Which of the following is NOT a recommended practice during goals-of-care discussions?

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Multiple Choice

Which of the following is NOT a recommended practice during goals-of-care discussions?

Engaging the patient and, with consent, family or surrogates is essential in goals‑of‑care discussions. This approach supports shared decision making by clarifying prognosis, aligning on patient‑centered goals and desired level of intervention, and creating a plan that can be revisited as circumstances evolve. Excluding family undermines the process, because family members often help interpret the patient’s values, assist in decision making when the patient cannot communicate, and ensure the chosen plan is carried out across different care settings. Clear documentation and communication to the entire care team prevent misunderstandings and help maintain consistency as conditions change. Reassessing decisions when prognosis or the patient’s situation shifts keeps care aligned with the patient’s preferences and avoids outdated or inappropriate interventions.

Engaging the patient and, with consent, family or surrogates is essential in goals‑of‑care discussions. This approach supports shared decision making by clarifying prognosis, aligning on patient‑centered goals and desired level of intervention, and creating a plan that can be revisited as circumstances evolve. Excluding family undermines the process, because family members often help interpret the patient’s values, assist in decision making when the patient cannot communicate, and ensure the chosen plan is carried out across different care settings. Clear documentation and communication to the entire care team prevent misunderstandings and help maintain consistency as conditions change. Reassessing decisions when prognosis or the patient’s situation shifts keeps care aligned with the patient’s preferences and avoids outdated or inappropriate interventions.

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