Goals of Care Conversations in Serious Illness A Practical Guide
Goals of Care Conversations in Serious Illness A Practical Guide
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DOI：
10.1016/j.mcna.2019.12.001
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发表时间：
2020-05-01
影响因子：
5.9
通讯作者：
Bernacki, Rachelle E.
中科院分区：
文献类型：
--
作者：
Jain, Nelia;Bernacki, Rachelle E.
治疗重症患者的临床医生需要在整个疾病发展过程中有效地与患者及其家人沟通的技能。在重症患者的护理中，常见的沟通任务包括提前护理计划、提供严肃的消息、讨论预后、引出价值和医疗决策。临床医生经常使用护理对话的目标来促进这些任务。与其他程序类似，护理对话的目标需要系统的、以证据为基础的方法，以确保质量和价值。本文提供了一个临床医生可以遵循的框架，以有效地与重症患者及其家人沟通，促进以患者为中心的护理。
Clinicians working with seriously ill patients need the skills to effectively communicate with patients and their families throughout the trajectory of illness. Common communication tasks that arise in the care of seriously ill patients include advance care planning, delivering serious news, discussing prognosis, eliciting values, and medical decision making. Clinicians often use goals of care conversations to facilitate these tasks. Similar to other procedures, goals of care conversations require a systematic, evidence-based approach to ensure quality and value. This article provides a framework that clinicians can follow to effectively communicate with seriously ill patients and families and promote patient-centered care.