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Goals of Care: Development and Use of the Serious Veterinary Illness Conversation Guide
1Whole Animal Veterinary Geriatrics and Palliative Care Services, Ithaca, NY, USA; Cornell Health, Counseling and Psychological Services, Ithaca, NY, USA; University of Tennessee Veterinary Social Work Certificate Program, Knoxville, TN, USA.
Abstract:
Goals of care (GOC) conversations and resulting goal-concordant treatment are the heart of palliative medicine. Despite repeated evidence that GOC conversations offer significant benefit and minimal harm, barriers to widespread and high-quality implementation persist in human medicine. One strategy to overcoming these barriers has been utilization of a structured checklist format for serious illness conversations. The Serious Illness Conversation Guide was developed for human patients and has been modified for use in the veterinary profession. The guide promotes individualized, goal-concordant care planning even when conflict and emotional demands are high.
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