Major Reason | Etiology | Response |
Misunderstanding | Not informed | Give information simply and in small chunks; check in frequently; use visual aids if possible |
Given different information | Bring providers together and give consistent information | |
Affective reasons | Stress interferes with understanding | Support family; give information again |
Denial | Attend to emotions | |
Guilt | Attend to emotions; ask what patient wants | |
Lack of trust | Acknowledge; negotiate plan | |
Other | Following patient's wishes | Ethics consultation |
Secondary gain | Confirm facts; ethics consultation | |
Hope for a miracle | Religious support | |
Weighs patient attributes more than physician prediction | Explore and try to understand reasoning behind family decisions | |
Conflict persists | Second opinion; ethics or palliative care consultation |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟