[Speaking and deciding with a serious illness].

Introduction: It is a GP's task to identify patients as palliative patients at an early stage using suitable instruments. As part of a multidimensional basic assessment, the needs and expectations of the patient and their loved ones are recorded. During the interview, open questions are cla-rified, concerns are addressed and treatment options are discussed; a treatment goal is then jointly developed. Based on this treatment goal, an advance care plan is drawn up in consultation with the advising specialist and, if possible, with the involvement of a trusted person. The treatment goal, decisions and measures to be taken in an emergency are recorded in appropriate documents, which also serve to coordinate and communicate between persons involved in treatment.