Medication appropriateness at end of life: a new tool for balancing medicine and communication for optimal outcomes--the BUILD model.

The BUILD model was created to provide a systematic framework for hospice clinicians to have important conversations with patients and families as well as facilitating useful conversations with interdisciplinary teammates. Although this article focuses on medication appropriateness and discontinuation of medications, this model can also be used when discussing prognosis, code status, goals of care, drug diversion, and when collaborating to develop a plan of care. When provided with a communication tool that is versatile, logical, and effective, hospice clinicians may use it, supporting improved patient care outcomes.