Shared Decision Making in the Presence of COVID-19 and the Absence of Families.

Autor:	Cederquist, Lynette, Kamdar, Biren, Quan, Alex
Předmět:	FAMILIES & psychology INTENSIVE care units TERMINAL care COVID-19 CONVERSATION CRITICALLY ill PATIENTS VIDEOCONFERENCING SEVERITY of illness index ARTIFICIAL respiration DECISION making COVID-19 pandemic
Zdroj:	Journal of Hospital Ethics; Dec2023, Vol. 9 Issue 3, p34-37, 4p
Abstrakt:	For families and surrogates of patients suffering from COVID-19, the pandemic has made nearly impossible the ability to see their loved ones in the hospital day-to-day. Families and surrogates may now be more hesitant to voice their preferences and concerns, or mistrust of the medical profession on the part of members of the public that may simmer under the surface under ordinary conditions, may be quicker than usual to boil over. Both extremes may compromise the spirit of shared decisionmaking in medicine.1 Hence, with families absent, providers may find it necessary to adopt a more clinician-directed approach to decision-making. Once a COVID-19 positive patient enters a hospital, and viral spread mitigation policies separate patients and families, it is critically important that physicians be skilled at having end-of-life conversations with families that do not insist that they make decisions to shift to comfort measures only. Skill in these difficult conversations at the highest level is demonstrated when physicians bring families along gradually. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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