As patients near the end of their life, what is essential for physicians to facilitate?

Facilitating clarification of care wishes with both the patient and their family is essential as patients near the end of their life. This process involves open communication about the patient’s preferences for their treatment options, goals of care, and advanced directives. It is a critical step in ensuring that the care provided aligns with the patient’s values and desires, especially when they may no longer be able to articulate their wishes.

Engaging family members in these discussions is important as they often provide support and may be involved in decision-making processes that affect the patient's care. Involving both the patient and family helps ensure that everyone understands the patient's preferences and can advocate for them when needed. This also helps prevent misunderstandings or conflicts about the patient's care choices and can facilitate a more compassionate and respectful approach to end-of-life care.