DECISION-MAKING
EPEC-Oncology
- Module 9: Negotiating Goals of Care [syllabus (319 KB)] [slides (479 KB)]
- Module 11: Withdrawing Nutrition, Hydration [syllabus (196 KB)] [slides (74 KB)]
- Module 12: Conflict Resolution [syllabus (146 KB)] [slides (79 KB)]
- Module 14: Physician-Assisted Suicide [syllabus (210 KB)] [slides (86 KB)]
Fast Facts
- # 012 Myths About Advance Directives, 2nd ed
Description of the two general types of advance directives - # 014 Palliative Chemotherapy, 2nd ed
What is palliative chemotherapy; how can a non-oncologist decide if it has potential value? - # 016 Moderating an End-of-Life Family Conference, 2nd ed
How to moderate a Family Conference - # 017 Patient-Centered Interviewing, 2nd ed
Patient-centered Interviewing – Assessing a patient's illness experience by asking about 4 dimensions—Feelings, Ideas, Function and Expectations. - # 023 Discussing DNR Orders-Part 1, 2nd ed
An approach to `Code status' discussions with seriously ill patients - # 024 Discussing DNR Orders-Part 2, 2nd ed
What to do if the patient or family/surrogate continues to want CPR and you think it is not in the patient's best interest? - # 026 The Explanatory Model, 2nd ed
Have you ever had this experience – you are talking with a patient about some care option and you just cannot come to an agreement? - # 029 Responding to Patient Emotion, 2nd ed
Eight tasks to guide you in responding to patient emotion - # 035 Information for Patients and Families About Ventilator Withdrawal, 2nd ed
Part 3 of a three-part series on withdrawing ventilator withdrawal. - # 038 Discussing Hospice, 2nd ed
Approaches to discussing hospice care - # 042 Broaching the Topic of a Palliative Care Consultation with Patients and Families, 2nd ed
Tips for beginning a discussion leading to a visit by a palliative care consultation team. - # 055 Decision Making Capacity, 2nd ed
Decision making capacity ('decisionality') refers to a physician's determination, based on clinical examination, that a patient is able to make medical decisions for him- or herself. - # 056 What to do When a Patient Refuses Treatment, 2nd ed
Approaches to management when a competent adult patient refuses treatment, even when the physician believes that the treatment would be beneficial. - # 059 Dealing with Anger, 2nd ed
Approaches to managing anger. - # 065 Establishing End-of-Life Goals: The Living Will Interview, 2nd ed
Doctor-patient discussions about end-of-life treatment are often framed as a choice between "medical treatment vs. treatment withdrawal." - # 076 Telephone Notification of Death - Part 1, 2nd ed
Guidelines when telephone notification is unavoidable. - # 077 Telephone Notification of Death - Part 2, 2nd ed
The dilemma of whether to provide telephone information versus asking family members to first come to hospital before telling them that death has occurred. - # 079 Discussing Organ Donation with Families, 2nd ed
Issues surrounding organ, tissue, and cornea donation. - # 139 Hospice Referral: Moving from Hospital to Home
Key steps in the transition from the acute care hospital setting to home hospice care. - # 152 The Military History as a Vehicle for Exploring End-of-Life Care with Veterans
A military history can be a useful tool in bridging the silence that often surrounds the war experience and can act as a catalyst for discussions about end of life preferences. - # 154 Use of Interpreters in Palliative Care
Key issues when using interpreters. - # 156 Evaluating Requests for Hastened Death
How to evaluate and initially respond to a patient who raises the topic of a hastened death. - # 159 Responding to a Request for Hastening Death
Strategies to respond to patients who continue to want a hastened death despite every effort to find appropriate palliative care alternatives. - # 162 Advance Care Planning in Chronic Illness
Key concepts of the Advance Care Planning (ACP) process. - # 163 Decision Making in Chronic Kidney Disease
Key concepts of the Advance Care Planning process for patients with chronic kidney disease. - # 164 Informed Consent in Palliative Care - Part I
The legal basis for informed consent. - # 165 Informed Consent in Palliative Care - Part II
Common myths about informed consent - # 183 Conflict Resolution I: Careful Communication
An alternate approach to conflict resolution based on understanding a patient's or family's story, attending to their emotions, and establishing shared goals. - # 184 Conflict Resolution II: Principled Negotiation
Principled negotiation is an approach to resolving conflict that avoids power struggles and unwanted compromises. - # 193 Decision Making for Adults with Developmental Disabilities Near the End-of-Life
Medical decision making for adults with developmental disabilities (DD) who are facing terminal or life-limiting diseases such as cancer, end-stage organ failure, or progressive debility. - # 203 Managing One's Emotions as a Clinician
Clinicians' emotional responses to patient care. - # 206 Genetic Screening and DNA Banking at the End-of-Life
Once patients die, however, their DNA is no longer readily available for this future testing. On the other hand, decisions about genetic testing are complex and can have profound emotional, familial, and financial impacts on those affected and should not be pursued hastily. - # 207 Withdrawal of Dialysis: Decision Making
Key issues pertaining to the decision to stop chronic dialysis. Fast Fact #208 discusses the care of patients after it is stopped. - # 216 Asking about Cultural Beliefs in Palliative Care
A framework for taking a 'cultural history' to better understand a patient's and family's needs. - # 222 Preparing for the Family Meeting
Careful preparation for the family meeting is essential to ensure the best outcome - # 224 Responding to Emotion in Family Meetings
Approach to emotions that arise during family meetings - # 225 The Family Meeting: Causes of Conflict
Thee causes of conflict and how to plan an effective strategy to move beyond the conflict to meet the needs of the patient and surrogates. - # 226 Helping Surrogates Make Decisions
Helping surrogates through the decision process when patients cannot participate in decision-making themselves - # 227 The Family Meeting: End of Life Goal Setting and Future Planning
Goal setting when the expected length of life is short
General
Other Resources
- Thinking Ahead: My Life at the End
A resource for people with developmental disabilities to advocate for themselves and stay in control of their lives through the end of their lives. Open access. PDFs available in Chinese, English, Korean, Spanish
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Page Last Modified: Thu Sep 15 2011