Promoting Excellence : Talking Points for "Triggers" for End-of-Life Discussions

Talking Points for "Triggers" for End-of-Life Discussions

A chart listing six "triggers" for end-of-life discussions with related ethics, communication points, and decision-making points for each.

Educational Tools - Clinician Education

The Amyotrophic Lateral Sclerosis Workgroup of
Promoting Excellence in End-of-Life Care
Hiroshi Mitsumoto, MD, Chair

Hiroshi Mitsumoto, MD
Chair, ALS Workgroup
Eleanor & Lou Gehrig MDA/ALS Center
College of Physicians & Surgeons
Columbia University Neurologic Institute
New York, NY
[email protected]

Recommendation of the workgroup for use of this instrument:
Used by the clinician as a guide for starting end-of-life discussions. The talking points listed in each area are relevant to all discussion, but each trigger may bring forward immediate ethical issues, and highlight the communication and decision-making priorities.

advance care plan, decision-making, preferences, values, communication, ethics, advance directives, quality of life, quality of death

To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.

Produced by the ALS Workgroup.

To view this tool:
ALS Appendix C, p 12 (pdf PDF 1.3 MB / 87 pages)

Posted March 10, 2005

Completing the Continuum of ALS Care: A Consensus Document

# ALS07, type:clinician_education

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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