Abstract
Quality patient care in the cardiothoracic intensive care unit (CTICU) requires providers to attend to not only biomedical, but psychological and social needs of the patient. Furthermore, in determining the trajectory and goals of care, providers must give prognostic estimates and stand with patients and surrogates to reach appropriate and value-affirming decisions. Here, we review the literature surrounding communication of prognostic information and make evidence based recommendations for the provider in the CTICU.
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References
Laine C, Davidoff F. Patient-centered medicine. A professional evolution. JAMA. 1996;275:152–6.
Quill TE, Brody H. Physician recommendations and patient autonomy: finding a balance between physician power and patient choice. Ann Intern Med. 1996;125:763–9.
Engel G. The clinical application of the biopsychosocial model. Am J Psychiatr. 1980;137:535–44.
Borrell-Carrio F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med. 2004;2:576–82.
Wilkinson D, Savulescu J. Knowing when to stop: futility in the intensive care unit. Curr Opin Anaesthesiol. 2011;24:160–5.
Rocker G, Cook D, Sjokvist P, et al. Clinician predictions of intensive care unit mortality. Crit Care Med. 2004;32:1149–54.
Zier LS, Burack JH, Micco G, Chipman AK, Frank JA, White DB. Surrogate decision makers’ responses to physicians’ predictions of medical futility. Chest. 2009;136:110–7.
Boyd EA, Lo B, Evans LR, et al. “It’s not just what the doctor tells me:” factors that influence surrogate decision-makers’ perceptions of prognosis. Crit Care Med. 2010;38:1270–5.
A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The SUPPORT Principal Investigators. JAMA 1995;274:1591–8.
Chiarchiaro J, Buddadhumaruk P, Arnold RM, White DB. Quality of communication in the ICU and surrogate’s understanding of prognosis. Crit Care Med. 2015;43:542–8.
White DB, Ernecoff N, Buddadhumaruk P, et al. Prevalence of and factors related to discordance about prognosis between physicians and surrogate decision makers of critically ill patients. JAMA. 2016;315:2086–94.
White M, Garbez R, Carroll M, Brinker E, Howie-Esquivel J. Is “teach-back” associated with knowledge retention and hospital readmission in hospitalized heart failure patients? J Cardiovasc Nurs. 2013;28:137–46.
Kemp EC, Floyd MR, McCord-Duncan E, Lang F. Patients prefer the method of “tell back-collaborative inquiry” to assess understanding of medical information. J Am Board of Fam Med: JABFM. 2008;21:24–30.
Lee Char SJ, Evans LR, Malvar GL, White DB. A randomized trial of two methods to disclose prognosis to surrogate decision makers in intensive care units. Am J Respir Crit Care Med. 2010;182:905–9.
Chapman AR, Litton E, Chamberlain J, Ho KM. The effect of prognostic data presentation format on perceived risk among surrogate decision makers of critically ill patients: a randomized comparative trial. J Crit Care. 2015;30:231–5.
LeClaire MM, Oakes JM, Weinert CR. Communication of prognostic information for critically ill patients. Chest. 2005;128:1728–35.
Anderson WG, Cimino JW, Ernecoff NC, et al. A multicenter study of key stakeholders’ perspectives on communicating with surrogates about prognosis in intensive care units. Ann Am Thorac Soc. 2015;12:142–52.
Sur MD, Angelos P. Ethical issues in surgical critical care: the complexity of interpersonal relationships in the surgical intensive care unit. J Intensive Care Med. 2016;31:442–50.
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Bryan, D.S., Rogers, S.O. (2019). Communication Surrounding Prognostication in the ICU: More Than Mere Talk?. In: Lonchyna, V. (eds) Difficult Decisions in Cardiothoracic Critical Care Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-04146-5_6
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DOI: https://doi.org/10.1007/978-3-030-04146-5_6
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