Page 7 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

BUILDing the Goals of Care

TM
Developing Goals of Care Using the BUILD Model
Component Description Key Conversation Points & Phrases
 “Thank you for talking with me today”
BUILD the  “I appreciate you sharing your thoughts with me”
Build trust and respect
foundation  “This must be very difficult for you”
 “Are you ready to talk about this?”
 “What are you hoping hospice can do for you?”
 “Help me understand what you’d like to see happen”
Understand how the
UNDERSTAND  “I want to make sure we’re on the same page”
wound impacts the
the patient  “How can I be of help today?”
patient and family
 “Tell me what you understand about your wound right
now”
Provide information on  Wound treatment risks and benefits
INFORM the
wound treatment and  Disease progression
patient
expected outcomes  Role of the hospice team members
Listen as the patient  “How is this wound impacting your quality of life?”
LISTEN to the shares wound care goals;  “How is wound care impacting your quality of life?”
patient use active listening  “Tell me what you are noticing about your wound”
techniques  “What wound treatments have or have not been helpful?”
Develop a plan of care  Negotiate treatment plan
DEVELOP a plan including the patient,  “This is a process, not an event”
with the family, hospice, and  Acknowledge the patient/family as decision‐makers
patient patient’s circle of  Agree to disagree
caregivers  Revisit the topic on an ongoing basis

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