You spoke about communication between patients and health care professionals, especially doctors.
I'll give you an example from my own experience. I did my residency in Quebec City. When very ill patients came in, we had to ask the individuals themselves, if they were conscious, or their family if they weren't, if we should perform CPR if they had a heart attack or something like that. That was our approach. Since I don't practise anymore, I don't know if things are still done this way. During our residency, when we had an elderly person who was suffering, we always had to ask them this question first. It was a way of asking patients if we should prolong their life, as you said, or if our treatment should be aimed at palliative care.
With respect to best practices, I would like to know if that is done in certain areas, to your knowledge.