Serious Illness Communication in Cirrhosis Care: Tools to Improve Illness Understanding, Prognostic Understanding, and Care Planning.
| Autor: | Kaplan A; Department of Gastroenterology, Department of Surgery, Transplant Institute, Tufts University Medical Center, Boston, Massachusetts., Ladin K; Department of Community Health, Tufts University, Boston, Massachusetts., Junna S; Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Cleveland, Ohio., Lindenberger E; Department of Geriatrics and Palliative Care, Massachusetts General Hospital, Boston, Massachusetts., Ufere NN; Department of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. |
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| Jazyk: | angličtina |
| Zdroj: | Gastro hep advances [Gastro Hep Adv] 2024; Vol. 3 (5), pp. 634-645. Date of Electronic Publication: 2024 Apr 16. |
| DOI: | 10.1016/j.gastha.2024.04.003 |
| Abstrakt: | Patients with cirrhosis frequently experience an unpredictable illness trajectory, with frequent hospitalizations and complications. Along with the uncertain nature of the disease, the possibility of a lifesaving and curative transplant often makes prognostic discussions and future care decisions challenging. Serious illness communication (SIC) refers to supportive communication whereby clinicians assess patients' illness understanding, share prognostic information according to patients' preferences, explore patients' goals, and make recommendations for care that align with these goals. SIC includes 3 key components: (1) illness understanding; (2) prognostic understanding; and (3) care planning. In this piece, we explore current barriers to early implementation of SIC in cirrhosis care and share possible solutions, including adopting a multidisciplinary approach, delivering culturally competent care, and training clinicians in SIC core skills. By use of a case example, we aim to demonstrate SIC in action and to provide clinicians with tools and skills that can be used in practice. Competing Interests: Conflicts of Interest: The authors disclose no conflicts. |
| Databáze: | MEDLINE |
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