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. 2020 Oct 24;47(2):127–136. doi: 10.1016/j.jcjq.2020.10.005

Sidebar 1.

Sharing information about risk from COVID-19 in the outpatient setting:
Most people who get the coronavirus get better on their own. However, people who are older or have other health problems like yours can get very sick and may not survive. The treatments that we use to try to help people live, like breathing machines, may not work. If they do work, recovery from the illness is uncertain. [Pause, respond to emotion].
We really hope that you don't get the virus, but it is important to prepare in case you do.
Given your [medical condition]/age, I'd like to think together about what would be important to you if you became very sick and couldn't speak for yourself.
Sharing information about risk from COVID-19 in the inpatient setting:
Many people will recover from this infection. We will do everything we can to help you recover. As you've probably heard, some people get so sick that they do not survive. [Pause]
[If NormalRisk] Because there is some uncertainty about how this illness affects people, we are asking everyone to share what would be important if they became very sick and couldn't speak for themselves.
[If High Risk] Because of your [high risk condition], if you get really sick, I worry that the treatments that we can use to try to help people get better, like breathing machines or CPR, are not likely to work or get you back to the quality of life you had before. [Pause] This must be hard to hear.