FAmily CEntered (FACE-HIV) ACP

Trained facilitators administered the FACE Intervention Sessions 1 (~60 min) and 2 (~60 min. Session 1: Next Steps: Respecting Choices Interview.²⁷ The goals were to: 1) facilitate goals of care conversations between the PLWH and their family or family members; and 2) prepare the family to be able to fully represent the PLWH’s treatment preferences, if the patient could not communicate. The goals of Session 2: Five Wishes²⁸ were: 1) to confirm patient’s surrogate decision-maker; and 2) to confirm end-of-life treatment preferences. The Five Wishes in addition to being an advance directive designates the health care power of attorney and two back-ups, if the first person is not available. The facilitator sent a secured email to the treating physician after session completion with a brief summary of the goals of care conversation and a copy of the Five Wishes. The facilitator followed site-specific procedures for entering the documents into the medical record (paper chart or EHR).