Table 3.

REMAP framework for patients with DLBCL

REMAPDescription
Reframe Assess the patient's understanding of his or her disease status; place details of the illness in a larger context, tailoring and titrating information according to patient preference. 
Expect emotion Acknowledge the patient's emotions. 
Map outpatient values Explore what matters most to the patient in the context of DLBCL and the patient's concerns about the future and goals and the trade-offs they are willing to make. 
Align with values Verbally reflect what is heard from the patient to ensure clear understanding of the patient's values. This step offers the opportunity for additional clarification as needed. 
Propose a plan With permission from the patient, recommend a plan of care that has the best chance of maximizing the patient's goals using a combination of the patient's values and your knowledge of feasible medical treatments to help achieve the patient's goals. 
REMAPDescription
Reframe Assess the patient's understanding of his or her disease status; place details of the illness in a larger context, tailoring and titrating information according to patient preference. 
Expect emotion Acknowledge the patient's emotions. 
Map outpatient values Explore what matters most to the patient in the context of DLBCL and the patient's concerns about the future and goals and the trade-offs they are willing to make. 
Align with values Verbally reflect what is heard from the patient to ensure clear understanding of the patient's values. This step offers the opportunity for additional clarification as needed. 
Propose a plan With permission from the patient, recommend a plan of care that has the best chance of maximizing the patient's goals using a combination of the patient's values and your knowledge of feasible medical treatments to help achieve the patient's goals. 

Adapted from Childers et al90  with permission.

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