Being able to openly discuss changes in care and to talk comfortably about end-of-life issues is important. Patients respect and value this part of a GP’s role.
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TIP - Most patients expect their doctor will raise palliative care issues when needed. Find an opening statement you are comfortable using. |
Palliative care conversations
Sometimes it is hard to have these conversations. Being prepared makes a difference. Several simple strategies can help.
- Clinical practice guidelines on communicating prognosis and end-of-life issues are available. They provide examples of opening questions and useful phrases for these conversations.
- Find questions or phrases you are comfortable using to initiate and continue converstations about palliative care.
- When organising an appointment check if the patient wants someone to be there with them
The End-of-Life Palliative Education Resource Centre (EPERC) Fast Facts provide succinct, practical guidance on how to:
Emotional issues, and questions about life and existence
Emotional, existential and spiritual concerns can become more important towards the end of life. Often it is enough for GPs just to listen. Some patients may need more active care and referral.
EPERC Fast Facts have guidance on:
- The living well interview
Helps doctors and patients identify the main concerns as death approaches, and helps create a positive context for advance care planning conversations
- The patient centered interview
Helps the doctor to understand how the patient thinks about their situation, and may be useful when patients do not seem to accept medical advice or treatment
- The spiritual history
Helps the doctor to understand a patient’s beliefs and culture, in order to provide appropriate care.
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This page was created on 26 May 2009 and is due for review in May 2011.