Abstract
In 2018, the Department of Veterans Affairs (VA) implemented the Life Sustaining Treatment Decisions Initiative (LSTDI), a national, multi-pronged program to support clinicians in conducting Goals of Care Conversations (GoCC) with seriously ill Veterans and documenting them using a standardized note and orders template. Addressing GoCC is a crucial part of comprehensive care in LTC facilities and thus Veterans residing in VA nursing homes (Community Living Centers, CLCs) are appropriate recipients of this initiative. However, due to the challenges of addressing the many complex medical and psychosocial needs of veterans in CLCs, even the minimum task of completing the LSTDI note can be challenging.
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