Abstract
As the trajectory of a patient’s medical course approaches its end stage, assessing a patient’s prognosis through tools such as the FAST score and the “surprise question,” and using communications frameworks such as the “Ask-Tell-Ask” model can assist in engagement of patients and families in goals of care discussions. Home-based medical care providers should be skilled at providing primary palliative care and refer patients to palliative medicine specialists or to hospice care when appropriate.
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Additional Resources
Center to Advance Palliative Care (www.capc.org)
Fast Facts (www.mypcnow.org/fast-facts)
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Li, I., O’Donnell, L. (2020). End-of-Life Care. In: Colburn, J., Leff, B., Hayashi, J., Schuchman, M. (eds) Home-Based Medical Care for Older Adults. Springer, Cham. https://doi.org/10.1007/978-3-030-23483-6_20
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DOI: https://doi.org/10.1007/978-3-030-23483-6_20
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