Goals of care conversations are very important and can define the course of patients and their loved ones life. Especially in critically ill /terminally ill patients I frequently use the terms " looks like in spite of providing the best care available to mankind your loved one is not responding to the treatment and looks like almighty/ GOD might have different plans here but still we will try and do our best and see what GOD has for us "
With this I have seen that majority of the families have a different approach towards the critical illness (better understanding ), respect the health care workers more. Also in majority of cases I am able to achieve goals of care.
Do you have any different phrases which are better or approach ?
please share.
sandeep
We also use this type of consolation to pacify the moribund patients' next of kin and it acts really ... and I believe, the statements are true also. Regards- Rabiul.
I believe that in such critical situations we need to find an answer. For this reason I believe, for religious people it conforts them such kind of thoughts. It's more difficult to confort people that doesn't believe in GOD... For this reason I think we get closer to this suffering when we accept that we don't control everything, that we are also human and for what is possible for us we'll do everything in our power to cure this patient or at least that he suffers the minimum and be with himself and his family the more peaceful as posible. Sometimes what people need is just to feel that we are there for them.
Sharma
I believe the discussion must be scientific, even speaking of God.
@ mendes- Thanks for the input- I personally see what kind of personality we are dealing with and accordingly talk to them. Its a step wise approach - and I do it slowly and very cautiously as I do not want family to perceive that as a doctor I do not want to treat their loved one. These moments are so crucial and family members are really emotional- I try and do my best to provide them comfort and become their friends-but at the same time work whats best for my patient- very very tough and tricky and for sure very challenging situation.
I think that in such cases, we have to accept the matter and be patient with the affliction, so behind it is wisdom and a lesson
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