Physicians can maintain a balance between professional and personal obligations by having a well-organized practice and honest communication with patients.
Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.
AMA J Ethics. 2018;20(8):E699-707. doi:
10.1001/amajethics.2018.699.
Physicians need to help surrogate decision makers to make treatment and end-of-life decisions for those with severe neurological damage by proving a realistic prognosis and maintain strong lines of communication.
Focusing on patient-communication can help physicians alleviate the stress caused by the administrative tasks and regulations associated with managed care.