The Pitfalls of Utilizing "Goals of Care" as a Clinical Buzz Phrase: A Case Study and Proposed Solution.
The Pitfalls of Utilizing "Goals of Care" as a Clinical Buzz Phrase: A Case Study and Proposed Solution.
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DOI：
10.1089/pmr.2020.0063
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发表时间：
2020
影响因子：
2.5
通讯作者：
Marks S
中科院分区：
文献类型：
--
作者：
Klement A;Marks S
协助讨论护理目标是临床医生寻求姑息治疗咨询的最常见原因之一。但在实践中，“护理目标”一词经常被用作一个流行语，缺乏对其临床相关性的共同理解。我们提出了一个案例，其中故障的沟通发生在病人和临床医生之间，由于误解的含义，短语“目标的护理。”随后，我们回顾了文献，提出了一个统一的定义“目标的护理”，希望尽量减少差异，这句话意味着在临床实践中。我们还试图引入一个标准化的过程，建立目标的护理，可以提供一个更可靠的和可衡量的方法，以促进目标一致的护理。
Assistance with discussing goals of care is one of the most common reasons clinicians seek out palliative care consultation. In practice though, the phrase “goals of care” is often utilized as a buzz phrase that lacks a shared understanding of its clinical relevance. We present a case example in which breakdowns in communication occurred between a patient and clinicians due to misunderstandings of the meaning of the phrase “goals of care.” Subsequently, we review the literature to propose a unified definition of “goals of care” in hopes to minimize differences in what this phrase implies in clinical practice. We also seek to introduce a standardized process for establishing goals of care that may offer a more reliable and measurable method to promote goal-concordant care.
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影响因子：
2.9
作者：
Bernacki R;Hutchings M;Vick J;Smith G;Paladino J;Lipsitz S;Gawande AA;Block SD
通讯作者：
Block SD
影响因子：
5.8
作者：
Dalal, Shalini;Bruera, Sebastian;Bruera, Eduardo
通讯作者：
Bruera, Eduardo
影响因子：
45.3
作者：
Temel, Jennifer S.;Greer, Joseph A.;Pirl, William F.
通讯作者：
Pirl, William F.
影响因子：
9
作者：
Cooper, Zara;Koritsanszky, Luca A.;Block, Susan D.
通讯作者：
Block, Susan D.
影响因子：
6.6
作者：
Meier, Diane E.
通讯作者：
Meier, Diane E.