Serious Illness Conversations

Discussing prognosis is an important but challenging aspect of clinical care with limited evidence to guide best practices. Lu et  al1 should be commended for their perspective article that proposes a three-stage protocol which may prove useful for providers and trainees who are leading goals of care conversations for patients with highly predictable prognoses, such as those who are hospitalized with irreversible multiorgan f ailure. However, we are concerned about the blanket application of this protocol to include the many cancer patients with high-risk disease but who may still be early in their clinical course.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Letter to the editor Source Type: research