Dr Adam T. Perzynski joins Ethics Talk to discuss his article, coauthored with Dr Kurt C. Stange: “How Should Clinicians Ally With Patients Whose Health Is Unlikely to Be Improved by Even Numerous Clinical Encounters?”
Family-centered care is recommended for patients of all ages now, based on evidence that it can lead to compliance, improved communication, and better care planning. Hospitals where PFCC has been integrated report greater satisfaction among patients and staff.
AMA J Ethics. 2016;18(1):40-44. doi:
10.1001/journalofethics.2016.18.1.medu3-1601.
Clinicians can support shared decision making by assessing patients’ knowledge, eligibility for screening, and preferences for engagement—active, collaborative, or passive—in the decision making process.
AMA J Ethics. 2015;17(7):601-607. doi:
10.1001/journalofethics.2015.17.7.ecas1-1507.
Chaplains can mediate between physicians and families by clarifying religious issues for physicians, who can then present treatment options informed by a patient’s priorities. Ideally, family and religious values and a physician’s judgment should work together to inform decision making.
AMA J Ethics. 2018;20(7):E670-674. doi:
10.1001/amajethics.2018.670.