Thomas RL

Zubair MY

Hayes B

Ashby MA

2014-10-20

A novel clinical framework called "goals of care" (GOC) has been designed as a replacement for not-for-resuscitation orders. The aim is to improve decision making and documentation relating to limitations of medical treatment. Clinicians assign a patient's situation to one of three phases of care - curative or restorative, palliative, or terminal -according to an assessment of likely treatment outcomes. This applies to all admitted patients, and the default position is the curative or restorative phase. GOC helps identify patients who wish to decline treatments that might otherwise be given, such as treatment with blood products. This includes patients for whom specific limitations apply because of their beliefs. GOC has been introduced at Royal Hobart Hospital, Tasmania, and at Northern Health, Melbourne. So far, audit data and staff feedback have been favourable. There have been no reported major incidents or complaints in which GOC has been causally implicated in an adverse outcome.

Royal Hobart Hospital, Hobart, TAS, Australia. michael.ashby@dhhs.tas.gov.au..

Royal Darwin Hospital, Darwin, NT, Australia..

Advance Care Planning Program, Northern Health, Melbourne, VIC, Australia..

Royal Hobart Hospital, Hobart, TAS, Australia..

The Medical journal of Australia 2014-10-20; 201(8): 452-5

https://pubmed.ncbi.nlm.nih.gov/25332031/?otool=iaurydwlib

https://ezpdhcs.nt.gov.au/login?url=https://hdl.handle.net/10137/5549

Humans

Palliative Care

Patient Care Planning

Resuscitation Orders

Decision Making

Goals of care: a clinical framework for limitation of medical treatment.

Journal Article

Review

Publication