Chronic and Sudden Serious Illness, COVID-19, and Decision-Making Capacity: Integrating Advance Care Planning Into the Preoperative Checklist for Elective Surgery
| Autor: | Mary Hutson, Danielle Noreika, Emily B. Rivet, Candace E Blades |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Advance care planning
Clinical Decision-Making Context (language use) Comorbidity Preoperative care Advance Care Planning 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Preoperative Care Pandemic medicine Humans Elective surgery Pandemics Aged SARS-CoV-2 business.industry Do not resuscitate COVID-19 General Medicine medicine.disease humanities Checklist Elective Surgical Procedures 030220 oncology & carcinogenesis Acute Disease Chronic Disease Female Medical emergency Elective Surgical Procedure business |
| Zdroj: | The American Surgeon. 86:1450-1455 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/0003134820965957 |
| Popis: | Advance Care Planning (ACP) includes anticipating future medical decisions and designating a medical decision maker in the event of losing the capacity to make one’s own medical decisions. Many advantages can be seen to doing ACP before a crisis as well as revisiting these discussions over time as circumstances change. This case presentation is of a 74-year-old woman with multiple medical problems who had ACP discussions in the context of proposed surgery for colon cancer. These conversations highlight the elements of high-quality ACP and the importance of learning what patients mean when they employ phrases commonly referenced in these conversations. The planned surgery was delayed by the COVID-19 pandemic but the discussions helped to guide decision-making when the patient became critically ill with COVID-19. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|