Bottom Line: There are many tools one use to engage discussing changes in serious illness. Everyone's needs will vary, but empowering yourself with a simple mnemonic will allow you to be able to reengage with a patient if you lose your train of thought or are interrupted by other areas of clinical care. REMAP is one such tool to feel empowered to quickly engage in a goals-of-care discussion.

Personal use: this is my go-to when I need to get to the point quickly -- palliative care shouldn't be rushed, however, sometimes the window of opportunity is only so open to have a meaningful conversation. What I like about REMAP is the fact that we start off being very direct about what is happening: reframing sets the facts as the groundwork of further discussion. The next three steps: emotion, map, and align; are all patient-centric such that we don't need to attempt to influence any part of the discussion. We just need to make space for the patient to share what matters most in this new normal. We can then algin and make recommendations (las step: propose a plan) that aims to allow the patient to meet those needs. This technique avoids paternalism and gives meaninful clinical advice, bypassing the "what would you like to do?" paralysis that can occur in some clinical situations.