Using Video Images to Improve Advance Care Planning in Patients With Cancer

Inclusion Criteria

• •1. Terminal, progressive cancer with poor prognosis whose treatment intent is palliative, based on the following definition:
• •* All patients with brain cancer, liver cancer, inoperable non-small cell lung carcinoma, pancreatic cancer, or gallbladder cancer; OR
• •* Patients with the following cancers: metastatic colon cancer or stage III or IV non-small cell lung cancer; OR
• •* Patients with the following cancers, if first-line therapy has failed and limited response is expected to second-line therapy: breast cancer, colorectal cancer, head and neck cancer, stomach cancer, esophageal cancer, melanoma, leukemia, ovarian cancer, prostate cancer, renal cancer, sarcoma, lung cancer, myeloma, or lymphoma.
• •* The terms terminal, progressive, poor prognosis, palliative intent and limited response will be judged by the patient's oncologist (and not by the RSA or consenting professional).
• •2. Return patient visit (defined as a patient known to the oncologist from previous assessments and treatments, where the working and personal relationship has been established and not a new patient to the clinic).
• •3. English speaking. Only English-speaking patients will be included in our present study since English is the validated language of our study tools.
• •4. Given the sensitive nature of the study, clinicians will decide whether the patient is a potentially appropriate subject based on their knowledge of the patient.
• •5. Able to provide informed consent.
• •6. Age greater than or equal to 21.