Including Goals of Care in Treatment Decisions—Meeting Them Where They Are Involves Moving

Including Goals of Care in Treatment Decisions—Meeting Them Where They Are Involves Moving

Linebarger JS

JAMA Pediatrics

2023

Patient Care Planning; Chronic Disease; Conversation; Critical Illness; Decision Making Shared; Family; Goals and Objectives; Health Personnel; Health Priorities; Health Status; Palliative Care; Parents; Pediatric Care; Quality of Life

Asking about the guiding goal of care (GOC) offers health care professionals a perspective on how an individual patient or a family prioritizes health care decisions and is an essential component of shared-decision making. Listening to the patient and family response offers insight into how they are sensemaking in the setting of an illness. Incorporating GOCs into treatment decisions promotes goal-concordant care for the patient and family and fosters alignment among health care professionals. Attending to patient GOCs fosters “feeling heard and understood,” an important quality measure.1 Inclusion of GOCs is paramount to providing quality health care in nearly all circumstances, not only near end of life.

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October List 2023