| Course | PA 612 Clinical Clerkship - Internal Medicine |
|---|---|
| Week | 6 |
| Paper type | Goals of care record |
| Length | About 510 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 612 Week 6
Goals of Care Summary for W.H. on Hospital Day 9: Who Was in the Room and on the Phone, Each Statement Attributed, the Agreements Written as Instructions, What Stayed Open and Where the Formal Documents Sit
Student Name
Chamberlain University
PA 612: Clinical Clerkship - Internal Medicine
Instructor Name
Month Day, Year
Goals of Care Summary for W.H. on Hospital Day 9: Who Was in the Room and on the Phone, Each Statement Attributed, the Agreements Written as Instructions, What Stayed Open and Where the Formal Documents Sit
Header
Date: March 10, 2026, hospital day 9, 14:00 to 14:45, family room, ward 5. Present: W.H.; W.H.'s spouse; Dr. Lund, attending; the surgical resident; the nurse; the PA student, recording. By telephone: W.H.'s daughter, named as health care agent in a power of attorney for health care dated 2019, scanned into the chart.
What the Team Explained
Dr. Lund explained that the biopsy from the sigmoid mass shows adenocarcinoma, that scans of the chest and abdomen found nothing elsewhere, that the heart valve infection needs antibiotics until April 13 and that surgery on the colon is usually done after the infection is controlled. The surgical resident said surgery would be planned with the surgeon in clinic in April.
What Was Asked
W.H. asked whether the cancer caused the heart infection. Dr. Lund said the bacterium most likely entered the blood through the tumor. The daughter asked whether the valve would need surgery. Dr. Lund said not now, and that the echocardiogram would be repeated before colon surgery.
The spouse asked how long W.H. would be in hospital. Dr. Lund said about three more days, then home with a line in the arm and a nurse visiting for the antibiotic.
What W.H. Said
"I want to know everything, and I want the surgery." "If something goes wrong in the operation, try to fix it, but I don't want to be kept on machines for weeks if I'm not coming back." Asked about resuscitation now, W.H. said: "Yes, try. I'm doing well."
Agreements Read as Instructions
1. Full treatment, including resuscitation, during this admission.
2. W.H. receives all results directly; the daughter is to be called after major results with W.H.'s permission, which W.H. gave.
3. Plan for outpatient surgery consultation after the antibiotic course.
Record, Do Not Advocate
The summary records what W.H. said, in W.H.'s words where possible. It does not describe whether the team agreed with the choices.
Name What Stayed Open
W.H.'s statement about "machines for weeks" was not turned into a specific limit. A consensus definition describes advance care planning as an ongoing process of making personal values and wishes about future care known (Sudore et al., 2017); W.H. agreed to discuss it again with the surgeon before the operation and to complete a POLST form then if wanted.
Point at the Formal Document
The power of attorney for health care (2019) is in the chart under legal documents. No POLST exists. Code status in the order set: full code, entered by Dr. Lund at 15:00.
References
Sudore, R. L., Lum, H. D., You, J. J., Hanson, L. C., Meier, D. E., Pantilat, S. Z., Matlock, D. D., Rietjens, J. A. C., Korfage, I. J., Ritchie, C. S., Kutner, J. S., Teno, J. M., Thomas, J., McMahan, R. D., & Heyland, D. K. (2017). Defining advance care planning for adults: A consensus definition from a multidisciplinary Delphi panel. Journal of Pain and Symptom Management, 53(5), 821-832. https://doi.org/10.1016/j.jpainsymman.2016.12.331
The Chamberlain PA 612 Week 6 instructions
The sixth week asks for a goals of care summary that is plain, dated and attributed. The header should fix who was present in person and by telephone, and who is the patient's named decision maker. Write the body as a record, not a transcript: what the team explained, what was asked and what the patient and family said, attributing every statement to its speaker. Record without advocating. Write agreements as instructions the team can follow. Name what stayed open and when it will be revisited. Point to the formal documents, such as a power of attorney or POLST, rather than restating them, since the summary is not the legal document. If the patient could not take part, say so and record who spoke for them. Cite a source on advance care planning where relevant.
How this PA 612 Week 6 example is built
The header gives March 10, 2026, 14:00 to 14:45, those present, the daughter by phone and her role as health care agent under a scanned 2019 document. The explanation section records the biopsy result, a CT without spread, antibiotics until April 13 and surgery after infection control. Questions record W.H. asking whether the cancer caused the infection and the daughter asking about valve surgery, with the answers. W.H.'s statements are quoted, including wanting full information and surgery and not wanting weeks on machines without recovery. Three agreements follow as instructions: full treatment, direct results with calls to the daughter and an outpatient surgery consult. The open section cites Sudore et al. (2017) and plans a later conversation. The final section points to the documents and the code status order.
PA 612 Week 6 rubric: what full points look like
The summary loses the most when statements are not attributed, so a later reader cannot tell what the patient said from what the team suggested. Next comes advocacy in the record, describing whether the team agreed with the patient's choices. Graders deduct for agreements written as narrative rather than instructions. Faculty reward a header with attendees, phone participants and the named decision maker. Naming what stayed open, with a plan to revisit, earns a defined share. Pointing to formal documents instead of restating them shows understanding of the record's limits. Citation of advance care planning evidence, in APA form, completes the rubric.
PA 612 Week 6 help from the desk
A goals of care summary misfires when it reads like a transcript or, at the other extreme, a single line saying "full code." Another frequent problem is converting a patient's general statement into a specific limit the patient never agreed to. Some summaries also omit who joined by phone. If your meeting involved a patient who could not participate or a family in disagreement, send the attendees and what was said; a summary prepared for you would fix the header, attribute every statement, write agreements as instructions, name what stayed open and point to the formal documents. Where a hospital form exists, these same parts slot into its fields in this order.
Get a PA-612 Week 6 example written to your instructions
Send the assignment, the rubric and any template your service uses for family meetings, and a custom PA-612 goals of care summary is written to them and returned inside 24-48h, first one free. Where the assignment supplies the conversation, the example records that conversation and takes no position on what should have been decided.
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PA 612 Week 6 questions, answered
Is this summary the legal document?
No. A conversation record describes what was discussed and what was agreed. The formal paperwork that carries authority is completed separately, on its own forms, and the summary's work is to name it accurately rather than to stand in for it. Sections mark whether that distinction stays visible, so an example keeps the record and the paperwork it refers to clearly apart.
The patient could not take part. How is that written?
Exactly as it happened, and early in the document. The summary states the reason participation was not possible, who was recognized as the decision maker, and on what basis that person was identified. Where previously expressed wishes exist, it notes where they are recorded rather than paraphrasing them into the body. A summary reporting a family's decision without saying why the family was deciding is incomplete.
How is this different from the daily note?
The daily note is written for the team and moves with the medicine. This document is written for whoever comes next, including people outside the hospital, and it has to survive being read cold. That shows in the language: fewer abbreviations, roles written out in full, and enough reasoning that a reader who never met the patient can tell what the family and the team settled and what they did not.
Where can I find a free PA 612 Week 6 sample paper?
This page holds the full PA 612 Week 6 goals of care summary, with attributed statements, instructions and the open items named.
What stayed open in the PA 612 Week 6 sample?
The patient's wish not to be kept on machines for weeks without recovery was not turned into a specific limit and will be discussed again before surgery.