TY - CHAP M1 - Book, Section TI - Goals of Care & Consideration of Prognosis A1 - Widera, Eric A1 - Smith, Alexander K. A2 - Walter, Louise C. A2 - Chang, Anna A2 - Chen, Pei A2 - Harper, G. Michael A2 - Rivera, Josette A2 - Conant, Rebecca A2 - Lo, Daphne A2 - Yukawa, Michi Y1 - 2021 N1 - T2 - Current Diagnosis & Treatment Geriatrics, 3e AB - Goals of care discussions provide a broad framework for decision making, helping align patients’ underlying values and hopes with the realistic and achievable options for care given the current medical circumstances. This is no easy task, however, as patients and their family members may simultaneously express multiple goals for their health care, which may include maintenance of independence, prevention of illness, prolongation of life, relief of suffering, and maximization of time with family and friends. The relative importance placed on each goal may change over time as new information is shared with the patient or family, such as a new diagnosis or a worsening prognosis. These goals should serve as a guide from which patients and their physicians can develop specific plans for treatment when dealing with acute or chronic illnesses. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1180013651 ER -