Journal of Pain and Symptom Management
Volume 39, Issue 4 , Pages 637-643 , April 2010

Feasibility of Discussing End-of-Life Care Goals with Inpatients Using a Structured, Conversational Approach: The Go Wish Card Game

  • Azadeh Lankarani-Fard, MD

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • David Geffen School of Medicine, UCLA, Los Angeles, California, USA
    • Corresponding Author InformationAddress correspondence to: Azadeh Lankarani-Fard, MD, VA Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Suite 111A, Los Angeles, CA 90403, USA.
    • ,
  • Herschel Knapp, PhD, MSSW

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • ,
  • Karl A. Lorenz, MD, MSHS

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • David Geffen School of Medicine, UCLA, Los Angeles, California, USA
    • ,
  • Joya F. Golden, MSW

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • ,
  • Anne Taylor, BA

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • ,
  • Jamie E. Feld, BA

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • ,
  • Lisa R. Shugarman, PhD

      Affiliations

    • RAND Corporation, Santa Monica, California, USA
    • ,
  • Demetria Malloy, MD

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • David Geffen School of Medicine, UCLA, Los Angeles, California, USA
    • ,
  • Elizabeth S. Menkin, MD

      Affiliations

    • San Diego Hospice, San Diego, California, USA
    • Coda Alliance, San Jose, California, USA
    • ,
  • Steven M. Asch, MD, MPH

      Affiliations

    • VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    • David Geffen School of Medicine, UCLA, Los Angeles, California, USA

,Accepted 29 August 2009.

References 

  1. Lorenz KA, Lynn J, Dy SM, et al. Evidence for improving palliative care at the end-of-life: a systematic review. Ann Intern Med. 2008;148:147–159
  2. Menkin ES. Go Wish: a tool for end-of-life care conversations. J Palliat Med. 2007;10:297–303
  3. Steinhauser KE, Christakis NA, Clipp EC, et al. Factors considered important at the end-of-life by patients, family, physicians, and other care providers. JAMA. 2000;284:2476–2482
  4. Happ MB, Capezuti E, Strumpf NE, et al. Advance care planning and end-of-life care for hospitalized nursing home residents. J Am Geriatr Soc. 2002;50:829–835
  5. The SUPPORT Principal Investigators . A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA. 1995;274:1591–1598
  6. Teno J, Lynn J, Wenger N, et al. Advance directives for seriously ill hospitalized patients: effectiveness with the patient self-determination act and the SUPPORT intervention. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment. J Am Geriatr Soc. 1997;45:500–507
  7. Rosenfeld KE, Wenger NS, Kagawa-Singer M. End-of-life decision making: a qualitative study of elderly individuals. J Gen Intern Med. 2000;15:620–625
  8. Casarett D, Karlawish J, Morales K, et al. Improving the use of hospice services in nursing homes: a randomized controlled trial. JAMA. 2005;294:211–217
  9. Casarett DJ, Quill TE. “I'm not ready for hospice”: strategies for timely and effective hospice discussions. Ann Intern Med. 2007;146:443–449
  10. Schneiderman LJ, Gilmer T, Teetzel HD, et al. Effect of ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial. JAMA. 2003;290:1166–1172
  11. Morrison RS, Chichin E, Carter J, et al. The effect of a social work intervention to enhance advance care planning documentation in the nursing home. J Am Geriatr Soc. 2005;53:290–294
  12. Monteleoni C, Clark E. Using rapid-cycle quality improvement methodology to reduce feeding tubes in patients with advanced dementia: before and after study. BMJ. 2004;329:491–494
  13. Briggs LA, Kirchhoff KT, Hammes BJ, Song MK, Colvin ER. Patient-centered advance care planning in special patient populations: a pilot study. J Prof Nurs. 2004;20:47–58
  14. Song MK, Kirchhoff KT, Douglas J, Ward S, Hammes B. A randomized, controlled trial to improve advance care planning among patients undergoing cardiac surgery. Med Care. 2005;43:1049–1053
  15. Schwartz CE, Wheeler HB, Hammes B, et al. UMass End-of-Life Working Group Early intervention in planning end-of-life care with ambulatory geriatric patients: results of a pilot trial. Arch Intern Med. 2002;162:1611–1618
  16. Quill T, Norton S, Shah M, et al. What is most important for you to achieve?: an analysis of patient responses when receiving palliative care consultation. J Palliat Med. 2006;9:382–388
  17. Glare P, Virik K, Jones M, et al. A systematic review of physicians' survival predictions in terminally ill cancer patients. BMJ. 2003;327:195–198
  18. Fischer GS, Alpert HR, Stoeckle JD, Emanuel LL. Can goals of care be used to predict intervention preferences in an advance directive?. Arch Intern Med. 1997;157:801–807

PII: S0885-3924(10)00126-0

doi: 10.1016/j.jpainsymman.2009.08.011

Journal of Pain and Symptom Management
Volume 39, Issue 4 , Pages 637-643 , April 2010

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