https://issuesinsights.com/2023/06/22/uclas-3-wishes-program-captures-the-true-meaning-of-serving-patients/
During the years of my medical career when I treated patients (always in hospitals), I was one of those rushed doctors who focused on efficiently formulating and implementing diagnostic and treatment plans, rather than on the patient’s emotional needs. That was certainly true of “end-of-life care,” treatment and support given to people who are near the end of life and have stopped treatment to cure or control their disease. The goal then becomes controlling pain and other symptoms so the patient can be as comfortable as possible and includes physical, emotional, social, and spiritual support for patients and their families.
To a young, enthusiastic doctor, a dying patient is often seen as a failure, so somebody or something has to fill the gap, and a project at UCLA Health in Los Angeles is a stunning, munificent example.
The “3 Wishes Program” is a palliative care initiative in which clinicians inquire about and implement final wishes for patients who are expected to die imminently. As its mission statement says, “By celebrating lives and dignifying the dying process, the goal of the program is to improve the end-of-life experience for all stakeholders, including the patient, the family, and the clinicians.” It recognizes that in their final hours, most people have fears, regrets, and maybe a last, often simple request. The program has fulfilled almost 5,000 wishes for more than 1,400 patients.
I became aware of it by following on Twitter Dr. Thanh H. Neville, associate professor and intensive-care unit physician at UCLA Health. Some of the 3 Wishes stories are very affecting reminders of how meaningful small kindnesses can be.