Acute Caremiddle twist
A 61-year-old woman with metastatic pancreatic cancer is in the emergency department short-stay unit with vomiting. She already knows her disease is incurable. She asks the resident how long she is likely to live, explaining that she needs to arrange care for her disabled brother. Her daughter, at the bedside, asks that no numbers be given. The resident decides to work through a published framework rather than improvise. Which one of the following frameworks is designed for the conversation she has just asked for?