Thanks to Allen Greenwald to providing us with video footage that the current R2's did for their holiday rounds.
As we mentioned today, this is a tough discussion, and there are many patient and family factors that complicate this.
- DNR does NOT mean do not treat
- Goals of care can be readdressed at ANY time
- decisions should be made as per what the PATIENT's wishes are
In general this is a hard and complicated discussion to have with families who may never had any exposure to this concept. Giving a 'menu' of options is confusion and typically not helpful.
Encourage discussion between family and patients and try to advise what medically makes sense.
Some interesting articles:
This is an interesting NEJM article on the influence of television code on people's perceptions.
This article shows how our discussions influence the decisions of our patients.
No comments:
Post a Comment