Dealing with Death & Dying in Medical Education and Practice
© 2001 Kirsti A. Dyer, MD, MS Email:griefdoc@kirstimd.com
AMSA Convention March 30, 2001
Clinical Indications for Discussing End-of-Life Care

Urgent Indications

   Patients facing imminent death
   Patients talk about wanting to die
   Patients or Families inquiries about hospice or palliative care
   Patient recently hospitalized for severe progressive illness
   Patient suffering out of proportion to prognosis
Routine Indications 
   Discussing Prognosis
   Discussing treatment with low probability of success
   Discussing hopes and fears
   Physician would not be surprised if the patient died in the next 6-12 months. 
Source
Quill TE. Initiating End-of-Life Discussions With Seriously Ill Patients: Addressing the "Elephant in the Room." JAMA 2000;284:2502-2507.

Compilation of resources for this presentation © 2001 Kirsti A. Dyer, MD, MS. Journey of Hearts, www.journeyofhearts.org