End of Life Modules

Module 1

End of Life Module 1: Preparation

"Thank you for coming in. I'm here to talk about your mother's care plan."

What you need to do and think about before the conference, and what to say when you walk into the room. Being organized and having a 7-step mental model are key.

Full video transcript
Handout: General Model for End of Life Conversation
Cue Cards: Starting the Conversation

Reading Assignments

Module 2

End of Life Module 2: Common Understanding

"What do you understand about your mother's condition?"

How to set the stage and deliver some information so you and the family achieve a common understanding of the seriousness of the patient's condition.

Video transcript
Cue Cards: What the Family Knows
Cue Cards: Purpose of Meeting ("Warning Shot Across the Bow")

 

Module 3

End of Life Module 3: Responding to Emotions

"I am so sorry to say this, but your mother is dying."

How to be clear with the family that their loved one is terminal, and then responding to their emotions.

Video Transcript
Cue Cards: Clear Message
Cue Cards: Empathy and Support

Reading Assignments

Module 4

End of Life Module 4: Care Goals and Treatment Options

"It is time to consider changing the goals of care."

How to explain "comfort care," code status, and treatment options when the patient is terminal. How to guide and support the family in their decision-making.

Video Transcript
Explaining Comfort Care
Explaining Code Status
Family Decision Making

Reading Assignments

Module 5

End of Life Module 5: Care Plans and Closure

"We will do everything we can to make sure he gets the best of care."

How to confirm decisions, detail the care plan, and provide continuity of care. Learn how to walk out of the room.

Video Transcript
Summarizing Family Wishes
Sample Follow-up Steps
Closing the Conversation

Reading Assignments

Dias, A Patient's Perspective, The Oncologist, 2003