Early goals of care in real conversations · palliative teaching · Dr. Michael Shin

▶ Next: The Serious Illness Conversation Guide in real conversations · palliative teaching · Dr. Michael Shi    • The Serious Illness Conversation Guide in ...   · ▶ Play all:    • What is palliative care? What the team doe...   How to start goals-of-care conversations early, while nothing has to be decided: VitalTalk's PAUSE map (Pause, Ask permission and explain why, Understand big-picture values, Suggest a surrogate, Expect emotion), with six fictional role-played scenes and real silence after each question; one goes wrong first, at the door, then the redo. Then three out-loud practice moments and a one-page card. ▶ The page, with the printable card and the four short songs: https://library.maitrib.ca/atrium/med... 0:00 Cold open: "See you in three months, Doc?" 0:28 PAUSE: For when no decision is due yet 1:12 Scene 1 · Ten more minutes 1:40 Scene 2 · "Is something wrong?" 2:16 Scene 3 · Joy and meaning 3:05 Scene 4 · "Does she know?" 3:58 Scene 5 · "I don't like thinking about this." 4:33 Scene 6 · When it goes wrong 5:45 Your turn: three practice moments 7:20 Your one-page card 7:35 Sources and credits Tone: light and warm. The patient is well; no jokes or effects, soft piano under the narrator only, real room in every pause. SOURCES PAUSE talking map: Copyright © 2023 Vital Talk. All rights reserved. Learn more at VitalTalk.org. Used for education with citation; not affiliated with or endorsed by VitalTalk. “What activities bring joy and meaning to your life?”: Serious Illness Conversation Guide 2023, © Ariadne Labs, CC BY-NC-SA 4.0. Ontario: advance care planning conversations are not consent for future care (Health Care Consent Act). Every scene is fictional; no real patients. Teaching, not medical advice. Voices: ElevenLabs (AI). Pictures: Gemini (AI). Made with AI assistance (Claude). Creative direction by Dr. Michael Shin Clinical review by Dr. Michael Shin: pending MaitriB · Michael Shin