Um relatório sintético (19 páginas, no total), com mitos, barreiras e casos, além das recomendações. Royal College of Physicians.
During our research, we identified that the timely, honest conversations about their future that patients want
are not happening. Many physicians do not feel confident to initiate these conversations, to handle prognostic
uncertainty or to discuss decisions about care and treatment that balance duration and quality of life. [p. 12]
The Talking about dying report seeks to offer advice and support for any doctor on holding conversations with patients much earlier after the diagnosis of a progressive or terminal condition, including frailty.
- Ask the patient if they would like to have the conversation and how much information they would want.
- All healthcare professionals reviewing patients with chronic conditions, patients with more than one serious medical problem or terminal illness, should initiate shared decision making including advance care planning in line with patient preferences.
- Conversations about the future can and should be initiated at any point. The conversation is a process not a tick-box, and does not have to reach a conclusion at one sitting.
- Be aware of the language you use with patients and those they have identified as being important to them, and try to involve all the relevant people in agreement with the patient.