Guide to the Comatose Patient

Expert advice for families and caregivers

Eelco Wijdicks

• Publisher: Mayo Clinic Press
• Year: 2022
• eBook ISBN:
  9781945564192
• Topic: Medicine
• Subtopic: Caregiving

Caring for a loved one in a coma is a distressing time, full of many questions, and often, not as many answers. Guide to a Comatose Patient is a first-of-its-kind book that steps into the shoes of the neurologist, to show the perspective of the staff caring for their loved ones — what worries us, how we think and intervene, what we can and cannot predict, and what we know as a certainty. In our hospital ICUs, there are more than a dozen comatose patients at any given point of time. Causes of coma can range from drug-induced coma—in which medications are used to calm the patient and allow the ventilator to work properly—to coma due to intoxication and coma related to a brain injury. No matter the reason, it can be a distressing time for loved ones. Guide to a Comatose Patient is a helpful guide for any family member or loved one confronted with coma. Author Eelco F. M. Wijdicks, M.D., Ph.D., a leading neurologist and attending neurointensivist at Mayo Clinic, begins each chapter by sharing helpful anecdotes from a career spanning four decades, before diving into the answers to commonly asked questions, such as: · What are the causes of coma? · When will the patient wake up and recover? · When is no recovery expected? · When should we consider organ donation? · What are the rates of survival? While there are many books on families’ experiences with acute traumatic brain injury and coma, Dr. Wijdicks offers an unusually candid conversation that allows a peek inside the minds of the doctors caring for your loved one. Having had many experiences talking to families having to make difficult decisions at a very difficult time, Dr. Wijdicks’s message is hopeful while remaining grounded in reality—a reality in which facts must dictate actions. Guide to a Comatose Patient provides important information so that families better understand treatment options, but most importantly, the book offers an open dialogue and optimal transparency to help provide hope and healing through times of grief.

Table of contents

• Acknowledgments and dedication
• Preface
• Chapter 1: What is coma?
• Chapter 2: What causes coma?
• Chapter 3: How is coma treated?
• Chapter 4: When can we expect awakening and recovery?
• 89Chapter 5: When is recovery not likely to happen?
• 105Chapter 6: What is palliation, or comfort care?
• 121Chapter 7: When is organ donation considered?
• 137Chapter 8: What are our moral obligations and duties?
• 153Chapter 9: How should health care providers and families interact?
• 167Chapter 10: What about experimental and unproven therapies?
• Frequently asked questions
• Suggested readings