to family members about completing a living will and discussing with your doctor..

actively manage their mental health lead fulfilling lives. Don’t be afraid to have a conversation about mental health including self-harm and suicide. Checklist-Diagnosed-With-Serious-Illness.pdf. Whether it's for yourself or someone you love, let us help you get some important planning out of the way. Checklist: Creating An Advance Health Care Directive. Advance-Directive-Checklist.pdf. This downloadable checklist serves as a guide in helping you prepare your Advance Directive, and for any conversation you may have with your doctors or your

Public Health, we have developed a serious illness conversation guide for clinicians based on the evidence. It identifies critical questions for clinicians and families to discuss in order to www.courageousparentsnetwork.org/ / / / / / Adapted by Patricia O’Malley, MD from “The Serious Illness Conversation Guide” (the Serious Illness Care Program at

Sun Critical Illness Insurance (Sun CII) offers financial help to pay the costs associated with life-altering illnesses. If the If the insured person suffers one of the covered critical illnesses and meets the survival period as described by your policy, Ongoing discussions between patients and health care providers, throughout the course of a serious disease, can increase patients' self-efficacy in planning EOL decisions. Instruments that provide structured approaches to guide these challenging EOL conversations are needed. The Patient Preferences About Serious Illness Instrument (PASI) is a resource to normalize the conversation …

Public Health, we have developed a serious illness conversation guide for clinicians based on the evidence. It identifies critical questions for clinicians and families to discuss in order to Sun Critical Illness Insurance (Sun CII) offers financial help to pay the costs associated with life-altering illnesses. If the If the insured person suffers one of the covered critical illnesses and meets the survival period as described by your policy,

The Serious Illness Care Community of Practice is a private space for collaboration between interdisciplinary teams implementing the Serious Illness Care Program at their institutions. Serious Illness are Programme UK: Assessing the ‘face validity’ and acceptability of the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, Sanders J,

Guide to ACP Conversations ACP conversations: •Prepare patients for future health care decisions by exploring their values, beliefs, goals, and preferences •Help patients decide on a surrogate decision maker (SDM) and engage the SDM in the ACP process •Are for everyone, not just the seriously ill •Do not require decisions be made after just one discussion •Are not just about www.courageousparentsnetwork.org/ / / / / / Adapted by Patricia O’Malley, MD from “The Serious Illness Conversation Guide” (the Serious Illness Care Program at

These might include payment approaches that incentivize the time spent on communication, or electronic health record prompts that remind clinicians of serious illness conversations and guide them through the discussion. Alternatively, clinicians may be motivated by sharing their adoption of communication behaviors with others in their practices. Are you Conversation Ready? & Goals of Care Conversation: “What Matters to You?” IHI Case Study #1 Clinician You are seeing Mrs. Mary King, a real estate broker who owns a small

The Conversation Project is an initiative of the Institute for Healthcare Improvement, a not-for-profit organization that is a leader in health and health care improvement worldwide. Guide to ACP Conversations ACP conversations: •Prepare patients for future health care decisions by exploring their values, beliefs, goals, and preferences •Help patients decide on a surrogate decision maker (SDM) and engage the SDM in the ACP process •Are for everyone, not just the seriously ill •Do not require decisions be made after just one discussion •Are not just about

A personal guide This guide is designed to help you think about your future healthcare choices, to be used alongside the companion booklet, 'Getting started'. Download PDF (2.7MB) Serious Illness Conversaon Guide CONVERSATION FLOW PATIENT-TESTED LANGUAGE SI-CG 2017-04-18 1. Set up the conversaon ۰ Introduce purpose ۰ Prepare for future decisions ۰ Ask permission “I’d like to talk about what is ahead with your illness and do some thinking in advance about what is important to you so that I can make sure we provide you with the care you want — is this …

Serious Illness Communications Checklist. Article (PDF Available) Figure. Serious Illness Conversation Guide … Content uploaded by Rachelle Bernacki. … Q:Did you prepare to have a conversation about your wishes for care with a doctor or other health care provider by using any books, forms, tools or other resources to help guide you? Base: Initiated conversation with health care provider

day workshop on the Serious Illness Conversation Program • May present at Train the Trainer Events and act as a facilitator for a 3:1 or 6:1 ratio for either Train the Trainer Events or Clinician Workshops. • Provides mentorship and coaching to Master Trainers and Facilitators . Master Trainer • A person who has presented in a Train the Trainer Event (one day workshop on how to use the Are you Conversation Ready? & Goals of Care Conversation: “What Matters to You?” IHI Case Study #1 Clinician You are seeing Mrs. Mary King, a real estate broker who owns a small

Hospice Care: Focuses on providing the person with serious illness and their family with comfort, pain relief, support services, and spiritual care when they are expected to live six months or less. Serious Illness Conversation Guide. CLINICIAN STEPS Set up • Thinking in advance • Is this okay? • Hope for best, prepare for worst • Benefit for patient/family

Are you Conversation Ready? & Goals of Care Conversation: “What Matters to You?” IHI Case Study #1 Clinician You are seeing Mrs. Mary King, a real estate broker who owns a small The Serious Illness Care Community of Practice is a private space for collaboration between interdisciplinary teams implementing the Serious Illness Care Program at their institutions.

day workshop on the Serious Illness Conversation Program • May present at Train the Trainer Events and act as a facilitator for a 3:1 or 6:1 ratio for either Train the Trainer Events or Clinician Workshops. • Provides mentorship and coaching to Master Trainers and Facilitators . Master Trainer • A person who has presented in a Train the Trainer Event (one day workshop on how to use the a time of serious illness. Involve other disciplines such as social Involve other disciplines such as social work, spiritual care, and nursing to support the family through the

1. Set up the conversation Introduce the idea and benefits Ask permission 2. Assess illness understanding and information preferences 3. Share prognosis 1. Set up the conversaon Introduce the idea and benets Ask permission 2. Assess illness understanding and informaon preferences 3. Share prognosis

a time of serious illness. Involve other disciplines such as social Involve other disciplines such as social work, spiritual care, and nursing to support the family through the Understanding What is your understanding now of where you are with your illness? Information preferences How much information about what is likely to be

9.A Serious Illness Conversation Guide. 2013. Ariadne Labs: A Joint Center For Health Systems Innovations and Dana Farber Cancer Institute. 2013. Ariadne Labs: A Joint Center For Health Systems Innovations and Dana Farber Cancer Institute. Checklist-Diagnosed-With-Serious-Illness.pdf. Whether it's for yourself or someone you love, let us help you get some important planning out of the way. Checklist: Creating An Advance Health Care Directive. Advance-Directive-Checklist.pdf. This downloadable checklist serves as a guide in helping you prepare your Advance Directive, and for any conversation you may have with your doctors or your

Checklist-Diagnosed-With-Serious-Illness.pdf. Whether it's for yourself or someone you love, let us help you get some important planning out of the way. Checklist: Creating An Advance Health Care Directive. Advance-Directive-Checklist.pdf. This downloadable checklist serves as a guide in helping you prepare your Advance Directive, and for any conversation you may have with your doctors or your UK Conversation Guide Research 1. Overview The Serious Illness onversation Guide ( Zthe Guide) is an evidence-based clinical tool that enables clinicians to engage their seriously ill patients in conversations about their goals, values, and priorities. These conversations help clinicians to personalise and align care with what matters most to individual patients. They may also enhance a

The Serious Illness Care Program was created by a team of palliative care experts at Ariadne Labs to address these challenges. It is a system-level intervention centered around a Serious Illness Conversation Guide, structured questions drawn from best practices in basic palliative care. It serves as a framework for clinicians to explore topics that are crucial to gaining a full understanding guide productive conversations around the tough topics the series raises and how these situations can be addressed particularly if viewers resonate with any of the characters. 13 Reasons Why seeks to highlight how the behaviors we show others and that are shown to us can be very impactful, the importance of having empathy and compassion for others, even when their struggles aren’t obvious

New Resource for Health Care Professionals: A CME-accredited 2 part Serious Illness Conversation education package is now available that includes an online module (1 … Learn more about Aging with Dignity's driving principle to safeguard and affirm the human dignity of every person who faces the challenges of aging, serious illness, disability or loneliness.

Goals of care UpToDate

serious illness conversation guide pdf

Serious Illness Conversation Guide Mercy. The Conversation Project is an initiative of the Institute for Healthcare Improvement, a not-for-profit organization that is a leader in health and health care improvement worldwide., simple Serious Illness Conversation Guide, suggestions to help patients discuss preferences about their care with families, and a system for documenting personalized care goals and priorities..

Principles for Customizing the Serious Illness

serious illness conversation guide pdf

Serious Illness Conversation Guide bcrenalagency.ca. conversations at the right time, how to use a short, simple Serious Illness Conversation Guide, suggestions to help patients discuss preferences about their care with families, and a system for documenting personalized care goals and priorities. Background The Serious Illness Conversation Guide was developed through a systematic approach that included: • Expert input • Extensive review of evidence.

serious illness conversation guide pdf


These might include payment approaches that incentivize the time spent on communication, or electronic health record prompts that remind clinicians of serious illness conversations and guide them through the discussion. Alternatively, clinicians may be motivated by sharing their adoption of communication behaviors with others in their practices. • The questions in the serious illness conversation guide are easily understood, acceptable to African-American participants in our focus groups, and enhanced our participants sense of feeling cared for.

• Well-established communication strategies such as “The Serious Illness Conversation Guide”6 can be helpful for discussing goals of care. Refer to Associated Document: The Serious Illness Conversation Guide . UK Conversation Guide Research 1. Overview The Serious Illness onversation Guide ( Zthe Guide) is an evidence-based clinical tool that enables clinicians to engage their seriously ill patients in conversations about their goals, values, and priorities. These conversations help clinicians to personalise and align care with what matters most to individual patients. They may also enhance a

Learn more about Aging with Dignity's driving principle to safeguard and affirm the human dignity of every person who faces the challenges of aging, serious illness, disability or loneliness. 1. Set up the conversation Introduce the idea and benefits Ask permission 2. Assess illness understanding and information preferences 3. Share prognosis

Understanding What is your understanding now of where you are with your illness? Information preferences How much information about what is likely to be Siguientes Pasos (Next Steps) is a Spanish language guide to discussing and coping with serious illness and is a companion to Five Wishes.The guide includes information on completing Five Wishes, talking to family members about completing a living will and discussing with your doctor.

1. Set up the conversaon Introduce the idea and benets Ask permission 2. Assess illness understanding and informaon preferences 3. Share prognosis Physicians are trained to maintain health and fight illness, but typically receive little guidance on how to communicate with dying patients and their families. 1 – 3 Thus, in our death-averse society, 4 it is not surprising that many physicians find it difficult to engage in end-of-life discussions.

actively manage their mental health lead fulfilling lives. Don’t be afraid to have a conversation about mental health including self-harm and suicide. the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, …

Physicians are trained to maintain health and fight illness, but typically receive little guidance on how to communicate with dying patients and their families. 1 – 3 Thus, in our death-averse society, 4 it is not surprising that many physicians find it difficult to engage in end-of-life discussions. • Well-established communication strategies such as “The Serious Illness Conversation Guide”6 can be helpful for discussing goals of care. Refer to Associated Document: The Serious Illness Conversation Guide .

Q:Did you prepare to have a conversation about your wishes for care with a doctor or other health care provider by using any books, forms, tools or other resources to help guide you? Base: Initiated conversation with health care provider 1/04/2014 · Although most patients with a serious illness and their family members are ready to engage in such conversations with their health care providers, 6 some may indicate by their responses that they are not ready (e.g., “I do not plan to get sick,” “I will wait until the time comes.”). It is important to be sensitive to this and to recognize that such conversations are a process rather

the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, … An understanding of patients’ care goals in the context of a serious illness is an essential element of high-quality care, allowing clinicians to align the care provided with what is most important to the patient.

Are you Conversation Ready? & Goals of Care Conversation: “What Matters to You?” IHI Case Study #1 Clinician You are seeing Mrs. Mary King, a real estate broker who owns a small 1. Set up the conversation Introduce purpose Prepare for future decisions Ask permission 2. Assess understanding and preferences 3. Share prognosis

conversations at the right time, how to use a short, simple Serious Illness Conversation Guide, suggestions to help patients discuss preferences about their care with families, and a system for documenting personalized care goals and priorities. Serious Illness Conversaon Guide CONVERSATION FLOW PATIENT-TESTED LANGUAGE SI-CG 2017-04-18 1. Set up the conversaon ۰ Introduce purpose ۰ Prepare for future decisions ۰ Ask permission “I’d like to talk about what is ahead with your illness and do some thinking in advance about what is important to you so that I can make sure we provide you with the care you want — is this …

1/04/2014 · Although most patients with a serious illness and their family members are ready to engage in such conversations with their health care providers, 6 some may indicate by their responses that they are not ready (e.g., “I do not plan to get sick,” “I will wait until the time comes.”). It is important to be sensitive to this and to recognize that such conversations are a process rather Serious Illness Conversation Guide. CLINICIAN STEPS Set up • Thinking in advance • Is this okay? • Hope for best, prepare for worst • Benefit for patient/family

Talking about your illness with loved ones and caregivers This booklet can help you talk with your loved ones about your illness and the future. 1. Set up the conversaon Introduce the idea and benets Ask permission 2. Assess illness understanding and informaon preferences 3. Share prognosis

The Conversation Project is an initiative of the Institute for Healthcare Improvement, a not-for-profit organization that is a leader in health and health care improvement worldwide. Essential elements — Given that discussions about serious illness care goals are challenging, highly stressful, and emotionally difficult for clinicians, use of a conversation guide supports clinicians and assures completion of key components of the conversation. We prefer a stepwise approach using a "talking map" called REMAP. This is the approach used in

This conversation guide is not to be used as legal advice in any situation. You are empowered to make your own health care choices. Living life to the fullest can mean different things to different people, and it is important to think and talk about what it means to you. The stories on the next three pages can be used to help you think and talk about what life means to you in the event that Next Steps. Serious Illness. DOCUMENT THE WISHES IN WRITING Refer to THN Advance Care Planning Toolkit if . needed. •Proactive: Advance Directive (NC Short Form,

The Serious Illness Care Community of Practice is a private space for collaboration between interdisciplinary teams implementing the Serious Illness Care Program at their institutions. What is the patient willing to consent to as treatment if his/her condition were to seriously deteriorate? The Serious Illness Conversation Guide developed by Ariadne Labs provides a framework for physicians to engage in care planning with patients in a manner acceptable to the patient.

Background The Serious Illness Conversation Guide was developed through a systematic approach that included: • Expert input • Extensive review of evidence the Serious Illness Conversation Guide for use within the UK health care setting McGlinchey T, Mason S, Coackley A, Maguire M, Roberts A, Maloney F, …

Q:Did you prepare to have a conversation about your wishes for care with a doctor or other health care provider by using any books, forms, tools or other resources to help guide you? Base: Initiated conversation with health care provider The purpose of the study is to evaluate the impact of implementing a "Serious Illness Conversation Guide" to guide patient/family-clinician discussions and planning about end-of-life care decisions.

Background The Serious Illness Conversation Guide was developed through a systematic approach that included: • Expert input • Extensive review of evidence This conversation guide is not to be used as legal advice in any situation. You are empowered to make your own health care choices. Living life to the fullest can mean different things to different people, and it is important to think and talk about what it means to you. The stories on the next three pages can be used to help you think and talk about what life means to you in the event that

Background The Serious Illness Conversation Guide was developed through a systematic approach that included: • Expert input • Extensive review of evidence 1. Set up the conversaon Introduce the idea and benets Ask permission 2. Assess illness understanding and informaon preferences 3. Share prognosis

a time of serious illness. Involve other disciplines such as social Involve other disciplines such as social work, spiritual care, and nursing to support the family through the An understanding of patients’ care goals in the context of a serious illness is an essential element of high-quality care, allowing clinicians to align the care provided with what is most important to the patient.

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