What strategies do you find helpful in advanced care planning with patients/families who are very "miracle" centered?

For example, prolonging life-sustaining measures as they "wait for a miracle" of an unrealistic outcome.

Answer from: at Academic Institution

Hope for the miracle yourself! Broaden: “Are there any other things you are hoping for?” Hope for the best, prepare for the worst: “I see how much you want a miracle. I wonder if we can talk about what we should do if this doesn’t happen.” Consider involving a reli...

Comments

at Hartford Health Care
We should all separate the slim chance of survival...

at Hackensack University Medical Center
It's also important to understand the spiritual/re...

at Case Western Reserve University/University Hospitals Cleveland Medical Center Program
'I wish' and 'I hope' statements are very powerful...

Medical Oncologist at St Lukes Cancer Care Assocs
I don’t think I like this phrase, telling fa...

at Case Western Reserve University/University Hospitals Cleveland Medical Center Program
It all depends on the clinical context. "Hope for...

Radiation Oncologist at Lake Huron Medical Center
Love this answer @Mona Gupta - there is no contrad...

at Providence Health & Services - Oregon/St Vincent Hospital and Medical Center
Thank you all for your very thoughtful responses!&...

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What strategies do you find helpful in advanced care planning with patients/families who are very "miracle" centered?

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