Collaborating with a traditional healer

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Using learn to negotiate goals of care


You could use the steps in LEARN to negotiate goals of care that respect Mrs. Zhang's wishes and recognize the role Meiling plays in her care (1). Review the steps below.


Listen: to the patient's understanding of her illness and her preference for care; include the family member who accompanies the patient.


Explain: the treatment options in language the patient understands.


Acknowledge: that patients have a range of choices and that the patient's preferences will be respected.


Recommend: by providing information the patient needs in order to make decisions or refer her to another source for this information.


Negotiate: by finding options that are acceptable to all parties, including family members, demonstrating willingness to collaborate with alternative healers, and sharing decision making with the patient.