Paeds Cases · pain-palliative-and-end-of-life-care
Open the goals-of-care conversation with an adolescent with relapsed cancer and the family — OSCE
OSCE communication and shared decision-making station: opening the goals-of-care and advance care planning conversation with a sixteen-year-old with relapsed cancer and the family, addressing the concurrent disease-directed and palliative care, the prognosis, the symptom control, the place of care, and the honest and hopeful communication in plain language.
On this page
Study tools
Target exams
Candidate brief
You have eight minutes to open the goals-of-care and advance care planning conversation with a sixteen-year-old boy with relapsed osteosarcoma and his parents. The disease-directed options are limited and burdensome, and the family is frightened that palliative care means giving up. Use a structured, honest, empathic approach that reframes palliative care, explores the family's understanding and their hopes and worries, addresses the fear of abandonment, and builds a shared plan that integrates the disease-directed and the palliative care. [1][2]
References2ShowHide
- [1]Snaman JM, McCarthy S, Wiener L, et al. Pediatric Palliative Care in Oncology. J Clin Oncol, 2020.PMID 32023163
- [2]Radbruch L, De Lima L, Knaul F, et al. Redefining Palliative Care-A New Consensus-Based Definition. J Pain Symptom Manage, 2020.PMID 32387576