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Individuals in any role should ensure that they have current accurate Ontario legislation information where applicable and has appropriate skills for the conversation/assessment.
NSM Hospice Palliative Care Nurse Consultants (HPCNC):
Is a guided conversation, confirming with the person in front of you:
Advanced Care Planning:
Goals of Care conversations is the second step in a 3-step process of eventually gaining consent to treatment. The GOC focus on understanding the nature of the illness, and helping healthcare providers (e.g., nurse, doctor, or social worker) secure the goals of the patient by understanding what the patient desires as an outcome. Accurate Goals of Care help in treatment decisions, and, ultimately, help provide informed consent.
Starting a conversation with your patients about their beliefs, wishes and goals of care may not be easy, but it is an important process. By asking why they have made some decisions like, “No heroic measures”, will start them thinking about their values and wishes. Most people value the potential outcome of a treatment and not the treatment itself. You may learn they value being able to meaningfully interact with those around them, value being able to independently think and make decisions, or being able to communicate their needs. Having values communicated and in place will greatly contribute to quality of life and of themselves and their loved ones if they were mentally incapable of making decisions. It is important that they participate in this conversation and share their wishes now, while they are able to do so.
As a health care provider, having answers to critical questions, such as: