Goals of care are what a person wants to achieve during an episode of care, within the context of their clinical situation.
Goals of care:
Understanding the person’s goals of care in the context of advanced illness is an essential part of personalised care.
Setting and achieving goals in a person’s care can:
Ideally discussions about goals of care should be about how the person with advanced illness wants to live rather than having a limited focus on death and dying or terminal care.
Nurses have a role in helping the people in their care plan their care through discussing and setting goals. You can assist the person to set realistic goals by helping them to think about what they consider important and encouraging them to discuss their preferences.
The following open-ended questions can be helpful:
Checking and clarifying can ensure that the set goals truly reflect the person’s wishes:
Recording these goals allows the interdisciplinary team to be informed.
Conducting a family meeting can be useful to provide information, to address the questions and concerns of the person and the family, and to establish goals of care.
Goals are likely to change as the person’s illness progresses.
This information was drawn from the following resources:
Do the PCC4U Module 4 Activity 3: Goals of Care
Read Identifying Goals of Care
Access more Goals of Care Resources
Page created 15 August 2022