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. 2012 Nov;15(11):1261–1269. doi: 10.1089/jpm.2012.0147

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Copyright 2012, Mary Ann Liebert, Inc.

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FIG. 5. — Conceptual model for Goals of Car(e). A car is used here as an analogy for establishing goals of care. (A) A hopeful unrealistic driver believes that there will be no troubles ahead in her journey. This is in contrasts to (B) a hopeful realistic driver who understands the importance of comfort measures and the need to prepare for the trip ahead. (C) A hopeful unrealistic patient who focuses on cancer treatments without attention to her symptoms and advance care needs may experience unnecessary distress. (D) In contrast, a hopeful and realistic patient who receives concurrent oncologic and supportive/palliative care would be better prepared for the symptoms and care needs ahead. Abbreviations: CPR, cardiopulmonary resuscitation; ER, emergency room; ICU, intensive care unit. Reprinted with permission from MD Anderson Cancer Center.