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Am J Hosp Palliat Care. 2008 Dec-2009 Jan;25(6):501-11. doi: 10.1177/1049909108328256.

Goals of care toward the end of life: a structured literature review.

Author information

1
Department of Internal Medicine, Division of General Internal Medicine, University of Iowa Carver College of Medicine, 500 Newton Road, Iowa City, IA 52242, USA. lauris-kaldjian@uiowa.edu

Abstract

Goals of care are often mentioned as an important component of end-of-life discussions, but there are diverse assessments regarding the type and number of goals that should be considered. To address this lack of consensus, we searched MEDLINE (1967-2007) for relevant articles and identified the number, phrasing, and type of goals they addressed. An iterative process of categorization resulted in a list of 6 practical, comprehensive goals: (1) be cured, (2) live longer, (3) improve or maintain function/quality of life/ independence, (4) be comfortable, (5) achieve life goals, and (6) provide support for family/caregiver. These goals can be used to articulate goal-oriented frameworks to guide decision making toward the end of life and thereby harmonize patients' treatment choices with their values and medical conditions.

PMID:
19106284
DOI:
10.1177/1049909108328256
[Indexed for MEDLINE]

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