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Table 4 Outcome of the Family Meeting

From: Family meetings in palliative care: Multidisciplinary clinical practice guidelines

Below are key points to be recorded at the completion of the family meeting by the Family Meeting's Facilitator.
A copy should be provided to the patient and family carer and one copy kept in the medical record.
Date of meeting: __________________________
Name of family meeting facilitator: _________________________________
Proposed purpose of the meeting: __________________________________
FAMILY MEMBERS PRESENT
Name: Relationship:
Name: Relationship:
Name: Relationship:
STAFF MEMBERS PRESENT
Name: Role/Discipline:
Name: Role/Discipline:
Name: Role/Discipline:
KEY ISSUES RAISED AT THE MEETING
_________________________________________________________________________________
_________________________________________________________________________________
KEY ACTIONS FROM THE MEETING
Current Situation Goal Action Key Person to follow up Review Date
Adapted (with permission) from Single Session Therapy Resource Guide (The Bouverie Centre 2006)