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.
An older generation was far more likely to understand itself and its social world in terms of sin and virtue, vice and godliness. Lack of self-control and weakness of will were moral failings to be avoided. That sort of language has fallen on hard times.
People have a social obligation to conform to the general rules of sleeping: sleep at night, in a bed, in a private place away from public view, and in proper attire.
Physicians make patients aware of those interventions that they (the patients) may then refuse. In short, informed consent is less about patient decisions than it is about restraining physicians.
Thoughtful design can welcome patients’ families’ roles in promoting healing. At the same time, clinicians’ need for functionality and privacy is critical. How ought these considerations be balanced in designing the spaces where patient care takes place?
AMA J Ethics. 2016;18(1):73-76. doi:
10.1001/journalofethics.2017.18.1.sect1-1601.
The U. S. health care system encourages patients to take more responsibility for their own treatment decisions and expects their doctors to cooperate in that effort. But the guidelines for exercising that responsibility remain very murky indeed.
Kimberly R. Myers, MA, PhD and Michael D.F. Goldenberg, MA
Graphic pathographies can facilitate physicians’ empathy with patients during informed consent and end-of-life conversations and promote patient education.
AMA J Ethics. 2018;20(2):158-166. doi:
10.1001/journalofethics.2018.20.2.medu2-1802.