학술논문
Top Ten Tips Palliative Care Clinicians Should Know About Disorders of Consciousness: A Focus on Traumatic and Anoxic Brain Injury.
Document Type
Article
Author
Source
Subject
*EDUCATION of physicians
*PROFESSIONS
*LIFE support systems in critical care
*CRITICALLY ill
*PATIENTS
*FORECASTING
*CONSCIOUSNESS disorders
*BRAIN injuries
*DECISION making in clinical medicine
*PALLIATIVE treatment
*HYPOXEMIA
*PASSIVE euthanasia
*ORGAN donation
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Language
ISSN
1096-6218
Abstract
Palliative care (PC) teams commonly encounter patients with disorders of consciousness (DOC) following anoxic or traumatic brain injury (TBI). Primary teams may consult PC to help surrogates in making treatment choices for these patients. PC clinicians must understand the complexity of predicting neurologic outcomes, address clinical nihilism, and appropriately guide surrogates in making decisions that are concordant with patients' goals. The purpose of this article was to provide PC providers with a better understanding of caring for patients with DOC, specifically following anoxic or TBI. Many of the tips acknowledge the uncertainty of DOC and provide strategies to help tackle this dilemma. [ABSTRACT FROM AUTHOR]