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Published on: February 16, 2011
End-of-life conversations: evolving practice and theory.
1Veterans Affairs Health Care Network, Upstate New York, 113 Holland Ave (111T), Albany, NY 12208-0980 USA.
JAMA
|September 23, 2000
Summary
End-of-life conversations are crucial for terminally ill patients. Improving physician communication and patient-centered care can enhance these discussions, ensuring better quality of life.
Area of Science:
- Medical communication
- Palliative care
Background:
- Barriers exist in patients, families, healthcare professionals, and systems.
- These barriers negatively impact the quality of life for terminally ill patients.
Purpose of the Study:
- To examine the evolution and necessity of end-of-life conversations.
- To identify strategies for improving end-of-life discussions.
Main Methods:
- Literature review and synthesis of identified barriers and strategies.
- Analysis of factors influencing end-of-life discussions.
Main Results:
- Key strategies include enhancing physician communication skills, adopting patient-centered care, focusing on quality of life, and implementing earlier clinical models.
- Advance care planning is a component of ongoing end-of-life discussions.
Conclusions:
- End-of-life conversations should be a routine, structured healthcare intervention.
- Further randomized trials are needed to evaluate new approaches and models for enhancing these discussions.
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