SITUATION
• Pt themselves – few weeks to live
• Relatives of pt
• Colleagues looking after pt
STAGE in palliative care
• At the beginning – just had BBN/just came to terms with Dx
• Few weeks down the line – just start to understand condition/make decision to
stay home or hospice/wonder what happens next
• Last week of life – worry about the aftermath of them passing away/future of
family/ last few days Sx/dying
TYPE of palliative care
• Physical: Sx control/pain control/nausea control/feeling unwell
• Emotional/Mental: Depression/anxiety/fear
• Practical: Support system/carer/financial/hospice
1ST HALF
Give TIME
• Please take your time, there’s no rush. You’re our priority at this point
ICE
• Idea: Please feel free to tell us what’s in your mind
• Concern: I can imagine there are quite a few of things going through your mind
at the moment. Do you mind telling me what really matters to you?
• Expectation: How do you think we can help you best at this point?
EMPATHY/SYMPATHY
• I can see this must be a really difficult time both for you and your family
FAMILY
• Would you like me to speak with your ____? Sometimes that can really help in
this situation.
2ND HALF
SUPPORT group/organization
• Please don’t feel alone in all of this, there are many ways we could support
you? There are many people that can support you.
• There are many people who are good at understanding the keys things that
you’re going through at this point.
MDT
DNAR
• I know that this is a difficult topic, but I wonder have anyone spoken to you
about what will happen if things start to progress quite quickly