Dialogue Volume 10 Issue 4 2014 | Page 47

consultation Providing quality end-of-life care to your patients Share your insights in policy consultation E veryone eventually dies. However, few of us die suddenly and so many of us will face difficult decisions as we try to live as well as possible until we die. What role do physicians have to play in helping patients plan for these difficult times and what can physicians do to improve the quality of a patient’s life in those last months, weeks, and days? The draft Planning for and Providing Quality Endof-Life Care policy sets out the College’s expectations and provides guidance for physicians when planning for and providing quality care at the end of life. The College wants to hear your thoughts on the draft policy through our consultation. Dr. Carol Leet was chairing the working group that developed the draft policy when she lost her own father. Her personal experience gave her a deeper sense of how difficult it was to be a substitute decision-maker and navigate through the medical system, while dealing with so much grief and sadness. “The most important qualities we found in the members of the medical team were compassion and the ability to communicate. I think the draft policy reflects the importance of those qualities.” She urges physicians to read the full draft policy at www.cpso.on.ca and provide their comments during the consulation. The Planning for and Providing Quality End-of-Life Care draft policy: • Requires physicians to communicate effectively and  compassionately and to initiate communication as early as possible and as regularly and as often as is necessary to share information. photo: istockphoto.com • Recognizes the importance of advance care planning  and states that physicians have a professional responsibility to engage patients in advance care planning and to understand their patient’s wishes, values, and beliefs regarding end-of-life care; the policy also provides guidance to facilitate this process. •  otes that palliative care can be provided at any N stage of a patient’s life-threatening illness or life-limiting chronic condition. •  tates that palliative care does not have to be provided S by palliative care specialists, but where appropriate and available physicians are advised to involve them. •  ets out expectations of physicians with respect to S life-saving and life-sustaining treatments.