Shared Goals of Care | Ngā Whāinga Tauwhiro
The use of Shared Goals of Care (SGoC) is to facilitate the conversation with clinician’s, patients, and whanau, in exploring the patient’s values, the care and treatment options available and agree upon the goal of care for the current admission and give direction if the patient deteriorates.
As health service providers, a system-level approach to SGoC needs to be undertaken to ensure these discussions occur with patients and whānau and within the responsibilities of Te Tiriti o Waitangi. The SGoC principles described will help guide providers in doing this.
These discussions are best explored when a patient is well, for example as an outpatient or when planning treatment or investigations. However, during an unplanned visit SGoC should be discussed early, and before an episode of acute deterioration. This will then provide the basis for all clinical treatment plans. When implemented, SGoC provides less risk of a patient receiving unwanted or unwarranted treatments which is increasingly important if/when their condition changes.
Resources (HQSC)
For consumers - Information about having a shared goals of care discussion
For nurses and allied health workers supporting shared goals of care decisions
For senior clinicians responsible for shared goals of care decisions
For response teams supporting shared goals of care decisions
(For rapid response and medical emergency teams, hospital coordinators and other responders)
For staff - Whānau COVID-19 Serious Illness Conversation Guide
This guide will support you to gather important information from whānau to support decision-making if the patient no longer has capacity OR the patient has nominated whānau to talk on their behalf.
For staff - Serious Illness Conversation Guide Aotearoa
This guide will support you to have a conversation with the patient.
Clinical practice guidelines
HBDHB/CPG/134 Do Not Attempt Cardiopulmonary Resuscitation
HBDHB/CPG/151 Shared Goals of Care Guideline
Training
A regional training module for shared goals of care is being developed currently and will be on the Ko Awatea website.
