Date of Award
Doctor of Nursing Practice (DNP)
Dr. Monica Ketchie
Dr. Glynnis Haley
Starting an end-of-life conversation can be daunting for a healthcare provider. These conversations are often challenging and bring up complex emotions for the patient. The aging population is growing immensely, leading to an increased need for advanced care planning in the coming years. Advanced care planning and the discussions surrounding it are commonly limited to issues of cardiopulmonary resuscitation measures. In addition to this, the conversation needs to be focused on values and goals at the end-of-life. Current research shows that value-based end-of-life conversations allow patients to express issues that are important to them. This will allow each patient to have a unique and tailored experience that meets their needs. There are few interventions in the literature that expand end-of-life care conversations. Often interventions are lengthy and complex. The Go-Wish cards are a tool that can be implemented easily to expand the end-of-life conversation in a time sensitive way. This tool may assist healthcare providers in discovering their patients’ values and integrate them into their care. The purpose of this paper is to implement a tool in the home hospice setting to facilitate the expression of the hospice patients’ values and wishes for end-of-life care.
Caldwell, Amanda, "Implementing Cards as a Tool to Expand End-of-Life Conversations" (2022). Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects. 60.