General principles |
Meeting early and frequently with the family/caregivers |
Involving the primary care doctor before, during, or after the meeting |
Allocating sufficient time to provide information and discussion |
Being accessible and ensuring continuity of care where possible |
During the meeting |
Providing information about the role of each health care provider present at the meeting |
Listening, encouraging questions, and providing emotional support |
Using empathic statements |
Providing complete information about the medical situation to the family/caregiver |
Avoiding providing contradictory information or explaining the appearance of contradictions |
Supporting the decision-maker through the decision-making process |
Paying attention to the patient's values |
Allowing enough time for the family/caregiver to speak |
Providing written information if requested |
Discussing the use of time-limited trials if appropriate |
Using expressions of nonabandonment and assurances of comfort |
Discussing spiritual needs (if desired) |