title: The family conference in palliative medicine: a practical approach.
abstract: A family conference (FC) is an opportunity for the family and their physician to share their knowledge and concerns about the physical and psychosocial dimensions of care. Appropriate communication principles and practice are both important for an effective FC. The FCs guided by common sense principles and sound clinical practice (good structure, content, and process) have beneficial outcomes. (1) Creation of a therapeutic partnership so the family and medical team collaborate in the difficult task of sophisticated medical and psychosocial care of a complex illness. (2) Enhanced therapeutic management through education and support of the patient and primary caregiver (and other family members) to facilitate self-efficacy and convey realistic hope with careful sequencing of key messages. (3) Easier patient transitions from cure- to care-oriented management, with a formal (yet thoughtful and gentle) introduction to the principles and practice of modern palliative medicine.
authors.affiliation: Department of Solid Tumor Oncology, Cleveland Clinic, Taussig Cancer Institute, OH, USA Cleveland Clinic, The Harry R. Horvitz Center for Palliative Medicine, Cleveland, OH, USA.
authors.forename: Ruth D
authors.initials: RD
authors.lastname: Powazki
authors.affiliation: Department of Solid Tumor Oncology, Cleveland Clinic, Taussig Cancer Institute, OH, USA Cleveland Clinic, The Harry R. Horvitz Center for Palliative Medicine, Cleveland, OH, USA walsht@ccf.org.
authors.forename: Declan
authors.initials: D
authors.lastname: Walsh
mesh_terms: D017028:Caregivers / Q000523:psychology*; D003142:Communication; D003266:Continuity of Patient Care; D005190:Family; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010166:Palliative Care / Q000379:methods*; D010347:Patient Care Planning; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000458:organization & administration; D012944:Social Support
keywords: communication; cure to care transition; decision making; family; palliative; supportive