UNASSIGNED: 36 Background: Integrating early palliative care with @entity5 treatment improves quality of life and survival. Effective communication among physicians, @entity1 and their loved ones is crucial to end-of-life, hospice and palliative care discussions. To address the inherent challenges in these discussions, we implemented a structured outpatient palliative care family conference ( @entity15853 ) program at our community @entity5 clinic. METHODS: A team comprising a hematologist/oncologist, @entity5 nurse navigator and social worker developed a toolkit for conducting an @entity15853 , recognizing that each family conference is a unique adaptive challenge. New @entity1 with advanced @entity5 and limited life expectancy (<12 months) were offered a 90-minute structured @entity15853 attended by the care team, @entity1 and family members and or friends. Pre and post-conference @entity1 satisfaction surveys and other data were collected prospectively. RESULTS: From March 2014 through May 2015, fortyOFC were conducted (16 female and 24 male @entity1 , median age: 67 years). Diagnoses were advanced gastrointestinal (14), lung (12), hematologic (6) and other (8) @entity5 . As a direct result of the @entity15853 program, 18 @entity1 ordered do-not-resuscitate bracelets, 15 completed advanced directives, 7 submitted paperwork for disabled @entity3932 permits, 7 were referred to hospice and 4 for rehabilitation therapy. Further results are shown in the table. CONCLUSIONS: Structured outpatient palliative care family conferences improve satisfaction of end-of-life discussions and facilitate integration of palliative care options. Enhanced communication between providers, @entity1 and loved ones eases the challenges of such discussions. The @entity15853 approach could be a model for integrating palliative care in community @entity5 clinics. [Table: see text].

Structured outpatient palliative care family conferences to enhance early integration of palliative care in advanced XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'malignancies'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3932 :: ('MESH:D013341', 'Disease') :: ['parking'] @entity15853 :: ('MESH:C563481', 'Disease') :: ['OFC']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
