Shared Decision-Making Should Be Encouraged in ICU

Share this content:
Shared Decision-Making Should Be Encouraged in ICU
Shared Decision-Making Should Be Encouraged in ICU

THURSDAY, April 28, 2016 (HealthDay News) -- Shared decision-making should be implemented in the intensive care unit (ICU) as a collaborative process involving patients (or their surrogates) and clinicians, according to a policy statement published online April 20 in the American Journal of Respiratory and Critical Care Medicine.

Alexander A. Kon, M.D., from the Naval Medical Center San Diego and University of California San Diego, and colleagues reviewed the literature and developed a policy statement relating to shared decision-making in the ICU.

The researchers note that the American College of Critical Care Medicine (ACCM) and American Thoracic Society (ATS) endorse the definition that shared decision-making is a collaborative process, allowing patients (or their surrogates) and clinicians to make health care decisions together. A shared decision-making process should be used to define overall goals of care and when making major treatment decisions. Once the general goals of care are agreed upon, clinicians can address routine decisions. Important preference-sensitive choices often arise throughout the ICU stay and shared decision-making should be employed for these decisions.

"ACCM and ATS recommend further research to assess the utility of various approaches to decision-making in the ICU," the authors write. "The use of decision aids, communication skills training, implementation of patient navigator or decision support counselor programs, and other interventions should be subjected to randomized controlled trials to assess efficacy."

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

Some California Mosquitoes Can Carry Zika Virus

Some California Mosquitoes Can Carry Zika Virus

Aedes aegypti mosquitoes found to transmit Zika virus

Periodontal Inflammation a Risk With Tongue Piercing

Periodontal Inflammation a Risk With Tongue Piercing

And, two young females with tongue piercings have deep lingual infrabony lesions, periodontitis

Risk of OD Highest for First Days of Opioid  Benzodiazepine Use

Risk of OD Highest for First Days of ...

Five-fold increased risk of opioid-related overdose during first 90 days of concurrent use

is free, fast, and customized just for you!




Already a member?

Sign In Now »