3 tips - You CAN overcome your patient's reluctance to have advance care planning conversations

Uncategorized Jan 17, 2022

The challenge: 

Starting end-of-life advance care planning conversations with our patients can seem daunting. Tight, overbooked schedules, demanding workloads, and even lack of training are some of the barriers. 

Another barrier: our patients’ ambivalence - even reluctance - to have end-of-life advance care planning conversations. 

Interestingly, I’ve found that both doctors and patients alike confuse advance care planning conversations with delivering bad news conversations. 

Here are 3 tips to help.  


Tip #1: encourage patient readiness.

We clinicians can take comfort. Most of my patients were pleased, in hindsight, when I made the effort to discuss elements of their end-of-life advance care planning in a routine, supportive, and sensitive way.

Surprise: I discovered that this discussion itself encourages readiness and openness when handled in a supportive and sensitive way. 

For example, you notice Mr. Arnold’s...

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Talking about End-of-Life Care & Revitalizing Clinical Practice

Uncategorized Mar 17, 2021

Vamshi Gunukula of DirectShifts, a physician staffing company, interviewed me on 3/4/21. We discuss a variety of issues that primary care doctors face, from end-of-life advance care planning to changing models of care, the role of healthcare informatics to thoughts about potential new opportunities.

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