Clarifying Goals of Care
What You’ll Learn
- Elicit patient's and/or surrogate's understanding of the patient’s condition
- Get permission to share news
- Elicit what is most important to the patient in the context of the illness
- Explore your patient’s values as they influence care options, or guide surrogate decision-makers to explore the values and goals of the patient
What You’ll Earn
Only CAPC members who are logged in can earn the following free Continuing Education Credits:
- Case Management: 1.00 CE
- Medicine: 0.50 CME
- Nursing: 1.00 CNE
- Social Work: 1.00 CE (NYSED)
- Social Work: 1.00 CE (NASW)
Tools & Resources
Phrases to use when talking to members/patients and their families about prognosis, advance planning, and quality of life.
Stepwise approach to conversations with patients about their goals of care. Center to Advance Palliative Care and VitalTalk.
Order set that guides providers based on patients' advance care planning decisions.
One-page guides with actionable tips for conversations with patients with serious illness. Free to download, print and share with others.
This resource lists step-wise tips to foster comfortable, productive dialogue for ‘the hospice conversation’.
Goals of care tips for care managers.
Diane E. Meier, MD, FACP, FAAHPM
Founder, Director Emerita and Strategic Medical Advisor, Center to Advance Palliative Care
Robert Arnold, MD
Distinguished Service Professor of Medicine
Chief, Section of Palliative Care and Medical Ethics
Anthony Back, MD
Co-director, University of Washington Center for Excellence in Palliative Care
Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN. Consultant, Center to Advance Palliative Care.
Andrew E. Esch, MD, MBA. Consultant, Center to Advance Palliative Care.
Lynn Hallarman, MD. Associate Professor of Medicine, Director of Palliative Medicine, Stony Brook University Hospital.
Jaime Goldberg, MSW, LCSW, ACHP-SW. PhD student, University of Wisconsin-Madison School of Social Work.
Philip Higgins, PhD, LICSW. President, Lighthouse Counseling of Salem, Inc.
Lynn Hill Spragens, MBA. President and CEO Spragens & Associates, LLC.
Jay R. Horton, PhD, ACHPN, FNP-BC, MPH, CENP. Director of Nursing Safety, Quality, and Performance Improvement Mount Sinai Hospital. Assistant Professor Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai.
Khadidjatou Kane, MD. Oncology Hospitalist, Assistant Professor of Hospital Medicine, Northwestern University Feinberg School of Medicine.
Lolita Melhado, MSN, ARNP, FNP-BC. Family Nurse Practitioner/Palliative Care, Gulf Coast Medical Center - Lee Memorial Health System.
Bridget Montana, MSN, APRN, FPCN, MBA. Hope HealthCare Services, Chief Operating Officer.
Colleen Mulkerin, MSW, LCSW. Director Palliative Care Consult Service, Hartford Hospital.
Drew Rosielle, MD, FAAHPM. Palliative Care, Fairview Health Services, University of Minnesota Medical School.
David Weissman, MD. President, Palliative Care Education, LLC.
Amy Case, MD, FAAHPM. Associate Professor of Oncology, Chair, Department of Supportive Care.*
Melissa Bakar, MD. Assistant Professor, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.*
Sivan Ben-Moshe, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Sachin Kale, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Katie Wang, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
*indicates ABIM Peer Reviewer
Contact information: For answers to frequently asked questions about CAPC courses, read the Online Course FAQ. For technical questions about course activity, email firstname.lastname@example.org. For questions about continuing education credits, contact 201-957-0077.
Provided by the Icahn School of Medicine at Mount Sinai.