How do you approach end-of-life care discussions with patients who have limited social support and are homeless in critical care?

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Sample interview questions: How do you approach end-of-life care discussions with patients who have limited social support and are homeless in critical care?

Sample answer:

Approach to End-of-Life Care Discussions with Homeless Patients with Limited Social Support

1. Establish a Safe and Compassionate Environment:

  • Respect patients’ experiences and acknowledge their unique challenges.
  • Create a calm and private space where they feel comfortable sharing their perspectives.
  • Use empathetic language and avoid judgment.

2. Explore End-of-Life Goals and Values:

  • Ask patients about their wishes, beliefs, and fears regarding end of life.
  • Facilitate discussions about their preferences for medical interventions, pain management, and spiritual support.
  • Respect their decisions and values, even if they differ from the healthcare team’s perspective.

3. Assess Social Support and Resources:

  • Evaluate patients’ social connections and identify any gaps in support.
  • Partner with social workers to connect patients with community resources, such as shelters, soup kitchens, and mental health services.
  • Consider involving other healthcare professionals, such as chaplains, who can provide emotional and spiritual support.

4. Support Decision-Making:

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