• J Pain Symptom Manage · Jan 2024

    JPSM Controversies in Palliative care: "What is the most important, measurable goal of serious illness conversations in the ambulatory setting?".

    • Robert M Arnold, Kristin Levoy, Susan E Hickman, Areej El Jawahri, Vicki Jackson, and James A Tulsky.
    • Department of Medicine, Section of Palliative Care and Medical Ethics, Palliative Research Center (R.M.A.), UPMC Health System, Palliative and Supportive Care Institute, Pittsburgh, PA, USA. Electronic address: bma1@mac.com.
    • J Pain Symptom Manage. 2024 Jan 1; 67 (1): e105e110e105-e110.

    AbstractThere is widespread agreement that clinicians should talk to seriously ill patients and their families about their illnesses. However, advance directives as a quality metric have been called into question because of the lack of data that these conversations lead to goal-concordant care. The controversy has led many to reexamine the purpose of conversations with seriously ill patients and what should be discussed in ambulatory visits.  In this Controversies in Palliative care, experts in palliative care review the literature and suggest both how it influences their clinical practice and what research needs to be done to clarify the controversy. While there is not a single outcome that the experts agree on, they posit a variety of different ways to assess these conversations.Copyright © 2023 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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