From: New perspectives on substituted relational autonomy for shared decision-making in critical care
Difficulties | Opportunities |
---|---|
• Understanding medical information ○ Appreciating consequences ○ Relevance accorded to technical and clinical information ○ Emotional context | • Involvement in regular meetings ○ Collect and trace relevant data on the basis of clinical changes ○ Prevent and detect misunderstandings ○ Benefit from regular and effective communication |
• Assuming moral responsibility for the wishes of the patient ○ Defining relatives’ personal values and priorities ○ Defining power of attorney (conflicts within relatives) | • Provide patient’s personal information ○ Perceived health-related quality of life ○ Character and will to live (demonstrated resilience) ○ History of illness |
• Low accuracy in predicting patient’s preferences • Disagreements about goals of care (especially in end-of-life situations) | • Share responsibilities ○ Possibility to engage with the interdisciplinary team ○ Possibility to check other sources of information (web, social media) |
• Exposure to emotional burden and psychological disorders | • Maintain and share intimacy with patient |