TY - JOUR
T1 - "In the Beginning... "
T2 - Tools for Talking About Resuscitation and Goals of Care Early in the Admission
AU - White, Jocelyn
AU - Fromme, Erik K.
PY - 2013/11
Y1 - 2013/11
N2 - Quality standards no longer allow physicians to delay discussing goals of care and resuscitation. We propose 2 novel strategies for discussing goals and resuscitation on admission. The first, SPAM (determine Surrogate decision maker, determine resuscitation Preferences, Assume full care, and advise them to expect More discussion especially with clinical changes), helps clinicians discover patient preferences and decision maker during routine admissions. The second, UFO-UFO (Understand what they know, Fill in knowledge gaps, ask about desired Outcomes, Understand their reasoning, discuss the spectrum Feasible Outcomes), helps patients with poor or uncertain prognosis or family-team conflict. Using a challenging case example, this article illustrates how SPAM and UFO-UFO can help clinicians have patient-centered resuscitation and goals of care discussions at the beginning of care.
AB - Quality standards no longer allow physicians to delay discussing goals of care and resuscitation. We propose 2 novel strategies for discussing goals and resuscitation on admission. The first, SPAM (determine Surrogate decision maker, determine resuscitation Preferences, Assume full care, and advise them to expect More discussion especially with clinical changes), helps clinicians discover patient preferences and decision maker during routine admissions. The second, UFO-UFO (Understand what they know, Fill in knowledge gaps, ask about desired Outcomes, Understand their reasoning, discuss the spectrum Feasible Outcomes), helps patients with poor or uncertain prognosis or family-team conflict. Using a challenging case example, this article illustrates how SPAM and UFO-UFO can help clinicians have patient-centered resuscitation and goals of care discussions at the beginning of care.
KW - advance care planning
KW - communication
KW - goals of care
KW - palliative care
KW - resuscitation
UR - http://www.scopus.com/inward/record.url?scp=84885745660&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885745660&partnerID=8YFLogxK
U2 - 10.1177/1049909112468609
DO - 10.1177/1049909112468609
M3 - Article
C2 - 23236089
AN - SCOPUS:84885745660
SN - 1049-9091
VL - 30
SP - 676
EP - 682
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 7
ER -