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welcome back my name is Michele workman and Iamp;#39;m a physician at the University of Iowa with expertise in family medicine psychiatry and hospice and palliative medicine in this part of the training program weamp;#39;re going to review some of the legal definitions and the concept of decision making when it is shared between the patient family and healthcare provider the case example of mrs. Klein will be used to illustrate key points goals of care are critical to providing the care which is desirable to a patient and family determining goals can be difficult because they may change over time and can be hard to elicit from a patient with dementia it is very helpful to interview the family and friends to understand what the patient was like before the dementia started this would include asking about things such as hobbies life goals styles of interacting and previous health decisions such as the use of herbal remedies willingness to seek and accept medical care when ill and the wi
