| Literature DB >> 33147429 |
Aldis H Petriceks1, Andrea Wershof Schwartz1,2,3.
Abstract
Entities:
Keywords: COVID-19; corrigendum; decision-making; end-of-life care; goals of care; uncertainty
Year: 2020 PMID: 33147429 PMCID: PMC8005785 DOI: 10.1017/S1478951520000681
Source DB: PubMed Journal: Palliat Support Care ISSN: 1478-9515
GOOD framework
| Clinician task | Potential uncertainties | Potential resources | |
|---|---|---|---|
| Goals | Determine the goals and values of the patient | Patient may not know their own goals, or may have goals which contradict one another | – Patient Priorities Care |
| Options | Determine and describe options available to patient — including details and probabilities — given their goals | Clinicians may be uncertain about clinical options; patient may have uncertainties or misconceptions but not know how to clarify | – VHA LSTDI |
| Opinions | Elicit patient preferences regarding options available; communicate clinician perspective on most conducive option; arrive at shared decision | Clinicians may struggle to provide clinical recommendation due to prognostic uncertainty | – Clinical Frailty Scale |
| Documentation | Document outcome of decision-making process; highlight reasoning behind any decisions; make note of all participants | Clinicians often write brief notes (e.g., “DNR”), which may not reflect the nuance and situational dependency of patient values | – POLST |
Adapted from the Stanford University School of Medicine End-of-Life Curriculum for Medical Teachers.
Patient Priorities Care, 2019.
Stanford University, 2020.
Veterans Health Affairs Life-Sustaining Treatments Decisions Initiative (Foglia et al., 2019).
Center to Advance Palliative Care (2020).
UCSF, 2020.
Portable Orders for Life-Sustaining Treatment.
Sudore et al., 2017.