Goals of Care Discussion for Patients With Advanced Lung and Gastrointestinal Cancer in the Emergency Department of a Comprehensive Cancer Center

This study is looking at how having structured conversations about care goals — what matters most to the patient and what treatments align with their wishes — affects patients with advanced lung or gastrointestinal cancer when they come to the emergency department. **You may be eligible if...** - You are 18 or older with advanced (metastatic or locally recurrent) lung or GI cancer - You are visiting the emergency department at MD Anderson Cancer Center - You are experiencing at least 2 of: breathing difficulty, confusion, or poor overall functioning - You can speak and read English - You can give consent yourself, or a legal representative can do so **You may NOT be eligible if...** - You are already enrolled in hospice care - You are comatose - You have severe intellectual disability or documented dementia Talk to your doctor to see if this trial is right for you.