Physicians should be aware when developing a treatment plan that patients' lack of trust in the medical profession can affect their willingness to seek medical treatment and comply with the treatment.
Residency programs should include a system composed of night float teams, wide cross-coverage, and effective communication at the time of patient hand-off in order to maintain an 80-hour work week.
Physicians need to manage expectations and clearly explain the prognosis of ICU patients to their families, particularly when the outcome is a negative one.
Lorraine M. Stone, MD, MSPH and James A. Tulsky, MD
Physicians should develop a specific strategy for talking to relatively healthy patients about their CPR preferences in the event they become seriously ill in the future.
Guidelines exist for delivery-room treatment for newborns at the margins of viability, and when the rules and limits are reached, parental values are important.
Guidelines exist for delivery-room treatment for newborns at the margins of viability, and when the rules and limits are reached, parental values are important.
When evaluating the developments and complications of a marginally viable premature infant, physicians and parents must work together to decide on treatment that is in the infant’s best interest.
Physicians should fully understand the ethical principles and professional standards involved in making decisions for the treatment of impaired newborns.