Shared Decision Making in Adult Critical Care

Matthew N. Jaffa, David Y. Hwang

• Publisher: Cambridge University Press
• Year: 2021
• Print ISBN:
  9781108735544
• eBook ISBN:
  9781108583121
• Topic: Medicine
• Subtopic: Anesthesiology & Pain Management

The adult critical care setting requires complex clinical decisions to be made that have a dramatic impact on the lives of patients and their families. This textbook offers evidence-based case histories around shared decision making, providing practical advice to clinicians who are trying to navigate routine clinical scenarios in adult critical care. Early chapters explore the definition of the shared decision making process and practical steps that aid its implementation. The greater part of the book focuses on how shared decision making can be practiced in specific situations that are common in adult critical care, highlighting the relevant knowledge base necessary to manage each situation. Do-not-resuscitate and do-not-intubate orders, ECMO, and resolving conflicts regarding potentially inappropriate treatment are among the topics covered. An essential resource for healthcare professionals working in critical care and those looking for a framework for the use of shared decision making in this setting.

Table of contents

• Cover
• Half-title
• Title page
• Copyright information
• Dedication
• Contents
• List of Contributors
• Preface
• Chapter 1 When Does Shared Decision-Making Apply in Adult Critical Care?
• Chapter 2 How Much Does the Family Want to Be Involved in Decision-Making?
• Chapter 3 Show Me the Data: Tips for Discussing Numerical Risk in Critical Care
• Chapter 4 Communication Skills for Critical Care Family Meetings
• Chapter 5 The Do-Not-Resuscitate Order
• Chapter 6 The Do-Not-Intubate Order
• Chapter 7 Prolonged Ventilator Dependence for the Pulmonary Patient
• Chapter 8 Renal Replacement Therapy
• Chapter 9 Shared Decision-Making during Extracorporeal Membrane Oxygenation
• Chapter 10 Hypoxic-Ischemic Brain Injury after Cardiac Arrest
• Chapter 11 Decompressive Craniectomy for Stroke Patients
• Chapter 12 Decompressive Craniectomy for Traumatic Brain Injury Patients
• Chapter 13 Severe Traumatic Spinal Cord Injury
• Chapter 14 Potentially Inappropriate Treatment and Conscientious Objection
• Chapter 15 Shared Decision-Making in Emergent Situations
• Chapter 16 Advance Directives: Law, Policy, and Use in Shared Decision-Making
• Chapter 17 Care of the Unbefriended Patient
• Chapter 18 The Role of Palliative Care in the Intensive Care Unit
• Chapter 19 Measuring and Evaluating Shared Decision-Making in the Intensive Care Unit
• Chapter 20 Brain Death Discussions
• Index