Word: ended
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...Does this House provision for funding end-of-life counseling concern you? This provision says that people should talk about what their goals of care are and what they want at the end of life. That could be anything. This is an opportunity for patients and physicians to share information with each other and come up with a plan. It is one of the special things about being a physician. You get to know your patient and what matters to them, and their inner thoughts, and their lives, and that's a very special role that most physicians value...
...important is Medicare reimbursement for doctors counseling patients about end-of-life care? For some people one conversation is enough, and you get the whole picture and they tell you exactly what they want. For other people, 10 conversations in 10 weeks won't suffice. Coverage for this is expensive, but I think offering it is a wonderful first step in highlighting the importance of it by paying...
...What kind of end-of-life-care counseling do you provide to your patients? How does it work? Many patients have chronic illness and some disability or medical issue, and part of providing care is to speak with them about what to expect with their illness, what alternatives exist, and to have a conversation about what their preferences are. This shouldn't just happen at the end of life. You should get to know people and have these conversations throughout providing care. I like to talk individually with the patient if they are comfortable with that. If they are more...
...often do you provide end-of-life counseling? It comes up very frequently in our practice, either with new patients who present very ill, or patients we have known for a very long time that have encountered a new serious condition that may be life-threatening. Death is not an option. Everyone is going to die at some point...
...want to go through that," but they are afraid to limit options for family members, and I can understand that. If a proxy knows that the patient always said, "This is how I want to live my life, this is how I want my life to end," they feel very much more comfortable in making those decisions. So I think the fact that there is some national conversation about this is good in that it starts people talking to their friends and family about what is important to them...