Abstract:
PURPOSE OF REVIEW:Uncertainty surrounding medical decision-making is particularly important during end-of-life decision-making. Doubts about the patient's best interests and prognostic accuracy may lead to conflict. RECENT FINDINGS:Many authors have suggested recently that medical attitudes to uncertainty need review. It is inappropriate to avoid discussion of uncertainty during end-of-life care and American literature suggests that patients and families accept uncertainty in end-of-life discussions. Recently, authors have advocated the concept of 'Practical Certainty' accepting that absolute certainty is rarely possible in end-of-life decision-making and openly acknowledging that the physicians are as certain as they can be in the circumstances. Allowing time to provide acceptance of a palliative care pathway and using the collective wisdom of colleagues improves the accuracy of prediction and reduces conflict at the end of life. SUMMARY:The implications of this review are that doctors should not avoid discussing uncertainty in end-of-life conversations and the article provides some recommendations for minimizing conflict arising from end-of-life discussion.
journal_name
Curr Opin Crit Carejournal_title
Current opinion in critical careauthors
Ridley S,Fisher Mdoi
10.1097/MCC.0000000000000030subject
Has Abstractpub_date
2013-12-01 00:00:00pages
642-7issue
6eissn
1070-5295issn
1531-7072journal_volume
19pub_type
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journal_title:Current opinion in critical care
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journal_title:Current opinion in critical care
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journal_title:Current opinion in critical care
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更新日期:2015-06-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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journal_title:Current opinion in critical care
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更新日期:2005-08-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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更新日期:2018-06-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0b013e32814b040c
更新日期:2007-06-01 00:00:00
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journal_title:Current opinion in critical care
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doi:10.1097/MCC.0000000000000149
更新日期:2014-12-01 00:00:00
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doi:10.1097/MCC.0b013e32833ee8b4
更新日期:2010-12-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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更新日期:2004-02-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0b013e32830e6d81
更新日期:2008-10-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0b013e3282f1e78f
更新日期:2007-12-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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更新日期:2006-04-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1097/00075198-200502000-00013
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/00075198-200208000-00006
更新日期:2002-08-01 00:00:00