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11 Patient-Centered Communication (PCC)

Goal is Shared Decision-Making (SDM)

Elements Issues/Discussion Points Strategies
Setting Environment/Introductions “Warning Shot”
Assess P/F Perspective

(P/F=Patient/Family)

 (Start Here)

  • Condition
  • Implication
  • Values/Goals/Preferences
  • Information/Decision Style
  • Active listening
  • “Tell-Me-More”
  • “Most Important”
  • 3 levels
Exchange Information
  • Diagnosis
  • Prognosis
  • Bad News
  • Options
    • Curative
    • Palliative
    • Hospice
    • EOL/LSI/DNAR
  • Correlate to V/G/P
    • “Ask-Tell-Ask
Respond to Emotion “NURSE”
Manage Uncertainty
  • Acknowledge
  • Hope-Address/Reframe
  • Nonabandonment
  • “Best-Worst”
  • “Hope-Worry”
Summary/Recap (Finish Here)

  • Information
  • Goals/Preferences
  • Decision(s)
  • Plan(s)
  • Follow-up

Shared Decision-Making

Overall Purpose:

  • Mutual/shared Understanding
  • Mutual/shared Goals and Plan
  • Healing Relationship

License

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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