Description of the REMAP39 framework for goals-of-care discussions
| REMAP step . | Task . |
|---|---|
| Reframe | Assess the patient’s understanding of their lymphoma trajectory and, if needed, provide new information. Place the details of the patient’s illness in a bigger context, and explain the need to initiate or revisit goals of care. |
| Expect emotion | Acknowledge the patient’s emotion so that he or she can feel heard and supported. |
| Map out patient values | Explore what matters most to the patient in the context of their lymphoma, their concerns about the future, trade-offs they are willing to make, and their goals. |
| Align with values | Verbally reflect what is heard from the patient to ensure clear understanding of the patient’s values. During this process, one may find that additional clarification of values is needed. |
| Propose a plan | With permission from the patient, recommend a plan that has the best chance of maximizing the likelihood of meeting the patient’s goals using a combination of the patient’s values and your knowledge of feasible medical treatments. |
| REMAP step . | Task . |
|---|---|
| Reframe | Assess the patient’s understanding of their lymphoma trajectory and, if needed, provide new information. Place the details of the patient’s illness in a bigger context, and explain the need to initiate or revisit goals of care. |
| Expect emotion | Acknowledge the patient’s emotion so that he or she can feel heard and supported. |
| Map out patient values | Explore what matters most to the patient in the context of their lymphoma, their concerns about the future, trade-offs they are willing to make, and their goals. |
| Align with values | Verbally reflect what is heard from the patient to ensure clear understanding of the patient’s values. During this process, one may find that additional clarification of values is needed. |
| Propose a plan | With permission from the patient, recommend a plan that has the best chance of maximizing the likelihood of meeting the patient’s goals using a combination of the patient’s values and your knowledge of feasible medical treatments. |
REMAP, reframe, expect emotion, map out patient values, align with values, and propose a plan.