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Evaluation

Ethics

(SU31) Advance Care Planning or Serious Illness Communication? The Spectrum of Caring Conversations

Sunday, March 10, 2024
1:00 PM – 2:30 PM CT
Room: 304
CMD Management Credit Recording
CME: (1.5) MOC: (1.5) CMD Management: (1.5) NP Pharmacology Hours ()
Disclosure(s):
Peter L. Jaggard, MD, CMD, FACP: No financial relationships to disclose.
Fatima A. Naqvi, MD, CMD: No financial relationships to disclose.
M. Rosina Finley, MD, CMD: No financial relationships to disclose.
This session will
1) describe the current controversy regarding the value of ACP and the role of Serious Illness Conversation in clinical care;
2) encourage clinicians to think about the temporal context in which each ACP discussion is occurring along a spectrum from no foreseeable serious illness at one end of the spectrum, and an imminent or "in-the-moment" episode of serious acute illness at the other end of the spectrum, with all degrees of clinical urgency in between these extremes;
3) given this variety of temporal contexts in which ACP and SIC conversations occur, this session will prompt clinicians to define ACP goals, develop caring conversational strategies, and offer patient education that are relevant to the clinical context;
4) affirm that preparation of the patient or proxy for SIC and prevention of foreseeable caregiver stress are as much the goals of a respectful ACP process as is achieving goal-concordant care.

Learning Objectives:

At the completion of this session, learners will be able to:
  • Recognize the temporal context of a patient's clinical condition as an important aspect of an Advance Care Planning conversation.
  • Conduct an Advance Care Planning visit that includes education about the natural history of the patient's clinical condition and the relative immediacy of potential acute complications of their current condition.
  • Prepare the patient or their proxy for potentially difficult medical care decisions they may face in the future due to the natural history of the clinical conditions with which that are dealing.
  • Describe how Advance Care Planning that contains the elements above may help make future Serious Illness Communication easier for both clinician and patient.