School of Health and Human Sciences, Indiana University, 1050 Wishard Boulevard, RG 3034, Indianapolis, IN 46202, USA.
Division of General Medicine and Geriatrics, Palliative Care, Indiana University School of Medicine, Eskenazi Health, 640 Eskenazi Avenue, Indianapolis, IN 46202, USA.
Med Clin North Am. 2020 Sep;104(5):767-775. doi: 10.1016/j.mcna.2020.06.002.
Goals of care conversations are important but complex for clinicians caring for older adults. Although clinicians tend to focus on specific medical interventions, these conversations are more successful if they begin with gaining a shared understanding of the medical conditions and possible outcomes, followed by discussion of values and goals. Although training in the medical setting is incomplete, there are many published and online resources that can help clinicians gain these valuable skills.
目标关怀对话对照顾老年人的临床医生来说很重要，但也很复杂。尽管临床医生往往专注于特定的医疗干预措施，但如果从共同了解医疗状况和可能的结果开始，并随后讨论价值观和目标，这些对话会更成功。尽管在医疗环境中的培训并不完善，但有许多已发表的和在线资源可以帮助临床医生获得这些宝贵的技能。
