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Have I eliminated external distractions as much as possible?
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Why has the patient come? Driven by symptoms or family?
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What does he/she expect of me?
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What are my first impressions?
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Am I listening as if he is the only other person on earth at the moment?
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Am I seeing the whole person or just focusing on the symptoms?
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Are my suggestions consistent with their values?
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Have I been clear about the range of
treatment options available?
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Is she and/or her caregivers willing to cooperate in managing her health?
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Have I made it clear enough that I consider our relationship is:
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Does the patient appear to need to express his anger/disappointment?
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Am I being sensitive to the opportunities to minimize suffering and to heal?