*****Could have a series of picture here e.g. inpatient near bedside/ out-patient setting (clinic room), office (Drs), prison cell, ITU room.
- Serious illness conversation(s) can happen in any location where the patient and/or family are comfortable. Healthcare workers who participate in SIC should be mindful that patients/ families may choose to seek information when/where they feel most comfortable and with a clinician whom they respect, trust and with whom they are likely to have built a rapport.
- Realistically the serious illness conversation is most likely to happen close to the location of the patient. For patients who have been admitted to hospital (i.e. inpatients) the serious illness conversation frequently occurs in hospital. For patients who are receiving care as an outpatient e.g. chemotherapy, then it is reasonable for such patients to have serious illness conversations within the outpatient setting.
- Often the serious illness conversation is not a single entity but a series of interactions /conversations where the information gap is narrowed and information is shared in ‘chunks’ that are acceptable to the receivers (patients/ families). Therefore with regard to the location of SIC, the conversation may be started by one healthcare professional in one setting and continued by a second or third healthcare professional in a different location. An example of this might be a prisoner who has been receiving outpatient chemotherapy may have an initial conversation with their oncologist regarding treatment no longer working and upon returning to prison, the offer of support and discussion regarding priorities and wishes may be continued by a prison officer.