A communication model for encouraging optimal care at the end of life for hospitalized patients

S. Workman
2007 QJM: Quarterly journal of medicine  
Multiple studies have demonstrated that treatment at or near the end of life is rarely optimal. Unwanted death-prolonging treatments are frequently provided and open communication about death and dying is often lacking. Early effective communication about goals, prognosis and options would improve patient care at or near the end of life by enhancing choice and facilitating palliative care. A five-step sequential approach to communicating with patients at risk of dying in hospital about
more » ... goals and outcomes (and/or their family members) is presented. The five steps are founded upon the recognition that trials of life-sustaining treatments are also, by definition, trials of palliative care. A narrative review of currently available qualitative and quantitative research is used to support the recommendations.
doi:10.1093/qjmed/hcm114 pmid:18089545 fatcat:6duelxyfrng4pck27w73vxwcwq