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Updated: Dec 12, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Identifying Goals of Care.

Amber Comer¹, Lyle Fettig², Alexia M Torke³

¹School of Health and Human Sciences, Indiana University, 1050 Wishard Boulevard, RG 3034, Indianapolis, IN 46202, USA.

The Medical Clinics of North America

|August 11, 2020

Summary

This summary is machine-generated.

Effective goals of care conversations with older adults require understanding medical conditions and patient values before discussing interventions. Resources exist to help clinicians develop these crucial communication skills.

Keywords:

Ethics Geriatrics Goals of care Palliative care

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Area of Science:

Geriatrics
Medical Education
Communication Skills

Background:

Goals of care conversations are critical for older adults but present challenges for clinicians.
Clinician focus often centers on medical interventions rather than patient-centered discussions.
Effective communication is essential for aligning medical care with patient values and preferences.

Purpose of the Study:

To highlight the importance of a structured approach to goals of care conversations.
To emphasize the need for shared understanding of medical conditions and outcomes.
To identify strategies for improving clinician skills in discussing patient values and goals.

Main Methods:

Review of existing literature and online resources on goals of care communication.
Analysis of best practices in facilitating shared decision-making in geriatric care.
Identification of key components for successful clinician training.

Main Results:

Successful conversations prioritize understanding medical conditions and outcomes before discussing values.
A structured approach enhances the effectiveness of goals of care discussions.
Numerous resources are available to support clinician training in this area.

Conclusions:

Clinicians should initiate goals of care conversations by establishing a shared understanding of the patient's medical situation.
Integrating discussions of patient values and goals after establishing medical understanding leads to more successful outcomes.
Accessible training resources can bridge the gap in current medical education for these vital skills.